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.
Code 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
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.
Medicare coverage
R45.88 is named in 12 Medicare coverage policies — 11 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How R45.88 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R45.88.
- Self-injury, nonsuicidal
- Injury›self-inflicted, without suicidal intent
- Self-harm›nonsuicidal
- Self-mutilation›nonsuicidal
Related codes at this level
Codes that share R45.8. If R45.88 is not quite right, the correct code is usually one of these.
Questions about R45.88
- Is R45.88 a billable ICD-10-CM code?
- Yes. R45.88 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R45.88 sit in the tabular list?
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46).