T76.21XD ICD-10-CM Code: Adult sexual abuse, suspected, subsequent encounter
T76.21XD is the authoritative medical code for Adult sexual abuse, suspected, subsequent encounter. This classification is used in medical billing and clinical recording to specify the clinical criteria for adult sexual abuse, suspected, subsequent encounter (ICD-10-CM T76.21XD), ensuring healthcare documentation aligns with current federal coding standards.
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.
- MS-DRG 949 — AFTERCARE WITH CC/MCC (MDC 23)
- MS-DRG 950 — AFTERCARE WITHOUT CC/MCC (MDC 23)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for T76.21XD 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.
- 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-)
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code, if applicable, to identify any associated current injury
Frequently Asked Questions (FAQ) & Clinical Guidance
Does T76.21XD 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 T76.21XD?
Per official ICD-10-CM Excludes1 instructions, T76.21XD must not be reported together 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 T76.21XD?
Use additional code(s) to specify: code, if applicable, to identify any associated current injury.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to T76.21XD in its code family, with their registry titles.
- 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
- T76.21XA — Adult sexual abuse, suspected, initial 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