ICD-10-CM 2027 diagnosis code
X81.1XXAIntentional self-harm by jumping or lying in front of (subway) train, initial encounter
X81.1XXA is a valid, billable ICD-10-CM code for intentional self-harm by jumping or lying in front of (subway) train, initial encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Slf-hrm by jumping or lying in front of (subway) train, init
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About X81.1XXA
X81.1XXA is the ICD-10-CM diagnosis code for intentional self-harm by jumping or lying in front of (subway) train, initial encounter. It belongs to category X81 (intentional self-harm by jumping or lying in front of moving object), block X71-X83 (intentional self-harm) and chapter 20 (external causes of morbidity). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
The 7th character "A" means initial encounter: use it while the patient is receiving active treatment for the condition.
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as E958.0 (suicide and self-inflicted injury by jumping or lying before moving object).
7th character
Ainitial encounter
Other encounter types for X81.1:
Notes that apply from higher levels
Instructions written at a parent level also apply to X81.1XXA.
Broader instructions also apply from X71-X83 Intentional self-harm and Chapter 20: External causes of morbidity.
ICD-9-CM equivalent
Converter →- E958.0Suicide and self-inflicted injury by jumping or lying before moving objectapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about X81.1XXA
Is X81.1XXA billable?
- Yes. X81.1XXA is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
What does the "A" at the end of X81.1XXA mean?
- It is the 7th character for initial encounter. Per the official guidelines, use it while the patient is receiving active treatment for the condition.
Can X81.1XXA be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict X81.1XXA as a principal diagnosis.
Is X81.1XXA a CC or MCC?
- No. X81.1XXA is neither a CC nor an MCC under MS-DRG v44.0.
What is the ICD-9 code for X81.1XXA?
- The CMS General Equivalence Mappings map X81.1XXA to ICD-9-CM E958.0.