X78 ICD-10-CM Codes: Intentional self-harm by sharp object

Codes under X78 (Intentional self-harm by sharp object). A ✓ marks a billable (fully specified) code; category codes without a ✓ are not billable on their own.

Code	Description	Billable
X78.0	Intentional self-harm by sharp glass	—
X78.0	Intentional self-harm by sharp glass	—
X78.0XXA	Intentional self-harm by sharp glass, initial encounter	✓
X78.0XXA	Intentional self-harm by sharp glass, initial encounter	✓
X78.0XXD	Intentional self-harm by sharp glass, subsequent encounter	✓
X78.0XXD	Intentional self-harm by sharp glass, subsequent encounter	✓
X78.0XXS	Intentional self-harm by sharp glass, sequela	✓
X78.0XXS	Intentional self-harm by sharp glass, sequela	✓
X78.1	Intentional self-harm by knife	—
X78.1	Intentional self-harm by knife	—
X78.1XXA	Intentional self-harm by knife, initial encounter	✓
X78.1XXA	Intentional self-harm by knife, initial encounter	✓
X78.1XXD	Intentional self-harm by knife, subsequent encounter	✓
X78.1XXD	Intentional self-harm by knife, subsequent encounter	✓
X78.1XXS	Intentional self-harm by knife, sequela	✓
X78.1XXS	Intentional self-harm by knife, sequela	✓
X78.2	Intentional self-harm by sword or dagger	—
X78.2	Intentional self-harm by sword or dagger	—
X78.2XXA	Intentional self-harm by sword or dagger, initial encounter	✓
X78.2XXA	Intentional self-harm by sword or dagger, initial encounter	✓
X78.2XXD	Intentional self-harm by sword or dagger, subsequent encounter	✓
X78.2XXD	Intentional self-harm by sword or dagger, subsequent encounter	✓
X78.2XXS	Intentional self-harm by sword or dagger, sequela	✓
X78.2XXS	Intentional self-harm by sword or dagger, sequela	✓
X78.8	Intentional self-harm by other sharp object	—
X78.8	Intentional self-harm by other sharp object	—
X78.8XXA	Intentional self-harm by other sharp object, initial encounter	✓
X78.8XXA	Intentional self-harm by other sharp object, initial encounter	✓
X78.8XXD	Intentional self-harm by other sharp object, subsequent encounter	✓
X78.8XXD	Intentional self-harm by other sharp object, subsequent encounter	✓
X78.8XXS	Intentional self-harm by other sharp object, sequela	✓
X78.8XXS	Intentional self-harm by other sharp object, sequela	✓
X78.9	Intentional self-harm by unspecified sharp object	—
X78.9	Intentional self-harm by unspecified sharp object	—
X78.9XXA	Intentional self-harm by unspecified sharp object, initial encounter	✓
X78.9XXA	Intentional self-harm by unspecified sharp object, initial encounter	✓
X78.9XXD	Intentional self-harm by unspecified sharp object, subsequent encounter	✓
X78.9XXD	Intentional self-harm by unspecified sharp object, subsequent encounter	✓
X78.9XXS	Intentional self-harm by unspecified sharp object, sequela	✓
X78.9XXS	Intentional self-harm by unspecified sharp object, sequela	✓

Frequently asked questions

What is ICD-10-CM code X78?

X78 is an ICD-10-CM category covering Intentional self-harm by sharp object. It contains 40 more specific diagnosis codes, 30 of which are billable.

Is X78 a billable code?

No — X78 is a category header and isn't billable on its own. Code to the highest level of specificity using one of its subcodes (for example X78.0 — Intentional self-harm by sharp glass). 30 of the 40 codes under X78 are billable.

What codes fall under X78?

X78 includes X78.0, X78.0, X78.0XXA, X78.0XXA, X78.0XXD, plus 35 more. See the full list with descriptions and billable status above.

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Informational only, not coding or medical advice. Verify against the official ICD-10-CM (FY2026) and your payer's guidelines.

X78: Intentional self-harm by sharp object

Frequently asked questions

What is ICD-10-CM code X78?

Is X78 a billable code?

What codes fall under X78?

Code the diagnosis right