R45.85
Header — not billableHomicidal and suicidal ideations
The ICD-10 code for homicidal and suicidal ideations is R45.85.
R45.85 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 2 more specific codes below.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
- suicide attempt (T14.91)
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under R45.85
Related codes in this category
- R45.81Low self-esteem
- R45.82Worries
- R45.83Excessive crying of child, adolescent or adult
- R45.84Anhedonia
- R45.86Emotional lability
- R45.87Impulsiveness
- R45.88Nonsuicidal self-harm
- R45.89Other symptoms and signs involving emotional state
- R45.85Homicidal and suicidal ideationsnon-billable header