R45.88: Nonsuicidal self-harm
R45.88 is a billable, specific ICD-10-CM code for nonsuicidal self-harm. It is valid for submission on a claim.
Check R45.88 with the rest of the claim: free scrubberCode also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- injury, if known
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Nonsuicidal self-injury
- Nonsuicidal self-mutilation
- Self-inflicted injury without suicidal intent
Other codes that can never be billed with R45.88
Their own Excludes1 notes name this code, so the conflict is not listed above.
- F07.0Personality change due to known physiological condition
Risk adjustment
R45.88 risk-adjusts. Under the CMS-HCC V28 model it maps to these categories:
- HCC 155 Major Depression, Moderate or Severe, without Psychosis0.299 RAF
- HCC 155 Major Depression, Moderate or Severe, without Psychosis0.299 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
R45.88 is named in 10 Medicare coverage policies: 9 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56614Billing and Coding: Psychiatric Inpatient Hospitalization
- A56850Billing and Coding: Psychiatric Partial Hospitalization Programs
- A56865Billing and Coding: Psychiatric Inpatient Hospitalization
Alphabetic index entries that lead here
- Self-injury, nonsuicidal
- Injury›self-inflicted, without suicidal intent
- Self-harm›nonsuicidal
- Self-mutilation›nonsuicidal
Code history
Unchanged in every release from FY2024 to FY2027.