Intentional self-harm by drowning and submersion
In Intentional self-harm (X71-X83), chapter 20: External Causes of Morbidity
18 billable codes under X71: none are a CC or MCC; 6 map to HCC 155 (Major Depression, Moderate or Severe, without Psychosis).An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Also applies, from Intentional self-harm (X71-X83)
These notes sit on X71-X83 and apply to every code under it, including X71.
Includes: conditions that are coded here
- Purposely self-inflicted injury
- Suicide (attempted)
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)
All codes under X71
X71 can't be used on a claim. Pick a billable code below; grey headings group them.
- 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
X71 MS-DRGs
This code does not group to an MS-DRG as a principal diagnosis.
Other codes that refer to X71
Notes on these codes point to X71.
- W20-W49 Excludes1: intentional self-harm (X71-X83)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Drowning
People drown when they get too much water in their lungs. You can drown in as little as an inch or two of water. Babies can drown in a sink or bathtub. Preschoolers are most likely to drown in a swimming pool. People who have seizure disorders are also at risk in the water. Drowning can happen quickly and silently.
Read more about drowning on MedlinePlusSelf-Harm
Self-harm, or self-injury, is when a person hurts his or her own body on purpose. The injuries may be minor, but sometimes they can be severe. They may leave permanent scars or cause serious health problems. Some examples are:
Read more about self-harm on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.