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

X82 Intentional self-harm by crashing of motor vehicle

All 12 codes in the X82 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

12

Can lead a claim

0

Cannot lead a claim

12

What CMS assigns to X82

None of the 12 codes is assigned a clinical group. None of the 12 is assigned a comorbidity subgroup. None can lead a claim.

Every code in X82

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
X82.0 Intentional collision of motor vehicle with other motor vehicle
X82.0XXAIntentional collision of motor vehicle with other motor vehicle, initial encounterCMS: Intentional collision of motor vehicle w mtr veh, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X82.0XXDIntentional collision of motor vehicle with other motor vehicle, subsequent encounterCMS: Intentional collision of motor vehicle w mtr veh, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X82.0XXSIntentional collision of motor vehicle with other motor vehicle, sequelaCMS: Intentional collision of motor vehicle w mtr veh, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X82.1 Intentional collision of motor vehicle with train
X82.1XXAIntentional collision of motor vehicle with train, initial encounterCMS: Intentional collision of motor vehicle w train, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X82.1XXDIntentional collision of motor vehicle with train, subsequent encounterCMS: Intentional collision of motor vehicle w train, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X82.1XXSIntentional collision of motor vehicle with train, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X82.2 Intentional collision of motor vehicle with tree
X82.2XXAIntentional collision of motor vehicle with tree, initial encounterCMS: Intentional collision of motor vehicle w tree, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X82.2XXDIntentional collision of motor vehicle with tree, subsequent encounterCMS: Intentional collision of motor vehicle w tree, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X82.2XXSIntentional collision of motor vehicle with tree, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X82.8 Other intentional self-harm by crashing of motor vehicle
X82.8XXAOther intentional self-harm by crashing of motor vehicle, initial encounterCMS: Oth intentional self-harm by crashing of motor vehicle, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X82.8XXDOther intentional self-harm by crashing of motor vehicle, subsequent encounterCMS: Oth intentional self-harm by crashing of motor vehicle, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X82.8XXSOther intentional self-harm by crashing of motor vehicle, sequelaCMS: Oth self-harm by crashing of motor vehicle, 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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