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Compare/T76.92 vs Z62.819

T76.92 vs Z62.819

T76.92 (Unspecified child maltreatment, suspected) compared with Z62.819 (Personal history of unspecified abuse in childhood), 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. Z62.819 carries an Excludes1 note covering T76.92: “current child abuse NOS (T74.92, T76.92)”

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

T76.92Unspecified child maltreatment, suspectedZ62.819Personal history of unspecified abuse in childhood
Billing statusNon-billable header

Report instead: T76.92XA, T76.92XD, T76.92XS

Billable
ClassificationS00-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)
DefinitionUnspecified child maltreatment, suspected is a non-billable ICD-10-CM category code (T76.92).Personal history of unspecified abuse in childhood is a billable ICD-10-CM diagnosis code (Z62.819).
7th characterThe appropriate 7th character is to be added to each code from category T76
Includes
current and past negative life events in childhood
current and past problems of a child related to upbringing
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