T76.21XA is the authoritative medical code for Adult sexual abuse, suspected, initial encounter. This classification is used in medical billing and clinical recording to specify the clinical criteria for adult sexual abuse, suspected, initial encounter (ICD-10-CM T76.21XA), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Official Registry Overview & Definition
Adult sexual abuse, suspected, initial encounter is a billable ICD-10-CM diagnosis code T76.21A. Excludes1 (not coded here): alleged abuse, ruled out Z04.7; adult and child maltreatment, confirmed T74.-; suspected abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-); suspected adult physical abuse, ruled out Z04.71; suspected adult sexual abuse, ruled out Z04.41; suspected child physical abuse, ruled out Z04.72; suspected child sexual abuse, ruled out Z04.42. Use additional code: code, if applicable, to identify any associated current injury. Code also: , if applicable, place of occurrence, such as:; highway rest stop Y92.523; school private public state as the place of occurrence of the external cause Y92.21-; service areas as the place of occurrence of the external cause Y92.52-; single-family non-institutional private house as the place of occurrence of the external cause Y92.01-; transport vehicle as the place of occurrence of the external cause Y92.81-. 7th character: The appropriate 7th character is to be added to each code from category T76.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for T76.21XA in the official ICD-10-CM tabular list.
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- alleged abuse, ruled out Z04.7
- adult and child maltreatment, confirmed T74.-
- suspected abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-)
- suspected adult physical abuse, ruled out Z04.71
- suspected adult sexual abuse, ruled out Z04.41
- suspected child physical abuse, ruled out Z04.72
- suspected child sexual abuse, ruled out Z04.42
Code Also
Additional codes that may be required to fully describe the encounter.
- , if applicable, place of occurrence, such as:
- highway rest stop Y92.523
- school private public state as the place of occurrence of the external cause Y92.21-
- service areas as the place of occurrence of the external cause Y92.52-
- single-family non-institutional private house as the place of occurrence of the external cause Y92.01-
- transport vehicle as the place of occurrence of the external cause Y92.81-
Use Additional Code
Supplementary codes the tabular list directs you to add.
- code, if applicable, to identify any associated current injury
Frequently Asked Questions (FAQ) & Clinical Guidance
Does T76.21XA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category T76.
What can't be coded together with T76.21XA?
Per Excludes1 instructions, T76.21XA must not be reported with: alleged abuse, ruled out (Z04.7); adult and child maltreatment, confirmed (T74.-); suspected abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-); suspected adult physical abuse, ruled out (Z04.71).
Is an additional code needed with T76.21XA?
Use additional code(s) to specify: code, if applicable, to identify any associated current injury.
Codes in This Family (40)
Official ICD-10-CM classifications in the same code family as T76.21XA, with their registry titles.
- T76 — Adult and child abuse, neglect and other maltreatment, suspected
- T76.0 — Neglect or abandonment, suspected
- T76.01 — Adult neglect or abandonment, suspected
- T76.01XA — Adult neglect or abandonment, suspected, initial encounter
- T76.01XD — Adult neglect or abandonment, suspected, subsequent encounter
- T76.01XS — Adult neglect or abandonment, suspected, sequela
- T76.02 — Child neglect or abandonment, suspected
- T76.02XA — Child neglect or abandonment, suspected, initial encounter
- T76.02XD — Child neglect or abandonment, suspected, subsequent encounter
- T76.02XS — Child neglect or abandonment, suspected, sequela
- T76.1 — Physical abuse, suspected
- T76.11 — Adult physical abuse, suspected
- T76.11XA — Adult physical abuse, suspected, initial encounter
- T76.11XD — Adult physical abuse, suspected, subsequent encounter
- T76.11XS — Adult physical abuse, suspected, sequela
- T76.12 — Child physical abuse, suspected
- T76.12XA — Child physical abuse, suspected, initial encounter
- T76.12XD — Child physical abuse, suspected, subsequent encounter
- T76.12XS — Child physical abuse, suspected, sequela
- T76.2 — Sexual abuse, suspected
- T76.21 — Adult sexual abuse, suspected
- T76.21XD — Adult sexual abuse, suspected, subsequent encounter
- T76.21XS — Adult sexual abuse, suspected, sequela
- T76.22 — Child sexual abuse, suspected
- T76.22XA — Child sexual abuse, suspected, initial encounter
- T76.22XD — Child sexual abuse, suspected, subsequent encounter
- T76.22XS — Child sexual abuse, suspected, sequela
- T76.3 — Psychological abuse, suspected
- T76.31 — Adult psychological abuse, suspected
- T76.31XA — Adult psychological abuse, suspected, initial encounter
- T76.31XD — Adult psychological abuse, suspected, subsequent encounter
- T76.31XS — Adult psychological abuse, suspected, sequela
- T76.32 — Child psychological abuse, suspected
- T76.32XA — Child psychological abuse, suspected, initial encounter
- T76.32XD — Child psychological abuse, suspected, subsequent encounter
- T76.32XS — Child psychological abuse, suspected, sequela
- T76.5 — Forced sexual exploitation, suspected
- T76.51 — Adult forced sexual exploitation, suspected
- T76.51XA — Adult forced sexual exploitation, suspected, initial encounter
- T76.51XD — Adult forced sexual exploitation, suspected, subsequent encounter
Related Codes & Numerical Sequence (Crawl Map)
Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures: