2027 ICD-10-CM Diagnosis Code T14.91XSSuicide attempt, sequela

ICD-10-CM Codes›S00–T88›T14›T14

ICD-10-CM T14.91XS
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

T14.91XS is a billable ICD-10-CM diagnosis code for suicide attempt, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. 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. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela; and Mental and substance use disorders; sequela.

T14.91XS no longer risk-adjusts for Medicare Advantage: it mapped to HCC 59 under the retired CMS-HCC V24 model through payment year 2025 but maps to no category in the live V28 model. It still risk-adjusts in the PACE (CMS-HCC V22) category 58, ESRD (V21) category 58, and ESRD (V24) category 59 for payment year 2027.

Code Identity

ICD-10-CM Code
T14.91XS
Billable Status
Yes — Valid for Submission
Code Describes
Suicide attempt, sequela
Short Description
Suicide attempt, sequela
Same as the full description in the CMS dataset.
Parent Code
T14.91
Suicide attempt

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionT14Injury of unspecified body region
CategoryT14Injury of unspecified body region
This CodeT14.91XSSuicide attempt, sequela

Present on Admission (POA)Billing

T14.91XS is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injury of unspecified body region (T14).

Medicare Risk Adjustment (HCC)Billing

T14.91XS no longer risk-adjusts for Medicare Advantage: it maps to no payment category in the live CMS-HCC V28 model, although it still risk-adjusts in the other CMS models shown below.

CMS-HCC V28 (Medicare Advantage Payment Model)
Not mapped
Dropped in V28 see all codes that no longer risk-adjust
Prior Model (CMS-HCC V24)
HCC 59
V24 retired last contributed to a Medicare Advantage risk score in payment year 2025
Other CMS Models
PACE (CMS-HCC V22): HCC 58 · ESRD (V21): HCC 58 · ESRD (V24): HCC 59
ESRD V21 weights: 0.091 dialysis, 0.217–0.260 functioning graft · ESRD V24 weights: 0.066 dialysis, 0.129–0.259 functioning graft
Part D (RxHCC)
Not mapped
T14.91XS does not risk-adjust in the RxHCC prescription drug model

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 T14.91XS: 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.

From T14 Injury of unspecified body region applies to 9 codes
  • multiple unspecified injuries (T07)

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.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • 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.

From T14 Injury of unspecified body region applies to 9 codes
  • The appropriate 7th character is to be added to each code from category T14
Values for category T14 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter
  • Dsubsequent encounter
  • Ssequela this code

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name T14.91XS, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming T14.91XS: they are not reported together with it, unless the two conditions are unrelated.

  • R45.85 Homicidal and suicidal ideations
    suicide attempt (T14.91) names T14.91, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ073
Injury, sequela
Default principal diagnosis: inpatient No · outpatient No
CCSR MBD034
Mental and substance use disorders; sequela
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Suicide Attempt, CTCAE

    a disorder characterized by self-inflicted harm in an attempt to end one's own life.

Convert T14.91XS to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
908.9 Late effect injury NOS
Approximate The match is approximate rather than exact.

Code History & ChangesHistory

Replacement T14.91XS replaces the following previously assigned code(s):

  • T14.91 - Suicide attempt
FY 2019AddedAdded to the ICD-10-CM code setEffective October 1, 2018.
FY 2020–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About T14.91XSOverview

What is the ICD-10 code for suicide attempt, sequela?

The ICD-10-CM code for suicide attempt, sequela is T14.91XS (sometimes written as T1491XS). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is T14.91XS (Suicide attempt) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report suicide attempt, sequela on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character S in T14.91XS mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the suicide attempt itself has resolved, not the original event.

What MS-DRG does T14.91XS group to?

When suicide attempt, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 914, 913, with relative weights from 0.9281 to 1.5448 depending on complications. Higher weights mean higher Medicare reimbursement.

Is T14.91XS exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for suicide attempt, sequela on inpatient claims. The code appears in the Injury of unspecified body region (T14) range of the CMS exempt list.

Does T14.91XS risk-adjust for Medicare Advantage payment?

Not for Medicare Advantage. T14.91XS mapped to HCC 59 in the retired CMS-HCC V24 model, which last determined payment in 2025, but it maps to no category in the live V28 model; see all codes that no longer risk-adjust. It still risk-adjusts in the PACE (CMS-HCC V22) category 58 (Major Depressive/Bipolar/and Paranoid Disorders), ESRD (V21) category 58 (Major Depressive/Bipolar/and Paranoid Disorders), and ESRD (V24) category 59 (Major Depressive/Bipolar/and Paranoid Disorders).