Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.
Applicable to
Personal history of nonsuicidal self-injury
Personal history of self-inflicted injury without suicidal intent
Personal history of self-mutilation
Applies from Z91 Personal risk factors, not elsewhere classified
Excludes2 (not included here)
contact with and (suspected) exposures hazardous to health (Z77.-)
exposure to pollution and other problems related to physical environment (Z77.1-)
female genital mutilation status (N90.81-)
occupational exposure to risk factors (Z57.-)
personal history of physical injury and trauma (Z87.81, Z87.82-)
Applies from Z91.5 Personal history of self-harm
Code also
mental health disorder, if known
MS-DRG index
Defines the logic of DRG(s) 951 in MDC 23.
Medicare Code Edits (MCE v43.1 (April 2026))
Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.
Code annotations containing back-references to Z91.52
Back-references to Z91.5
Type 2 Excludes: Z87.8 Personal history of other specified conditions ("personal history of self harm (Z91.5-)")
Diagnosis Index entries for Z91.52
History › personal (of) › self-harm › nonsuicidal
History › personal (of) › self-inflicted injury without suicidal intent
History › personal (of) › self-injury › nonsuicidal
History › personal (of) › self-mutilation
Self-harm (attempted) › history (personal) › nonsuicidal
Self-injury, nonsuicidal › personal history
Self-mutilation (attempted) › history (personal) › nonsuicidal
Nearby codes
Z91.419 Personal history of unspecified adult abuse
Z91.42 Personal history of forced labor or sexual exploitation
Z91.49 Other personal history of psychological trauma, not elsewhere classified