Intentional self-harm (X71-X83)

Instructional notes

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers how to report external cause codes (V00-Y99) describing cause, intent, place, activity, and status. They are never principal or first-listed, and reporting is voluntary unless required.

• General External Cause Coding Guidelines (page 88)
• Place of Occurrence Guideline (page 89)
• Activity Code (page 89)
• Place of Occurrence, Activity, and Status Codes Used with other External Cause Code (page 89)
• If the Reporting Format Limits the Number of External Cause Codes (page 90)
• Multiple External Cause Coding Guidelines (page 90)
• Child and Adult Abuse Guideline (page 90)
• Unknown or Undetermined Intent Guideline (page 91)

Read Section I.C.20 (page 87), 3 more topics

All codes under X71-X83

X71-X83 can't be used on a claim. Pick a billable code below; grey headings group them.

• X71Intentional self-harm by drowning and submersion
• X71.0Intentional self-harm by drowning and submersion while in bathtub
• X71.0XXAIntentional self-harm by drowning and submersion while in bathtub, initial encounter
• X71.0XXDIntentional self-harm by drowning and submersion while in bathtub, subsequent encounter
• X71.0XXSIntentional self-harm by drowning and submersion while in bathtub, sequela
• X71.1Intentional self-harm by drowning and submersion while in swimming pool
• X71.1XXAIntentional self-harm by drowning and submersion while in swimming pool, initial encounter
• X71.1XXDIntentional self-harm by drowning and submersion while in swimming pool, subsequent encounter
• X71.1XXSIntentional self-harm by drowning and submersion while in swimming pool, sequela
• X71.2Intentional self-harm by drowning and submersion after jump into swimming pool
• X71.2XXAIntentional self-harm by drowning and submersion after jump into swimming pool, initial encounter
• X71.2XXDIntentional self-harm by drowning and submersion after jump into swimming pool, subsequent encounter
• X71.2XXSIntentional self-harm by drowning and submersion after jump into swimming pool, sequela
• X71.3Intentional self-harm by drowning and submersion in natural water
• X71.3XXAIntentional self-harm by drowning and submersion in natural water, initial encounter
• X71.3XXDIntentional self-harm by drowning and submersion in natural water, subsequent encounter
• X71.3XXSIntentional self-harm by drowning and submersion in natural water, sequela
• X71.8Other intentional self-harm by drowning and submersion
• X71.8XXAOther intentional self-harm by drowning and submersion, initial encounter
• X71.8XXDOther intentional self-harm by drowning and submersion, subsequent encounter
• X71.8XXSOther intentional self-harm by drowning and submersion, sequela
• X71.9Intentional self-harm by drowning and submersion, unspecified
• X71.9XXAIntentional self-harm by drowning and submersion, unspecified, initial encounter
• X71.9XXDIntentional self-harm by drowning and submersion, unspecified, subsequent encounter
• X71.9XXSIntentional self-harm by drowning and submersion, unspecified, sequela
• X72Intentional self-harm by handgun discharge
• X72.XXXAIntentional self-harm by handgun discharge, initial encounter
• X72.XXXDIntentional self-harm by handgun discharge, subsequent encounter
• X72.XXXSIntentional self-harm by handgun discharge, sequela
• X73Intentional self-harm by rifle, shotgun and larger firearm discharge
• X73.0Intentional self-harm by shotgun discharge
• X73.0XXAIntentional self-harm by shotgun discharge, initial encounter
• X73.0XXDIntentional self-harm by shotgun discharge, subsequent encounter
• X73.0XXSIntentional self-harm by shotgun discharge, sequela
• X73.1Intentional self-harm by hunting rifle discharge
• X73.1XXAIntentional self-harm by hunting rifle discharge, initial encounter
• X73.1XXDIntentional self-harm by hunting rifle discharge, subsequent encounter
• X73.1XXSIntentional self-harm by hunting rifle discharge, sequela
• X73.2Intentional self-harm by machine gun discharge
• X73.2XXAIntentional self-harm by machine gun discharge, initial encounter
• X73.2XXDIntentional self-harm by machine gun discharge, subsequent encounter
• X73.2XXSIntentional self-harm by machine gun discharge, sequela
• X73.8Intentional self-harm by other larger firearm discharge
• X73.8XXAIntentional self-harm by other larger firearm discharge, initial encounter
• X73.8XXDIntentional self-harm by other larger firearm discharge, subsequent encounter
• X73.8XXSIntentional self-harm by other larger firearm discharge, sequela
• X73.9Intentional self-harm by unspecified larger firearm discharge
• X73.9XXAIntentional self-harm by unspecified larger firearm discharge, initial encounter
• X73.9XXDIntentional self-harm by unspecified larger firearm discharge, subsequent encounter
• X73.9XXSIntentional self-harm by unspecified larger firearm discharge, sequela
• X74Intentional self-harm by other and unspecified firearm and gun discharge
• X74.0Intentional self-harm by gas, air or spring-operated guns
• X74.01Intentional self-harm by airgun
• X74.01XAIntentional self-harm by airgun, initial encounter
• X74.01XDIntentional self-harm by airgun, subsequent encounter
• X74.01XSIntentional self-harm by airgun, sequela
• X74.02Intentional self-harm by paintball gun
• X74.02XAIntentional self-harm by paintball gun, initial encounter
• X74.02XDIntentional self-harm by paintball gun, subsequent encounter
• X74.02XSIntentional self-harm by paintball gun, sequela
• X74.09Intentional self-harm by other gas, air or spring-operated gun
• X74.09XAIntentional self-harm by other gas, air or spring-operated gun, initial encounter
• X74.09XDIntentional self-harm by other gas, air or spring-operated gun, subsequent encounter
• X74.09XSIntentional self-harm by other gas, air or spring-operated gun, sequela
• X74.8Intentional self-harm by other firearm discharge
• X74.8XXAIntentional self-harm by other firearm discharge, initial encounter
• X74.8XXDIntentional self-harm by other firearm discharge, subsequent encounter
• X74.8XXSIntentional self-harm by other firearm discharge, sequela
• X74.9Intentional self-harm by unspecified firearm discharge
• X74.9XXAIntentional self-harm by unspecified firearm discharge, initial encounter
• X74.9XXDIntentional self-harm by unspecified firearm discharge, subsequent encounter
• X74.9XXSIntentional self-harm by unspecified firearm discharge, sequela
• X75Intentional self-harm by explosive material
• X75.XXXAIntentional self-harm by explosive material, initial encounter
• X75.XXXDIntentional self-harm by explosive material, subsequent encounter
• X75.XXXSIntentional self-harm by explosive material, sequela
• X76Intentional self-harm by smoke, fire and flames
• X76.XXXAIntentional self-harm by smoke, fire and flames, initial encounter
• X76.XXXDIntentional self-harm by smoke, fire and flames, subsequent encounter
• X76.XXXSIntentional self-harm by smoke, fire and flames, sequela
• X77Intentional self-harm by steam, hot vapors and hot objects
• X77.0Intentional self-harm by steam or hot vapors
• X77.0XXAIntentional self-harm by steam or hot vapors, initial encounter
• X77.0XXDIntentional self-harm by steam or hot vapors, subsequent encounter
• X77.0XXSIntentional self-harm by steam or hot vapors, sequela
• X77.1Intentional self-harm by hot tap water
• X77.1XXAIntentional self-harm by hot tap water, initial encounter
• X77.1XXDIntentional self-harm by hot tap water, subsequent encounter
• X77.1XXSIntentional self-harm by hot tap water, sequela
• X77.2Intentional self-harm by other hot fluids
• X77.2XXAIntentional self-harm by other hot fluids, initial encounter
• X77.2XXDIntentional self-harm by other hot fluids, subsequent encounter
• X77.2XXSIntentional self-harm by other hot fluids, sequela
• X77.3Intentional self-harm by hot household appliances
• X77.3XXAIntentional self-harm by hot household appliances, initial encounter
• X77.3XXDIntentional self-harm by hot household appliances, subsequent encounter
• X77.3XXSIntentional self-harm by hot household appliances, sequela
• X77.8Intentional self-harm by other hot objects
• X77.8XXAIntentional self-harm by other hot objects, initial encounter
• X77.8XXDIntentional self-harm by other hot objects, subsequent encounter
• X77.8XXSIntentional self-harm by other hot objects, sequela
• X77.9Intentional self-harm by unspecified hot objects
• X77.9XXAIntentional self-harm by unspecified hot objects, initial encounter
• X77.9XXDIntentional self-harm by unspecified hot objects, subsequent encounter
• X77.9XXSIntentional self-harm by unspecified hot objects, sequela
• X78Intentional self-harm by sharp object
• X78.0Intentional self-harm by sharp glass
• X78.0XXAIntentional self-harm by sharp glass, initial encounter
• X78.0XXDIntentional self-harm by sharp glass, subsequent encounter
• X78.0XXSIntentional self-harm by sharp glass, sequela
• X78.1Intentional self-harm by knife
• X78.1XXAIntentional self-harm by knife, initial encounter
• X78.1XXDIntentional self-harm by knife, subsequent encounter
• X78.1XXSIntentional self-harm by knife, sequela
• X78.2Intentional self-harm by sword or dagger
• X78.2XXAIntentional self-harm by sword or dagger, initial encounter
• X78.2XXDIntentional self-harm by sword or dagger, subsequent encounter
• X78.2XXSIntentional self-harm by sword or dagger, sequela
• X78.8Intentional self-harm by other sharp object
• X78.8XXAIntentional self-harm by other sharp object, initial encounter
• X78.8XXDIntentional self-harm by other sharp object, subsequent encounter
• X78.8XXSIntentional self-harm by other sharp object, sequela
• X78.9Intentional self-harm by unspecified sharp object
• X78.9XXAIntentional self-harm by unspecified sharp object, initial encounter
• X78.9XXDIntentional self-harm by unspecified sharp object, subsequent encounter
• X78.9XXSIntentional self-harm by unspecified sharp object, sequela
• X79Intentional self-harm by blunt object
• X79.XXXAIntentional self-harm by blunt object, initial encounter
• X79.XXXDIntentional self-harm by blunt object, subsequent encounter
• X79.XXXSIntentional self-harm by blunt object, sequela
• X80Intentional self-harm by jumping from a high place
• X80.XXXAIntentional self-harm by jumping from a high place, initial encounter
• X80.XXXDIntentional self-harm by jumping from a high place, subsequent encounter
• X80.XXXSIntentional self-harm by jumping from a high place, sequela
• X81Intentional self-harm by jumping or lying in front of moving object
• X81.0Intentional self-harm by jumping or lying in front of motor vehicle
• X81.0XXAIntentional self-harm by jumping or lying in front of motor vehicle, initial encounter
• X81.0XXDIntentional self-harm by jumping or lying in front of motor vehicle, subsequent encounter
• X81.0XXSIntentional self-harm by jumping or lying in front of motor vehicle, sequela
• X81.1Intentional self-harm by jumping or lying in front of (subway) train
• X81.1XXAIntentional self-harm by jumping or lying in front of (subway) train, initial encounter
• X81.1XXDIntentional self-harm by jumping or lying in front of (subway) train, subsequent encounter
• X81.1XXSIntentional self-harm by jumping or lying in front of (subway) train, sequela
• X81.8Intentional self-harm by jumping or lying in front of other moving object
• X81.8XXAIntentional self-harm by jumping or lying in front of other moving object, initial encounter
• X81.8XXDIntentional self-harm by jumping or lying in front of other moving object, subsequent encounter
• X81.8XXSIntentional self-harm by jumping or lying in front of other moving object, sequela
• X82Intentional self-harm by crashing of motor vehicle
• X82.0Intentional collision of motor vehicle with other motor vehicle
• X82.0XXAIntentional collision of motor vehicle with other motor vehicle, initial encounter
• X82.0XXDIntentional collision of motor vehicle with other motor vehicle, subsequent encounter
• X82.0XXSIntentional collision of motor vehicle with other motor vehicle, sequela
• X82.1Intentional collision of motor vehicle with train
• X82.1XXAIntentional collision of motor vehicle with train, initial encounter
• X82.1XXDIntentional collision of motor vehicle with train, subsequent encounter
• X82.1XXSIntentional collision of motor vehicle with train, sequela
• X82.2Intentional collision of motor vehicle with tree
• X82.2XXAIntentional collision of motor vehicle with tree, initial encounter
• X82.2XXDIntentional collision of motor vehicle with tree, subsequent encounter
• X82.2XXSIntentional collision of motor vehicle with tree, sequela
• X82.8Other intentional self-harm by crashing of motor vehicle
• X82.8XXAOther intentional self-harm by crashing of motor vehicle, initial encounter
• X82.8XXDOther intentional self-harm by crashing of motor vehicle, subsequent encounter
• X82.8XXSOther intentional self-harm by crashing of motor vehicle, sequela
• X83Intentional self-harm by other specified means
• X83.0Intentional self-harm by crashing of aircraft
• X83.0XXAIntentional self-harm by crashing of aircraft, initial encounter
• X83.0XXDIntentional self-harm by crashing of aircraft, subsequent encounter
• X83.0XXSIntentional self-harm by crashing of aircraft, sequela
• X83.1Intentional self-harm by electrocution
• X83.1XXAIntentional self-harm by electrocution, initial encounter
• X83.1XXDIntentional self-harm by electrocution, subsequent encounter
• X83.1XXSIntentional self-harm by electrocution, sequela
• X83.2Intentional self-harm by exposure to extremes of cold
• X83.2XXAIntentional self-harm by exposure to extremes of cold, initial encounter
• X83.2XXDIntentional self-harm by exposure to extremes of cold, subsequent encounter
• X83.2XXSIntentional self-harm by exposure to extremes of cold, sequela
• X83.8Intentional self-harm by other specified means
• X83.8XXAIntentional self-harm by other specified means, initial encounter
• X83.8XXDIntentional self-harm by other specified means, subsequent encounter
• X83.8XXSIntentional self-harm by other specified means, sequela

X71-X83 MS-DRGs

This code does not group to an MS-DRG as a principal diagnosis.

Other codes that refer to X71-X83

Notes on these codes point to X71-X83.

• W20-W49 Excludes1: intentional self-harm (X71-X83)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.