2025 ICD-10-CM code X83
(Active) Effective Date: N/A External causes of morbidity - Intentional self-harm 20 Feed
Intentional self-harm by other specified means.
The seventh character of this code can indicate the encounter type (initial encounter, subsequent encounter, or sequela).
Medical necessity for the treatment of the injuries resulting from self-harm is determined by the severity and nature of those injuries, following standard medical guidelines.
Clinicians should use this code as a secondary code to the code describing the nature of the injury.It is crucial to document the specific method of self-harm and the intent behind the action.
In simple words: This code is used to document a self-inflicted injury caused by methods other than those specifically listed elsewhere, such as jumping from a height.
Intentional self-harm by other specified means. This code describes the circumstance causing an injury, not the nature of the injury itself.
Example 1: A patient jumps from a height in an attempt to harm themselves, resulting in a fractured femur. The primary code would be for the fracture (e.g., S72.90xA), and X83 would be used as a secondary code to indicate the intentional self-harm., A patient intentionally inhales harmful fumes, leading to respiratory distress. The primary code would be for the respiratory condition (e.g., J96.00), and X83 would be a secondary code., A patient deliberately cuts themselves with a sharp object but does not specify suicidal intent. This would be coded with the appropriate injury code (e.g., T21.31xA for superficial injury of wrist) and X83 to indicate intentional self-harm.
Detailed documentation of the method used for self-harm, the resulting injuries, and the patient's intent (if known) is required for accurate coding. Any relevant medical history, including previous self-harm attempts or mental health diagnoses, should also be documented.
** Excludes1: intentional self-harm by poisoning or contact with toxic substance
- Specialties:Emergency Medicine, Psychiatry, Psychology, Primary Care
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Outpatient Hospital, Office, Psychiatric Facility-Partial Hospitalization, Residential Substance Abuse Treatment Facility