X71-X83 — Intentional self-harm
ICD-10-CM codes X71-X83 cover intentional self-harm, within external causes of morbidity. The block holds 181 codes across 13 categories, of which 129 are billable and 52 are header codes that cannot be submitted on a claim. 181 of them (100%) require a 7th character.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Purposely self-inflicted injury
- Suicide (attempted)
The 7th character in X71-X83
A code in this block is not complete without its 7th character, and a missing one is a rejected claim rather than a denied one: the clearinghouse never passes it on. 181 of the 181 codes here take one.
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment in X71-X83
0 codes in this block map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded. Under-coding here is money left on the table; over-coding here is what audits are for.
- HCC 155 Major Depression, Moderate or Severe, without Psychosis
What else to watch in X71-X83
- 3 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.
Categories in X71-X83
- X71Intentional self-harm by drowning and submersion
- X72Intentional self-harm by handgun discharge
- X73Intentional self-harm by rifle, shotgun and larger firearm discharge
- X74Intentional self-harm by other and unspecified firearm and gun discharge
- X75Intentional self-harm by explosive material
- X76Intentional self-harm by smoke, fire and flames
- X77Intentional self-harm by steam, hot vapors and hot objects
- X78Intentional self-harm by sharp object
- X79Intentional self-harm by blunt object
- X80Intentional self-harm by jumping from a high place
- X81Intentional self-harm by jumping or lying in front of moving object
- X82Intentional self-harm by crashing of motor vehicle
- X83Intentional self-harm by other specified means