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Dx

ICD-10-CM 2027 diagnosis code

T76.52XSChild sexual exploitation, suspected, sequela

✓ Billable / specificPOA exemptRequires 7th characterPediatric · age 0–17

T76.52XS is a valid, billable ICD-10-CM code for child sexual exploitation, suspected, sequela. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code last changed in FY2019 (effective October 1, 2018). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About T76.52XS

T76.52XS is the ICD-10-CM diagnosis code for child sexual exploitation, suspected, sequela. It belongs to category T76 (adult and child abuse, neglect and other maltreatment, suspected), block T66-T78 (other and unspecified effects of external causes) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "S" means sequela: use it for complications or conditions that arise as a direct result of the original condition.

Use an additional code, if applicable, to identify any associated current injury.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 922 (Other Injury, Poisoning and Toxic Effect Diagnoses with MCC, relative weight 1.6238) and DRG 923 (Other Injury, Poisoning and Toxic Effect Diagnoses without MCC, relative weight 0.9973), in MDC 21 (Injuries, Poisonings and Toxic Effects of Drugs), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

The Medicare Code Editor expects this diagnosis only for patients age 0 through 17; other ages trigger an age-conflict edit.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It was added in FY2019, effective October 1, 2018.

7th character

Ssequela

CC/MCC status for this injury by encounter: CC for A; Neither CC nor MCC for D, S.

Other encounter types for T76.52:

Notes that apply from higher levels

Instructions written at a parent level also apply to T76.52XS.

› From T76 Adult and child abuse, neglect and other maltreatment, suspected
Excludes1
  • 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

Broader instructions also apply from T66-T78 Other and unspecified effects of external causes and Chapter 19: Injury, poisoning and certain other consequences of external causes.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2019 (effective 10/1/2018): Added
  • No changes since FY2019.

Common questions about T76.52XS

Is T76.52XS billable?

Yes. T76.52XS is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "S" at the end of T76.52XS mean?

It is the 7th character for sequela. Per the official guidelines, use it for complications or conditions that arise as a direct result of the original condition.

Can T76.52XS be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict T76.52XS as a principal diagnosis.

Is T76.52XS a CC or MCC?

No. T76.52XS is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does T76.52XS group to?

T76.52XS is used in the MS-DRG v44.0 logic for MS-DRG 922 (Other Injury, Poisoning and Toxic Effect Diagnoses with MCC) and MS-DRG 923 (Other Injury, Poisoning and Toxic Effect Diagnoses without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.