October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

X77 Intentional self-harm by steam, hot vapors and hot objects

All 18 codes in the X77 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

18

Can lead a claim

0

Cannot lead a claim

18

What CMS assigns to X77

None of the 18 codes is assigned a clinical group. None of the 18 is assigned a comorbidity subgroup. None can lead a claim.

Every code in X77

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
X77.0 Intentional self-harm by steam or hot vapors
X77.0XXAIntentional self-harm by steam or hot vapors, initial encounterCMS: Intentional self-harm by steam or hot vapors, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X77.0XXDIntentional self-harm by steam or hot vapors, subsequent encounterCMS: Intentional self-harm by steam or hot vapors, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X77.0XXSIntentional self-harm by steam or hot vapors, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X77.1 Intentional self-harm by hot tap water
X77.1XXAIntentional self-harm by hot tap water, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X77.1XXDIntentional self-harm by hot tap water, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X77.1XXSIntentional self-harm by hot tap water, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X77.2 Intentional self-harm by other hot fluids
X77.2XXAIntentional self-harm by other hot fluids, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X77.2XXDIntentional self-harm by other hot fluids, subsequent encounterCMS: Intentional self-harm by other hot fluids, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X77.2XXSIntentional self-harm by other hot fluids, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X77.3 Intentional self-harm by hot household appliances
X77.3XXAIntentional self-harm by hot household appliances, initial encounterCMS: Intentional self-harm by hot household appliances, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X77.3XXDIntentional self-harm by hot household appliances, subsequent encounterCMS: Intentional self-harm by hot household appliances, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X77.3XXSIntentional self-harm by hot household appliances, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X77.8 Intentional self-harm by other hot objects
X77.8XXAIntentional self-harm by other hot objects, initial encounterCMS: Intentional self-harm by other hot objects, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X77.8XXDIntentional self-harm by other hot objects, subsequent encounterCMS: Intentional self-harm by other hot objects, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X77.8XXSIntentional self-harm by other hot objects, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X77.9 Intentional self-harm by unspecified hot objects
X77.9XXAIntentional self-harm by unspecified hot objects, initial encounterCMS: Intentional self-harm by unsp hot objects, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X77.9XXDIntentional self-harm by unspecified hot objects, subsequent encounterCMS: Intentional self-harm by unsp hot objects, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X77.9XXSIntentional self-harm by unspecified hot objects, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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