R45.85 Homicidal and suicidal ideations

ICD-10-CM R45.85: Homicidal and Suicidal Ideations

ICD-10-CM code R45.85 identifies homicidal and suicidal ideations as a clinical finding. It is an active terminology concept for 2026, categorized under symptoms involving emotional state. This reference outlines the code's hierarchy and semantic classification based on official terminology records. 1 3

Plain-language overview

ICD-10-CM code R45.85 is an active concept named homicidal and suicidal ideations, representing a specific clinical finding related to a patient's emotional state. 1

What this code represents

The concept R45.85 is classified with the semantic type of finding and has no narrower concepts within the official terminology structure for the 2026 version. 1

Coding details

Within the ICD-10-CM hierarchy, R45.85 is a child concept of R45.8, which encompasses other symptoms and signs involving emotional state, and it belongs to chapter eighteen. 1 2

The R45.85 terminology concept is published in the ICD-10-CM version 2026, with a release date of January 1, 2026, and an active record status across official platforms. 1 3

Documentation considerations

The official terminology record for R45.85 lists homicidal and suicidal ideations as its preferred name and published abbreviation, providing the specific text available for clinical code lookup. 1

What the sources add

While one official source maps suicidal ideation to broader psychiatric and social science domains, the target code R45.85 specifically captures both homicidal and suicidal ideations together. 1 2

A clinical reference platform confirms that the R45.85 code for homicidal and suicidal ideations is available for lookup within digital ICD-10-CM coding interfaces, expanding accessibility for users. 4

Coverage and utilization context

The R45.85 concept appears in official ICD-10-CM terminology records and digital clinical platforms, but the supplied excerpts do not establish any specific payer coverage determination for this code. 1 4

Questions to verify

The official terminology record for R45.85 captures both homicidal and suicidal ideations together within a single code, and the supplied excerpts do not specify separate subcodes for these distinct elements. 1

Sources

1. ICD-10-CM R45.85 terminology record — National Cancer Institute Enterprise Vocabulary Services; accessed 2026-07-27.
2. ICD-10 | Suicidal ideations (R45.851) — cdek.pharmacy.purdue.edu; accessed 2026-07-27.
3. EVS Explore — evsexplore.semantics.cancer.gov; accessed 2026-07-27.
4. R45.85 - Homicidal and suicidal ideations | ICD-10-CM — unboundmedicine.com; accessed 2026-07-27.