R45.88 — Nonsuicidal self-harm
Is R45.88 billable?
Yes — R45.88 is billable for FY2027. R45.88 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. R45.88 may be submitted for encounters from October 1, 2026 through September 30, 2027.
R45.88 at a glance
| Code | R45.88 |
|---|---|
| Description | Nonsuicidal self-harm |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does R45.88 group to?
R45.88 sits in MDC 19 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 883Disorders of Personality and Impulse Controlmedical
How is R45.88 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to R45.88. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Self-injury, nonsuicidal
- Injury › self-inflicted, without suicidal intent
- Self-harm › nonsuicidal (attempted)
- Self-mutilation › nonsuicidal (attempted)
Code also
Two codes may be needed to describe the condition fully. Whether R45.88 is sequenced first depends on the reason for the encounter.
- injury, if known
Inclusion terms
Alternative wording in documentation that is classified to R45.88.
- Nonsuicidal self-injury
- Nonsuicidal self-mutilation
- Self-inflicted injury without suicidal intent
Excludes2 — not included here — inherited from Chapter 18
The conditions below are not part of R45.88, but a patient may have both at the same time. When documentation supports it, R45.88 and the excluded code may both be reported.
Excludes2 — not included here — inherited from R40-R46
The conditions below are not part of R45.88, but a patient may have both at the same time. When documentation supports it, R45.88 and the excluded code may both be reported.
- symptoms and signs constituting part of a pattern of mental disorder (F01-F99)
How long has R45.88 existed?
R45.88 first appears in FY2022.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.