2027 ICD-10-CM Diagnosis Code T14.91XASuicide attempt, initial encounter
T14.91XA is a billable ICD-10-CM diagnosis code for suicide attempt, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 913 through 914, 963 through 965. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under External cause codes: intent of injury, self-harm; External cause codes: unspecified mechanism; and Other unspecified injury.
For Medicare Advantage risk adjustment, T14.91XA maps to CMS-HCC Category 155 (Major Depression, Moderate or Severe, without Psychosis) under the V28 model, adding a risk factor of about 0.299 for a community, non-dual, aged beneficiary in payment year 2027.
Code Identity
Code Classification
Medicare Risk Adjustment (HCC)Billing
T14.91XA maps to a payment category in the CMS-HCC model used to risk-adjust Medicare Advantage payments. Weights are the published community factors for payment year 2027.
Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Attempted suicide by cutting or stabbing
- Attempted suicide by drowning
- Attempted suicide by hanging
- Attempted suicide by jumping from high place
- Attempted suicide by suffocation
- Attempted suicide using domestic gas
- Attempted suicide using firearm
- First known suicide attempt
- Injury due to suicide attempt
- Intentional self poisoning
- 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 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
- Suicide cluster
Coding GuidelinesGuidance
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 applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to T14.91XA: its own notes plus those printed at T14 and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Notes
General instructions on how these codes are used.
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to each code from category T14
- Ainitial encounter this code
- Dsubsequent encounter
- Ssequela
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name T14.91XA, its category, or a range that includes it.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Suicide Attempt, CTCAE
a disorder characterized by self-inflicted harm in an attempt to end one's own life.
Patient EducationClinical
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.
The full article covers:
- What is suicide?
- Who is at risk for suicide?
- What are the warning signs for suicide?
- What should I do if I need help or know someone who does?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert T14.91XA to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code History & ChangesHistory
Replacement T14.91XA replaces the following previously assigned code(s):
- T14.91 - Suicide attempt
Questions About T14.91XAOverview
What is the ICD-10 code for suicide attempt, initial encounter?
The ICD-10-CM code for suicide attempt, initial encounter is T14.91XA (sometimes written as T1491XA). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is T14.91XA (Suicide attempt) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report suicide attempt, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character A in T14.91XA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for suicide attempt, such as an emergency visit or first evaluation.
What MS-DRG does T14.91XA group to?
When suicide attempt, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 964, 965, 914, 913, 963, with relative weights from 0.9281 to 2.6361 depending on complications. Higher weights mean higher Medicare reimbursement.
Can T14.91XA be reported with T07?
Not as a rule. The Excludes1 note at T14, which applies to T14.91XA, lists "multiple unspecified injuries (T07)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
What HCC is T14.91XA?
T14.91XA (suicide attempt, initial encounter) maps to CMS-HCC Category 155 (Major Depression, Moderate or Severe, without Psychosis), commonly written as HCC 155, in the CMS-HCC V28 model used for Medicare Advantage risk adjustment in payment year 2027. It mapped to HCC 59 under the retired V24 model. It also maps in the PACE (CMS-HCC V22), ESRD (V21), and ESRD (V24) models. In the Part D prescription drug model it maps to RxHCC 132.
Does T14.91XA risk-adjust for Medicare Advantage payment?
Yes. When documented and reported on a Medicare Advantage encounter, T14.91XA adds a risk adjustment factor of about 0.299 to the beneficiary's RAF score for a community, non-dual, aged enrollee (published V28 weights range from 0.108 to 0.316 depending on the payment segment). A more severe related category (HCC 151, HCC 152, HCC 153, and HCC 154) supersedes it when both are reported. See the full factor table on the HCC 155 category page.
