X78
Header — not billableIntentional self-harm by sharp object
The ICD-10 code for intentional self-harm by sharp object is X78.
X78 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 5 more specific codes below.
Clinical notes
7th character definitions
These definitions specify what each valid 7th-character value means for codes in this category.
- [object Object]
7th character note
This category requires a 7th character to indicate additional clinical detail (e.g. encounter type: initial, subsequent, sequela). The code is incomplete without it.
- The appropriate 7th character is to be added to each code from category X78
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •This category requires a 7th character. Documentation should clearly indicate the episode of care (initial encounter, subsequent encounter, or sequela).
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- X71Intentional self-harm by drowning and submersionnon-billable header
- X72Intentional self-harm by handgun discharge
- X73Intentional self-harm by rifle, shotgun and larger firearm dischargenon-billable header
- X74Intentional self-harm by other and unspecified firearm and gun dischargenon-billable header
- X75Intentional self-harm by explosive material
- X76Intentional self-harm by smoke, fire and flames
- X77Intentional self-harm by steam, hot vapors and hot objectsnon-billable header
- X79Intentional self-harm by blunt object
- X80Intentional self-harm by jumping from a high place
- X81Intentional self-harm by jumping or lying in front of moving objectnon-billable header
- X82Intentional self-harm by crashing of motor vehiclenon-billable header
- X83Intentional self-harm by other specified meansnon-billable header
- X78Intentional self-harm by sharp objectnon-billable header