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

X81 Intentional self-harm by jumping or lying in front of moving object

All 9 codes in the X81 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

9

Can lead a claim

0

Cannot lead a claim

9

What CMS assigns to X81

None of the 9 codes is assigned a clinical group. None of the 9 is assigned a comorbidity subgroup. None can lead a claim.

Every code in X81

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
X81.0 Intentional self-harm by jumping or lying in front of motor vehicle
X81.0XXAIntentional self-harm by jumping or lying in front of motor vehicle, initial encounterCMS: Self-harm by jumping or lying in front of mtr veh, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X81.0XXDIntentional self-harm by jumping or lying in front of motor vehicle, subsequent encounterCMS: Self-harm by jumping or lying in front of mtr veh, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X81.0XXSIntentional self-harm by jumping or lying in front of motor vehicle, sequelaCMS: Self-harm by jumping or lying in front of mtr veh, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X81.1 Intentional self-harm by jumping or lying in front of (subway) train
X81.1XXAIntentional self-harm by jumping or lying in front of (subway) train, initial encounterCMS: Slf-hrm by jumping or lying in front of (subway) train, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X81.1XXDIntentional self-harm by jumping or lying in front of (subway) train, subsequent encounterCMS: Slf-hrm by jumping or lying in front of (subway) train, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X81.1XXSIntentional self-harm by jumping or lying in front of (subway) train, sequelaCMS: Slf-hrm by jumping or lying in front of train, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X81.8 Intentional self-harm by jumping or lying in front of other moving object
X81.8XXAIntentional self-harm by jumping or lying in front of other moving object, initial encounterCMS: Slf-hrm by jumping or lying in front of moving object, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X81.8XXDIntentional self-harm by jumping or lying in front of other moving object, subsequent encounterCMS: Slf-hrm by jumping or lying in front of moving object, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X81.8XXSIntentional self-harm by jumping or lying in front of other moving object, sequelaCMS: Slf-hrm by jump or lying in front of moving object, 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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