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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R45.851

Billable / Specific CC

Suicidal ideations

R45
Block
0
Synonyms
423
LCDs
16
Payer Policies
1
Linked CPTs

About ICD-10-CM R45.851

ICD-10-CM code R45.851 represents Suicidal ideations. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R45). The 2026 edition of ICD-10-CM R45.851 became effective on October 1, 2025.

Coding Tips for R45.851

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

R45.851 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inpatient DRG Impact, CC

code Suicidal ideations. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for R45.851

Local Coverage Determinations (LCDs) from CMS MACs that list R45.851 as a covered diagnosis.

423 LCDs

Showing top 10 of 423 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0480 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0481 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0482 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0483 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT 80305 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0659 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT 80307 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT 80306 →
CMS LCD: Billing and Coding: Psychiatric Inpatient Hospitalization
Article ID: 57052, Effective: 2026-03-26 00:00:00, 422 covered, 0 non-covered
CPT XX000 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81227 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R45.851.

16 policies

5 Medicare

Billing and Coding: Urine Drug Testing
Policy ID: ART-54799
Billing and Coding: Psychiatric Inpatient Hospitalization
Policy ID: ART-56614
Billing and Coding: Psychiatric Partial Hospitalization Programs
Policy ID: ART-56850
Billing and Coding: Psychiatric Inpatient Hospitalization
Policy ID: ART-56865
Billing and Coding: Urine Drug Testing
Policy ID: ART-56915

CPT Codes Commonly Billed with R45.851

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

1 linkages
  • 90791 Psychiatric diagnostic evaluation — any mental health dx for initial assessment, suicidal ideation, hallucinations, antisocial behavior Psychiatry

Convert R45.851 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
R45.851 V6284 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 R45.851, Billing FAQ

Is ICD-10 code R45.851 billable? +

Yes, R45.851 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is R45.851 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with R45.851? +

Procedures frequently paired with R45.851 include: 90791.

What ICD-9 codes does R45.851 map to? +

Per CMS GEMs, R45.851 maps to ICD-9 codes: V6284. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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