2024 ICD-10-CM Diagnosis Code T14.91XA
Suicide attempt, initial encounter
- ICD-10-CM Code:
- T14.91XA
- ICD-10 Code for:
- Suicide attempt, initial encounter
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
T14.91XA is a billable diagnosis code used to specify a medical diagnosis of suicide attempt, initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.
T14.91XA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like suicide attempt. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Attempted suicide - cut/stab
- Attempted suicide - domestic gas
- Attempted suicide - drowning
- Attempted suicide - firearms
- Attempted suicide - hanging
- Attempted suicide - jumping from a high place
- Attempted suicide - suffocation
- First known suicide attempt
- Injury due to suicide attempt
- Intentional self poisoning
- Intentional self poisoning
- Self poisoning by gas
- Self poisoning by gas
- Suicide
- Suicide and selfinflicted poisoning by gas distributed by pipeline
- Suicide and selfinflicted poisoning by gases in domestic use
- Suicide and selfinflicted poisoning by gases in domestic use
- Suicide and selfinflicted poisoning by liquefied petroleum gas distributed in mobile containers
- Suicide attempt
- Suicide attempt by adequate means
- Suicide attempt by burning self
- Suicide attempt by crashing motor vehicle
- Suicide attempt by electrocution
- Suicide attempt by explosion
- Suicide attempt by inadequate means
- Suicide attempt by inducing lethal firearm response from law enforcement
- Suicide attempt by placing self in path of moving vehicle
Clinical Classification
| Clinical Category | CCSR Category Code | Inpatient Default CCSR | Outpatient Default CCSR |
|---|---|---|---|
| External cause codes: intent of injury, self-harm | EXT021 | N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis. | N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis. |
| External cause codes: unspecified mechanism | EXT019 | N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis. | N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis. |
| Other unspecified injury | INJ027 | N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis. | N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis. |
| Suicidal ideation/attempt/intentional self-harm | MBD012 | Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis. | Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis. |
Clinical Information
Genes, Transgenic, Suicide
genes that are used transgenically, i.e., via gene transfer techniques to induce cell death.Suicide
the act of killing oneself.Suicide Prevention
specific strategies for averting suicides. these include mental health promotion and monitoring psychological well-being and other intervention programs targeting susceptible individuals.Suicide, Assisted
provision (by a physician or other health professional, or by a family member or friend) of support and/or means that gives a patient the power to terminate his or her own life. (from apa, thesaurus of psychological index terms, 8th ed).Suicide, Attempted
the unsuccessful attempt to kill oneself.Suicide, Completed
the successful attempt to kill oneself.
Coding Guidelines
The appropriate 7th character is to be added to each code from block Injury of unspecified body region (T14). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Replacement Code
T1491XA replaces the following previously assigned ICD-10-CM code(s):
- T14.91 - Suicide attempt
Convert T14.91XA to ICD-9-CM
- ICD-9-CM Code: 959.9 - Injury-site NOS
Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment. - ICD-9-CM Code: E958.9 - Injury-NOS
Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.
Patient Education
Suicide
What is suicide?
Suicide is the taking of one's own life. It is a death that happens when someone harms themselves because they want to end their life. A suicide attempt is when someone harms themselves to try to end their life, but they do not die.
Suicide is a major public health problem and a leading cause of death in the United States. The effects of suicide go beyond the person who acts to take his or her life. It can also have a lasting effect on family, friends, and communities.
Who is at risk for suicide?
Suicide does not discriminate. It can touch anyone, anywhere, at any time. But there are certain factors that can contribute to the risk of suicide, including:
- Having attempted suicide before
- Depression and other mental health disorders
- Alcohol or drug use disorder
- Family history of a mental health disorder
- Family history of an alcohol or drug use disorder
- Family history of suicide
- Family violence, including intimate partner violence, child abuse, or sexual abuse
- Having guns in the home
- Being in or having recently gotten out of prison or jail
- Being exposed to others' suicidal behavior, such as a family member, peer, or celebrity
- Medical illness, including chronic pain
- Stressful life event, such as a job loss, financial problems, loss of a loved one, a breakup of a relationship, etc.
- Being between the ages of 15 and 24 years or over age 60
What are the warning signs for suicide?
The warning signs for suicide include:
- Talking about wanting to die or wanting to kill oneself
- Making a plan or looking for a way to kill oneself, such as searching online
- Buying a gun or stockpiling pills
- Feeling empty, hopeless, trapped, or like there's no reason to live
- Being in unbearable pain
- Talking about being a burden to others
- Using more alcohol or drugs
- Acting anxious or agitated; behaving recklessly
- Sleeping too little or too much
- Withdrawing from family or friends or feeling isolated
- Showing rage or talking about seeking revenge
- Displaying extreme mood swings
- Saying good-bye to loved ones, putting affairs in order
Some people may tell others about their suicidal thoughts. But others may try to hide them. This can make some of the signs harder to spot.
What should I do if I need help or know someone who does?
If you or someone you know has the warning signs for suicide, get help right away, especially if there is a change in behavior. If it is an emergency, dial 911. Otherwise there are five steps that you can take:
- Ask the person if they're thinking about killing themselves.
- Keep them safe. Find out whether they have a plan for suicide and keep them away from things that they can use to kill themselves.
- Be there with them. Listen carefully and find out what they are thinking and feeling.
- Help them connect to resources that can help them, such as through:
- Calling or texting the 988 Suicide & Crisis Lifeline at 988.
- Chatting through Lifeline Chat.
- For veterans, reaching the Veterans Crisis Line by:
- Calling 988 and then pressing 1.
- Texting to 838255.
- Chatting with them.
- Stay connected. Staying in touch after a crisis can make a difference.
NIH: National Institute of Mental Health
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.