Intentional self-harm by steam, hot vapors and hot objects
In Intentional self-harm (X71-X83), chapter 20: External Causes of Morbidity
18 billable codes under X77: 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 X77.
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 X77
X77 can't be used on a claim. Pick a billable code below; grey headings group them.
- 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
X77 MS-DRGs
This code does not group to an MS-DRG as a principal diagnosis.
Other codes that refer to X77
Notes on these codes point to X77.
- T20.0 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
- T20.1 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
- T20.2 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
- T20.3 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
- T21.0 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
- T21.1 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
- T21.2 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
- T21.3 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
- T22.0 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
- T22.1 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
- T22.2 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
- T22.3 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
- T23.0 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
- T23.1 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
- T23.2 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
- T23.3 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
- T24.0 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
- T24.1 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
- T24.2 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
- T24.3 Use Additional Code: external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Burns
A burn is damage to your body's tissues caused by heat, chemicals, electricity, sunlight, or radiation. Scalds from hot liquids and steam, building fires and flammable liquids and gases are the most common causes of burns. Another kind is an inhalation injury, caused by breathing smoke.
Read more about burns 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.