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ICD-10 Coding for Suicidal Attempt(T14.91XA, X71-X83)

Complete ICD-10-CM coding and documentation guide for Suicidal Attempt. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Attempted SuicideSelf-Harm with Suicidal Intent

Related ICD-10 Code Ranges

Complete code families applicable to Suicidal Attempt

T14.91Primary Range

Injury, unspecified

Primary code for documenting a suicide attempt, indicating an unspecified injury.

Intentional self-harm by various methods

Used to specify the method of self-harm in a suicide attempt.

Personal history of self-harm

Used for documenting a history of self-harm, not for active attempts.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
T14.91XASuicide attempt, initial encounterUse for any initial encounter where a suicide attempt is confirmed.
  • Patient statement confirming intent to die
  • Method of attempt documented
  • Presence of a suicide note or preparatory acts
X71-X83Intentional self-harm by various methodsUse to specify the method of self-harm in a suicide attempt.
  • Specific method of self-harm documented

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for suicide attempt

Essential facts and insights about Suicidal Attempt

The ICD-10 code for a suicide attempt is T14.91XA, used for initial encounters.

Primary ICD-10-CM Codes for suicidal attempt

Suicide attempt, initial encounter
Billable Code

Decision Criteria

clinical Criteria

  • Patient confirms intent to die and method is documented.

Applicable To

  • Attempted suicide

Excludes

Clinical Validation Requirements

  • Patient statement confirming intent to die
  • Method of attempt documented
  • Presence of a suicide note or preparatory acts

Code-Specific Risks

  • Misclassification if intent is not clearly documented

Coding Notes

  • Ensure documentation includes clear intent and method to support coding.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Personal history of self-harm

Z91.5
Use for documenting history in subsequent encounters.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Suicidal ideation

R45.851
Use R45.851 when there is ideation without an actual attempt.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Suicidal Attempt to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T14.91XA.

Impact

Clinical: Leads to misinterpretation of the patient's condition., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims due to incorrect coding.

Mitigation Strategy

Train staff on detailed documentation practices., Use templates to ensure completeness.

Impact

Reimbursement: Incorrect coding can affect DRG assignment and reimbursement., Compliance: Misclassification can lead to compliance issues., Data Quality: Affects the accuracy of patient records and data analysis.

Mitigation Strategy

Ensure documentation specifies an actual attempt with intent.

Impact

Risk of incorrect coding due to vague documentation.

Mitigation Strategy

Implement regular training and audits to ensure compliance.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Suicidal Attempt, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Suicidal Attempt

Use these documentation templates to ensure complete and accurate documentation for Suicidal Attempt. These templates include all required elements for proper coding and billing.

Emergency Department Note for Suicide Attempt

Specialty: Emergency Medicine

Required Elements

  • Patient statement of intent
  • Method of attempt
  • Presence of suicide note or preparatory acts

Example Documentation

16yo female presented after ingesting 50 ibuprofen tablets. States, 'I wanted to die after failing exams.'

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient reports self-harm.
Good Documentation Example
Patient intentionally cut left forearm with razor blade after writing farewell text message.
Explanation
The good example includes specific intent and method, supporting accurate coding.

Need help with ICD-10 coding for Suicidal Attempt? Ask your questions below.

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