T76.21XD
T76.21XD — Adult sexual abuse, suspected, subsequent encounter
Billable / specific codeICD-10-CMPOA exempt
T76.21XD is a billable, specific ICD-10-CM code for adult sexual abuse, suspected, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent encounter
The appropriate 7th character is to be added to each code from category T76
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T76.21XD does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
T76.21XD is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56937Billing and Coding: Psychiatry and Psychology Services
- A57130Billing and Coding: Psychiatric Codes
- A57780Billing and Coding: Psychological and Neuropsychological Tests
- A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Related codes at this level
Codes that share T76.21. If T76.21XD is not quite right, the correct code is usually one of these.
Questions about T76.21XD
- Is T76.21XD a billable ICD-10-CM code?
- Yes. T76.21XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T76.21XD sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Other and unspecified effects of external causes (T66-T78).