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2025 ICD-10-CM code T14.91XD

Suicide attempt, subsequent encounter.

Follow the official ICD-10-CM coding guidelines. Use additional codes as needed to specify the method of the suicide attempt (Chapter 20) and any retained foreign body (Z18.-).

Modifiers may be applicable depending on the circumstances of the encounter (e.g., place of service, type of visit).

Medical necessity for coding T14.91XD is established by the presence of a prior suicide attempt and the need for ongoing medical and/or mental health care to assess the patient's status, treat injuries (physical and psychological), and prevent future attempts. The patient’s history, risk factors, and ongoing mental health condition justify the need for continued care.

The clinical responsibility for coding T14.91XD falls upon the physician or qualified healthcare professional managing the patient's post-suicide attempt care. This includes assessing physical injuries, addressing psychological trauma, developing a treatment plan, and monitoring the patient's mental and physical status.Collaboration with mental health professionals is often necessary.

IMPORTANT:T14.91XA (initial encounter), T14.91XS (sequela).Codes from Chapter 20 (External causes of morbidity) should be used to specify the cause of injury.Code Z18.- should be used if a foreign body remains.

In simple words: This code is used for doctor visits after someone has tried to hurt themselves by attempting suicide.The doctor doesn't need to know exactly where the person was hurt.

This ICD-10-CM code classifies a subsequent encounter for a suicide attempt where the specific body region injured is not specified.It is used for follow-up visits after an initial suicide attempt (coded as T14.91XA).This code should be used in conjunction with codes from Chapter 20 (External causes of morbidity) to specify the method of the suicide attempt.An additional code from category Z18.- should be used to indicate any retained foreign body if applicable.

Example 1: A patient is admitted to the hospital after a suicide attempt by overdose.After stabilization, they are discharged and scheduled for a follow-up appointment.T14.91XD is used for the follow-up visit., A patient presents to their primary care physician for a scheduled follow-up appointment following a previous suicide attempt by cutting. The physician assesses the patient's mental state, reviews medication regimen, and discusses ongoing therapy.T14.91XD would be used in this scenario., A patient is seen in an outpatient mental health clinic for therapy following a suicide attempt by jumping from a height resulting in multiple injuries that are documented with other appropriate codes. T14.91XD is used to indicate the follow up visit related to the suicide attempt.

Detailed documentation is required for this code, including:

** This code should only be used for subsequent encounters following an initial suicide attempt.The initial encounter should be coded using T14.91XA.Always ensure appropriate documentation supports the use of this code.

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