2020 ICD-10-CM Codes for Intentional self-harm by sharp object (X78)

Instructional Notations

7th Character Note 7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.

  • The appropriate 7th character is to be added to each code from category X78

7th Character 7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela
    • ICD-10 Index

      • External causes of morbidity and mortality (V01–Y98)

        • Intentional self-harm (X71-X83)

            • Intentional self-harm by sharp object (X78)
            • X78 - Intentional self-harm by sharp object NON-BILLABLE CODE
            • X78.0 - Intentional self-harm by sharp glass NON-BILLABLE CODE
            • X78.0XXA - Intentional self-harm by sharp glass, initial encounter BILLABLE CODE
            • X78.0XXD - Intentional self-harm by sharp glass, subsequent encounter BILLABLE CODE
            • X78.0XXS - Intentional self-harm by sharp glass, sequela BILLABLE CODE
            • X78.1 - Intentional self-harm by knife NON-BILLABLE CODE
            • X78.1XXA - Intentional self-harm by knife, initial encounter BILLABLE CODE
            • X78.1XXD - Intentional self-harm by knife, subsequent encounter BILLABLE CODE
            • X78.1XXS - Intentional self-harm by knife, sequela BILLABLE CODE
            • X78.2 - Intentional self-harm by sword or dagger NON-BILLABLE CODE
            • X78.2XXA - Intentional self-harm by sword or dagger, initial encounter BILLABLE CODE
            • X78.2XXD - Intentional self-harm by sword or dagger, subs encntr BILLABLE CODE
            • X78.2XXS - Intentional self-harm by sword or dagger, sequela BILLABLE CODE
            • X78.8 - Intentional self-harm by other sharp object NON-BILLABLE CODE
            • X78.8XXA - Intentional self-harm by other sharp object, init encntr BILLABLE CODE
            • X78.8XXD - Intentional self-harm by other sharp object, subs encntr BILLABLE CODE
            • X78.8XXS - Intentional self-harm by other sharp object, sequela BILLABLE CODE
            • X78.9 - Intentional self-harm by unspecified sharp object NON-BILLABLE CODE
            • X78.9XXA - Intentional self-harm by unsp sharp object, init encntr BILLABLE CODE
            • X78.9XXD - Intentional self-harm by unsp sharp object, subs encntr BILLABLE CODE
            • X78.9XXS - Intentional self-harm by unspecified sharp object, sequela BILLABLE CODE