MCMCB Pro
X78.9XXS

X78.9XXSIntentional self-harm by unspecified sharp object, sequela

Billable / specific codeICD-10-CM

X78.9XXS is a billable, specific ICD-10-CM code for intentional self-harm by unspecified sharp object, sequela. It is valid for submission on a claim.

7th character "S" — sequela

The appropriate 7th character is to be added to each code from category X78

A
initial encounter
D
subsequent encounter
S
sequela

Risk adjustment

X78.9XXS 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.

Related codes at this level

Codes that share X78.9. If X78.9XXS is not quite right, the correct code is usually one of these.

Questions about X78.9XXS

Is X78.9XXS a billable ICD-10-CM code?
Yes. X78.9XXS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does X78.9XXS sit in the tabular list?
External causes of morbidity (V00-Y99), in the block Intentional self-harm (X71-X83).
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.