External causes of morbidity (V00-Y99)

Note:
This chapter permits the classification of environmental events and circumstances as the cause of injury, and other adverse effects. Where a code from this section is applicable, it is intended that it shall be used secondary to a code from another chapter of the Classification indicating the nature of the condition. Most often, the condition will be classifiable to Chapter 19, Injury, poisoning and certain other consequences of external causes (S00-T88). Other conditions that may be stated to be due to external causes are classified in Chapters I to XVIII. For these conditions, codes from Chapter 20 should be used to provide additional information as to the cause of the condition.

Intentional self-harm (X71-X83)

X71 Intentional self-harm by drowning and submersion [+]
The appropriate 7th character is to be added to each code from category X71
A - initial encounter
D - subsequent encounter
S - sequela
X72 Intentional self-harm by handgun discharge
Intentional self-harm by gun for single hand use
Intentional self-harm by pistol
Intentional self-harm by revolver
Excludes 1: Very pistol (X74.8)
The appropriate 7th character is to be added to code X72
A - initial encounter
D - subsequent encounter
S - sequela
X73 Intentional self-harm by rifle, shotgun and larger firearm discharge [+]
Excludes 1: airgun (X74.01)
The appropriate 7th character is to be added to each code from category X73
A - initial encounter
D - subsequent encounter
S - sequela
X74 Intentional self-harm by other and unspecified firearm and gun discharge [+]
The appropriate 7th character is to be added to each code from category X74
A - initial encounter
D - subsequent encounter
S - sequela
X75 Intentional self-harm by explosive material
The appropriate 7th character is to be added to code X75
A - initial encounter
D - subsequent encounter
S - sequela
X76 Intentional self-harm by smoke, fire and flames
The appropriate 7th character is to be added to code X76
A - initial encounter
D - subsequent encounter
S - sequela
X77 Intentional self-harm by steam, hot vapors and hot objects [+]
The appropriate 7th character is to be added to each code from category X77
A - initial encounter
D - subsequent encounter
S - sequela
X78 Intentional self-harm by sharp object [+]
The appropriate 7th character is to be added to each code from category X78
A - initial encounter
D - subsequent encounter
S - sequela
X79 Intentional self-harm by blunt object
The appropriate 7th character is to be added to code X79
A - initial encounter
D - subsequent encounter
S - sequela
X80 Intentional self-harm by jumping from a high place
Intentional fall from one level to another
The appropriate 7th character is to be added to code X80
A - initial encounter
D - subsequent encounter
S - sequela
X81 Intentional self-harm by jumping or lying in front of moving object [+]
The appropriate 7th character is to be added to each code from category X81
A - initial encounter
D - subsequent encounter
S - sequela
X82 Intentional self-harm by crashing of motor vehicle [+]
The appropriate 7th character is to be added to each code from category X82
A - initial encounter
D - subsequent encounter
S - sequela
X83 Intentional self-harm by other specified means [+]
Excludes 1: intentional self-harm by poisoning or contact with toxic substance- See Table of Drugs and Chemicals
The appropriate 7th character is to be added to each code from category X83
A - initial encounter
D - subsequent encounter
S - sequela

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