2025 ICD-10-CM code X75
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A External causes of morbidity - Intentional self-harm Chapter 20: External causes of morbidity and mortality Feed
Intentional self-harm using explosive materials.
Modifiers are not typically used with ICD-10-CM codes, such as X75. Modifiers are primarily utilized with procedural codes (CPT, HCPCS).
Medical necessity for treatment related to the injuries sustained from the self-harm attempt is established by the severity and nature of the injuries requiring medical intervention. The use of code X75 is justified when the documentation clearly supports the intentional use of explosive material as the means of self-harm.
The clinical responsibility for coding X75 falls on the treating physician or healthcare provider. They must accurately document the circumstances surrounding the event and the nature of the injuries sustained, ensuring the correct selection of primary and secondary codes to represent the situation fully.This requires careful documentation review and compliance with established coding guidelines.
- Chapter 20: External causes of morbidity and mortality
- External causes of morbidity > Intentional self-harm
In simple words: This code is used when someone intentionally hurts themselves using explosives, like bombs or fireworks.It's always used along with another code that explains the specific injury.
This ICD-10-CM code classifies instances of intentional self-harm where explosive materials were the means of injury.It encompasses a range of scenarios involving deliberate self-inflicted harm through the use of explosives, regardless of the specific type of explosive used or the severity of the resulting injury.This code is typically secondary to a code from another chapter describing the specific injury sustained.
Example 1: A patient presents to the emergency department with severe blast injuries to the face and upper extremities after detonating a homemade explosive device in an attempt to end their life.The primary diagnosis would likely reflect the nature of the injuries sustained (e.g., burns, fractures), with X75 as a secondary code to indicate the method of self-harm., A patient is admitted after suffering hearing loss and tinnitus following a deliberate explosion of fireworks near their head. The primary code will describe the hearing loss, while X75 is used to denote the intentional self-harm with an explosive material., A patient is brought to the hospital after sustaining injuries from a bomb explosion they triggered. The primary codes will reflect the specific injuries, such as burns, shrapnel wounds, and traumatic brain injury, while X75 will be used to indicate the intentional self-harm.
Comprehensive documentation is crucial.This includes a detailed account of the event, the type of explosive material used, the patient's statement (if possible), the nature and extent of the injuries, any witness statements, and any toxicology reports.Medical records should clearly indicate the intent to self-harm.
** This code should only be applied when the act of self-harm is intentional.Accidental explosions should be coded differently, using appropriate injury codes and external cause codes as needed.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10-CM codes.
- Specialties:Emergency Medicine, Psychiatry, Surgery, Toxicology
- Place of Service:Emergency Room - Hospital, Inpatient Hospital, Outpatient Hospital