R45.88 Nonsuicidal self-harm

Billable ICD-10-CM code, FY2026.

Applicable to

• Nonsuicidal self-injury
• Nonsuicidal self-mutilation
• Self-inflicted injury without suicidal intent

Code also

• injury, if known

Risk adjustment (HCC)

• CMS-HCC V28: HCC 155 — Major Depression, Moderate or Severe, without Psychosis
• CMS-HCC V22: HCC 58 — Major Depressive, Bipolar, and Paranoid Disorders
• RxHCC V08: HCC 132 — Depression
• ESRD V24: HCC 59

MS-DRG index

Defines the logic of DRG(s) 883 in MDC 19.

Code annotations containing back-references to R45.88

Back-references to R45

• Type 1 Excludes: F07.0 Personality change due to known physiological condition ("signs and symptoms involving emotional state (R45.-)")

Diagnosis Index entries for R45.88

• Injury › self-inflicted, without suicidal intent
• Self-harm (attempted) › nonsuicidal
• Self-injury, nonsuicidal
• Self-mutilation (attempted) › nonsuicidal

Nearby codes

• R45.85 Homicidal and suicidal ideations
• R45.850 Homicidal ideations
• R45.851 Suicidal ideations
• R45.86 Emotional lability
• R45.87 Impulsiveness
• R45.88 Nonsuicidal self-harm (this code)
• R45.89 Other symptoms and signs involving emotional state