AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 4; ICD-10-CM New/Revised Codes

Non-Suicidal Self-Harm

A new code has been created to describe non-suicidal self-harm (R45.88). The new code provides a way to differentiate between suicidal and non-suicidal self-harm, and allows non-suicidal self-harm to be treated and tracked in clinical databases. Non-suicidal self-harm is directly and intentionally inflicting damage to one’s own body without intention of suicide. Self-harm may include cutting, biting, burning, severe abrading or scratching, pinching, banging or punching objects and oneself, and breaking bones. Self-harm is not a mental illness, but a behavior that indicates a need for better coping skills. It is a harmful way to...

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