ICD-10-CM · FY 2026 POA Exempt

POA Exempt: Intentional self-harm (X71-X83) ICD-10-CM

The 103 ICD-10-CM codes in this range are exempt from Present on Admission reporting for fiscal year 2026. Hospitals assign no POA indicator for them on inpatient claims: the codes describe circumstances, such as pre-existing conditions or the cause of an injury, where asking whether the condition was present at admission adds no information.

✓ Built from the official CMS FY 2026 POA exempt fileEffective Oct 1, 2025 – Sep 30, 2026
103
Exempt Codes
1
POA Indicator When Reported
ICD-10-CM

Exempt Codes in This Range 103 codes · 10 categories

103 of 103 shown
X71 Intentional self-harm by drowning and submersion13 codes
  • X71.1XXD Intentional self-harm by drowning and submersion while in swimming pool, subsequent encounter
  • X71.1XXS Intentional self-harm by drowning and submersion while in swimming pool, sequela
  • X71.2XXD Intentional self-harm by drowning and submersion after jump into swimming pool, subsequent encounter
  • X71.2XXS Intentional self-harm by drowning and submersion after jump into swimming pool, sequela
  • X71.3XXA Intentional self-harm by drowning and submersion in natural water, initial encounter
  • X71.3XXD Intentional self-harm by drowning and submersion in natural water, subsequent encounter
  • X71.3XXS Intentional self-harm by drowning and submersion in natural water, sequela
  • X71.8XXA Other intentional self-harm by drowning and submersion, initial encounter
  • X71.8XXD Other intentional self-harm by drowning and submersion, subsequent encounter
  • X71.8XXS Other intentional self-harm by drowning and submersion, sequela
  • X71.9XXA Intentional self-harm by drowning and submersion, unspecified, initial encounter
  • X71.9XXD Intentional self-harm by drowning and submersion, unspecified, subsequent encounter
  • X71.9XXS Intentional self-harm by drowning and submersion, unspecified, sequela
X72 Intentional self-harm by handgun discharge3 codes
  • X72.XXXA Intentional self-harm by handgun discharge, initial encounter
  • X72.XXXD Intentional self-harm by handgun discharge, subsequent encounter
  • X72.XXXS Intentional self-harm by handgun discharge, sequela
X73 Intentional self-harm by rifle, shotgun and larger firearm discharge15 codes
  • X73.0XXA Intentional self-harm by shotgun discharge, initial encounter
  • X73.0XXD Intentional self-harm by shotgun discharge, subsequent encounter
  • X73.0XXS Intentional self-harm by shotgun discharge, sequela
  • X73.1XXA Intentional self-harm by hunting rifle discharge, initial encounter
  • X73.1XXD Intentional self-harm by hunting rifle discharge, subsequent encounter
  • X73.1XXS Intentional self-harm by hunting rifle discharge, sequela
  • X73.2XXA Intentional self-harm by machine gun discharge, initial encounter
  • X73.2XXD Intentional self-harm by machine gun discharge, subsequent encounter
  • X73.2XXS Intentional self-harm by machine gun discharge, sequela
  • X73.8XXA Intentional self-harm by other larger firearm discharge, initial encounter
  • X73.8XXD Intentional self-harm by other larger firearm discharge, subsequent encounter
  • X73.8XXS Intentional self-harm by other larger firearm discharge, sequela
  • X73.9XXA Intentional self-harm by unspecified larger firearm discharge, initial encounter
  • X73.9XXD Intentional self-harm by unspecified larger firearm discharge, subsequent encounter
  • X73.9XXS Intentional self-harm by unspecified larger firearm discharge, sequela
X74 Intentional self-harm by other and unspecified firearm and gun discharge15 codes
  • X74.01XA Intentional self-harm by airgun, initial encounter
  • X74.01XD Intentional self-harm by airgun, subsequent encounter
  • X74.01XS Intentional self-harm by airgun, sequela
  • X74.02XA Intentional self-harm by paintball gun, initial encounter
  • X74.02XD Intentional self-harm by paintball gun, subsequent encounter
  • X74.02XS Intentional self-harm by paintball gun, sequela
  • X74.09XA Intentional self-harm by other gas, air or spring-operated gun, initial encounter
  • X74.09XD Intentional self-harm by other gas, air or spring-operated gun, subsequent encounter
  • X74.09XS Intentional self-harm by other gas, air or spring-operated gun, sequela
  • X74.8XXA Intentional self-harm by other firearm discharge, initial encounter
  • X74.8XXD Intentional self-harm by other firearm discharge, subsequent encounter
  • X74.8XXS Intentional self-harm by other firearm discharge, sequela
  • X74.9XXA Intentional self-harm by unspecified firearm discharge, initial encounter
  • X74.9XXD Intentional self-harm by unspecified firearm discharge, subsequent encounter
  • X74.9XXS Intentional self-harm by unspecified firearm discharge, sequela
X75 Intentional self-harm by explosive material3 codes
  • X75.XXXA Intentional self-harm by explosive material, initial encounter
  • X75.XXXD Intentional self-harm by explosive material, subsequent encounter
  • X75.XXXS Intentional self-harm by explosive material, sequela
X76 Intentional self-harm by smoke, fire and flames3 codes
  • X76.XXXA Intentional self-harm by smoke, fire and flames, initial encounter
  • X76.XXXD Intentional self-harm by smoke, fire and flames, subsequent encounter
  • X76.XXXS Intentional self-harm by smoke, fire and flames, sequela
X77 Intentional self-harm by steam, hot vapors and hot objects18 codes
  • X77.0XXA Intentional self-harm by steam or hot vapors, initial encounter
  • X77.0XXD Intentional self-harm by steam or hot vapors, subsequent encounter
  • X77.0XXS Intentional self-harm by steam or hot vapors, sequela
  • X77.1XXA Intentional self-harm by hot tap water, initial encounter
  • X77.1XXD Intentional self-harm by hot tap water, subsequent encounter
  • X77.1XXS Intentional self-harm by hot tap water, sequela
  • X77.2XXA Intentional self-harm by other hot fluids, initial encounter
  • X77.2XXD Intentional self-harm by other hot fluids, subsequent encounter
  • X77.2XXS Intentional self-harm by other hot fluids, sequela
  • X77.3XXA Intentional self-harm by hot household appliances, initial encounter
  • X77.3XXD Intentional self-harm by hot household appliances, subsequent encounter
  • X77.3XXS Intentional self-harm by hot household appliances, sequela
  • X77.8XXA Intentional self-harm by other hot objects, initial encounter
  • X77.8XXD Intentional self-harm by other hot objects, subsequent encounter
  • X77.8XXS Intentional self-harm by other hot objects, sequela
  • X77.9XXA Intentional self-harm by unspecified hot objects, initial encounter
  • X77.9XXD Intentional self-harm by unspecified hot objects, subsequent encounter
  • X77.9XXS Intentional self-harm by unspecified hot objects, sequela
X81 Intentional self-harm by jumping or lying in front of moving object9 codes
  • 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
  • X81.1XXA 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
  • X81.8XXA 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
X82 Intentional self-harm by crashing of motor vehicle12 codes
  • X82.0XXA Intentional collision of motor vehicle with other motor vehicle, initial encounter
  • X82.0XXD Intentional collision of motor vehicle with other motor vehicle, subsequent encounter
  • X82.0XXS Intentional collision of motor vehicle with other motor vehicle, sequela
  • X82.1XXA Intentional collision of motor vehicle with train, initial encounter
  • X82.1XXD Intentional collision of motor vehicle with train, subsequent encounter
  • X82.1XXS Intentional collision of motor vehicle with train, sequela
  • X82.2XXA Intentional collision of motor vehicle with tree, initial encounter
  • X82.2XXD Intentional collision of motor vehicle with tree, subsequent encounter
  • X82.2XXS Intentional collision of motor vehicle with tree, sequela
  • X82.8XXA Other intentional self-harm by crashing of motor vehicle, initial encounter
  • X82.8XXD Other intentional self-harm by crashing of motor vehicle, subsequent encounter
  • X82.8XXS Other intentional self-harm by crashing of motor vehicle, sequela
X83 Intentional self-harm by other specified means12 codes
  • X83.0XXA Intentional self-harm by crashing of aircraft, initial encounter
  • X83.0XXD Intentional self-harm by crashing of aircraft, subsequent encounter
  • X83.0XXS Intentional self-harm by crashing of aircraft, sequela
  • X83.1XXA Intentional self-harm by electrocution, initial encounter
  • X83.1XXD Intentional self-harm by electrocution, subsequent encounter
  • X83.1XXS Intentional self-harm by electrocution, sequela
  • X83.2XXA Intentional self-harm by exposure to extremes of cold, initial encounter
  • X83.2XXD Intentional self-harm by exposure to extremes of cold, subsequent encounter
  • X83.2XXS Intentional self-harm by exposure to extremes of cold, sequela
  • X83.8XXA Intentional self-harm by other specified means, initial encounter
  • X83.8XXD Intentional self-harm by other specified means, subsequent encounter
  • X83.8XXS Intentional self-harm by other specified means, sequela

Questions About This Category

Why are these codes POA exempt?

The codes for intentional self-harm describe circumstances where the Present on Admission question has no meaning, so CMS exempts them from the indicator. The exemption is published in the official FY 2026 CMS exempt file.

How many codes in this range are exempt?

The FY 2026 exempt list contains 103 codes in this range, effective October 1, 2025 through September 30, 2026.

Are these codes billable?

The exemption only removes the POA indicator requirement, it does not change how a code is used on claims. Billable status is shown per code: blue codes are billable, and any codes shown in the amber tone are category headers that need more characters.

More POA Exempt Categories

Intentional self-harm by drowning and submersionIntentional self-harm by handgun dischargeIntentional self-harm by rifle, shotgun and larger firearm dischargeIntentional self-harm by other and unspecified firearm and gun dischargeIntentional self-harm by explosive materialIntentional self-harm by smoke, fire and flamesIntentional self-harm by steam, hot vapors and hot objectsIntentional self-harm by jumping or lying in front of moving object All POA exempt categories →

Source: CMS FY 2026 ICD-10-CM POA exempt file, effective October 1, 2025 through September 30, 2026. See also the Medicare Code Edits and the MS-DRG list.