2024 ICD-10-CM Diagnosis Code R45.851
Suicidal ideations
- ICD-10-CM Code:
- R45.851
- ICD-10 Code for:
- Suicidal ideations
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
R45.851 is a billable diagnosis code used to specify a medical diagnosis of suicidal ideations. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.
According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- At increased risk for suicide
- At low risk for suicide
- Feeling suicidal
- Harmful thoughts
- Harmful thoughts
- Harmful thoughts
- Harmful thoughts
- Harmful thoughts
- Harmful thoughts
- Has access to planned means of suicide
- High suicide risk
- Moderate suicide risk
- Planning suicide
- Suicidal
- Suicidal behavior
- Suicidal intent
- Suicidal thoughts
- Thoughts of self harm
- Thoughts of self harm
- Thoughts of self harm
- Thoughts of self harm
- Thoughts of self harm
- Thoughts of self harm
- Threatening suicide
Clinical Classification
Clinical Category is Suicidal ideation/attempt/intentional self-harm
- CCSR Category Code: MBD012
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
Convert R45.851 to ICD-9-CM
- ICD-9-CM Code: V62.84 - Suicidal ideation
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
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
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.