T76.11 vs Z91.410
T76.11 (Adult physical abuse, suspected) compared with Z91.410 (Personal history of adult physical and sexual abuse), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. Z91.410 carries an Excludes1 note covering T76.11: “current adult physical abuse (T74.11, T76.11)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. Z91.410 carries an Excludes1 note covering T76.11: “current adult sexual abuse (T74.21, T76.11)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| T76.11Adult physical abuse, suspected | Z91.410Personal history of adult physical and sexual abuse | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) |
| Definition | Adult physical abuse, suspected is a non-billable ICD-10-CM category code (T76.11). | Personal history of adult physical and sexual abuse is a billable ICD-10-CM diagnosis code (Z91.410). |
| 7th character | The appropriate 7th character is to be added to each code from category T76 | — |
| Use additional code | code, if applicable, to identify any associated current injury | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources