2025 ICD-10-CM code X82
(Active) Effective Date: N/A External causes of morbidity - Intentional self-harm (X71-X83) 20. External causes of morbidity (V00-Y99) Feed
Intentional self-harm by crashing of motor vehicle.
The 7th character of the ICD-10 code can be used to specify the encounter type (initial encounter, subsequent encounter, or sequela).
Medical necessity is established by the nature of the injuries sustained as a result of the intentional self-harm. The X82 code itself does not establish medical necessity.
Clinicians should use this code as a secondary code to a code from another chapter indicating the nature of the injury or condition. The primary code would usually come from chapter 19 (Injury, poisoning and certain other consequences of external causes).This code describes the cause of the injury, not the injury itself.
In simple words: This code describes intentionally causing self-harm by crashing a motor vehicle. This includes crashing into another car, a train, or a streetcar. It does not include crashing an aircraft.
Intentional self-harm by crashing of motor vehicle. Includes intentional collision with: motor vehicle; train; tram (streetcar). Excludes: crashing of aircraft (X83).
Example 1: A patient intentionally crashes their car into a wall in a suicide attempt, resulting in a fractured femur. The primary code would be for the fracture (from Chapter 19), and X82 would be the secondary code., A patient intentionally drives their car into oncoming traffic, colliding with another vehicle. They sustain multiple injuries. The primary codes would be for the specific injuries sustained, with X82 as a secondary code., A patient with a history of depression intentionally crashes their car into a train, resulting in a head injury.The primary code would describe the head injury from Chapter 19, and X82 would describe the cause of the injury.
Documentation should clearly indicate that the crash was an intentional act of self-harm.Details about the method of self-harm and the resulting injuries should also be documented.
** It's crucial to distinguish this code from accidental crashes. The documentation must explicitly state or strongly suggest the intent of self-harm.
- Specialties:Emergency Medicine, Psychology, Psychiatry
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Outpatient Hospital