X81.1XXA ICD-10-CM Code: Intentional self-harm by jumping or lying in front of (subway) train, initial encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Risk Adjustment (CMS-HCC)
Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.
- HCC 155 — Major Depression, Moderate or Severe, without Psychosis
Other models: CMS-HCC V22 HCC 58 · RxHCC V08 HCC 132
Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Intentional self-harm by jumping or lying in front of (subway) train, initial encounter is a billable ICD-10-CM diagnosis code (X81.1A).
Frequently Asked Questions (FAQ) & Clinical Guidance
Does X81.1XXA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category X81.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to X81.1XXA in its code family, with their registry titles.
- X81.0 — Intentional self-harm by jumping or lying in front of motor vehicle
- X81.0XXA — Intentional self-harm by jumping or lying in front of motor vehicle, initial encounter
- X81.0XXD — Intentional self-harm by jumping or lying in front of motor vehicle, subsequent encounter
- X81.0XXS — Intentional self-harm by jumping or lying in front of motor vehicle, sequela
- X81.1 — Intentional self-harm by jumping or lying in front of (subway) train
- X81.1XXD — Intentional self-harm by jumping or lying in front of (subway) train, subsequent encounter
- X81.1XXS — Intentional self-harm by jumping or lying in front of (subway) train, sequela
- X81.8 — Intentional self-harm by jumping or lying in front of other moving object
- X81.8XXA — Intentional self-harm by jumping or lying in front of other moving object, initial encounter
- X81.8XXD — Intentional self-harm by jumping or lying in front of other moving object, subsequent encounter