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

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

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