MCMCB Pro
R45.85

R45.85Homicidal and suicidal ideations

Non-billable headerICD-10-CM

R45.85 is a non-billable header ICD-10-CM code for homicidal and suicidal ideations. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

Risk adjustment

R45.85 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead R45.85

2 child codes. Green means billable.

Related codes at this level

Codes that share R45.8. If R45.85 is not quite right, the correct code is usually one of these.

Questions about R45.85

Is R45.85 a billable ICD-10-CM code?
No. R45.85 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R45.85 sit in the tabular list?
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46).
What cannot be coded together with R45.85?
R45.85 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.