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  5. Intentional self-harm by jumping or lying in front of moving object (X81)

Intentional self-harm by jumping or lying in front of moving object (X81)

The ICD-10 codes in the X81 section are used to document intentional self-harm caused by jumping or lying in front of moving objects, such as vehicles or trains. These codes specify the type of moving object involved and differentiate between initial, subsequent, and sequela encounters to accurately track the clinical course.

ICD-10 code X81 covers overall cases of self-harm by placing oneself in the path of a moving object. More specific codes like X81.0 and X81.1 identify self-harm involving motor vehicles or subway trains, respectively. For example, terms such as “throwing self in front of vehicle” or “suicide attempt by placing self in path of moving vehicle” correspond directly to X81.0XXA for the initial encounter. The seventh character extensions (A, D, S) indicate whether the incident is an initial encounter, a follow-up (subsequent encounter), or a sequela, which means complications or conditions resulting from the initial injury. These distinctions are crucial for providers and coders to ensure precise medical records and reporting related to intentional self-harm documented under this ICD-10 section.

  • External causes of morbidity and mortality (V01–Y99)

    • Intentional self-harm (X71-X83)

        • Intentional self-harm by jumping or lying in front of moving object (X81)

        • X81 Intentional self-harm by jumping or lying in front of moving object
        • X81.0 Intentional self-harm by jumping or lying in front of motor vehicle
        • X81.0XXA Intentional self-harm by jumping or lying in front of motor vehicle, initial encounter
        • X81.0XXD Intentional self-harm by jumping or lying in front of motor vehicle, subsequent encounter
        • X81.0XXS Intentional self-harm by jumping or lying in front of motor vehicle, sequela
        • X81.1 Intentional self-harm by jumping or lying in front of (subway) train
        • X81.1XXA Intentional self-harm by jumping or lying in front of (subway) train, initial encounter
        • X81.1XXD Intentional self-harm by jumping or lying in front of (subway) train, subsequent encounter
        • X81.1XXS Intentional self-harm by jumping or lying in front of (subway) train, sequela
        • X81.8 Intentional self-harm by jumping or lying in front of other moving object
        • X81.8XXA Intentional self-harm by jumping or lying in front of other moving object, initial encounter
        • X81.8XXD Intentional self-harm by jumping or lying in front of other moving object, subsequent encounter
        • X81.8XXS Intentional self-harm by jumping or lying in front of other moving object, sequela

Instructional Notations

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 X81

7th Character

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

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela