R45.88AtualCódigo faturável e específico

Nonsuicidal self-harm

Instruções do código

Code also

injury, if known

Excludes 2 · 5

Capítulos 18 · Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Excludes 2

abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

R40-R46 · Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)

Excludes 2

symptoms and signs constituting part of a pattern of mental disorder (F01-F99)

Faturamento e cobertura

A cobertura depende do pagador, do serviço e da política aplicável. Um código faturável não garante pagamento.

Quando ICD-10-CM é obrigatório

ICD-10-CM é obrigatório para diagnósticos em pedidos de reembolso dos EUA sujeitos à HIPAA desde 1 de outubro de 2015.

Use a data do serviço para atendimento ambulatorial e profissional, e a data da alta para internações. Atendimentos anteriores usam ICD-9-CM; cada código também deve ser válido na data aplicável.

Diretrizes oficiais de codificação → · CMS ↗

MS-DRG · 43.1 · 883

O agrupamento depende do atendimento completo e das regras CMS.

883 · Disorders of Personality and Impulse Control

2026-04-01 – 2026-09-30

CMS · MS-DRG 43.1

Consultar cobertura Medicare ↗

Primeiro registro · 2021-10-01

Histórico do código

Última alteração registrada · FY2022

AlteradoSem alteração

FY2022

Válido a partir de 2021-10-01

Adicionado

Nonsuicidal self-harm

Código de diagnóstico faturável

CDC/NCHS · FY2022

Todas as edições (11)

Todas as edições	Válido a partir de	Histórico do código
FY2022	2021-10-01	Adicionado
FY2022 · 04-01	2022-04-01	Sem alteração tabular
FY2023	2022-10-01	Sem alteração tabular
FY2023 · 04-01	2023-04-01	Sem alteração tabular
FY2024	2023-10-01	Sem alteração tabular
FY2024 · 04-01	2024-04-01	Sem alteração tabular
FY2025	2024-10-01	Sem alteração tabular
FY2025 · 04-01	2025-04-01	Sem alteração tabular
FY2026	2025-10-01	Sem alteração tabular
FY2026 · April	2026-04-01	Sem alteração tabular
FY2027	2026-10-01	Sem alteração tabular

Instruções do código

Includes

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

Code also

injury, if known

Instruções dos níveis superiores

Capítulos 18 · Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Excludes 2

abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

Note

This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
The conditions and signs or symptoms included in categories R00-R94 consist of:
(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
(c) provisional diagnosis in a patient who failed to return for further investigation or care;
(d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
(e) cases in which a more precise diagnosis was not available for any other reason;
(f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

R40-R46 · Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)

Excludes 2

symptoms and signs constituting part of a pattern of mental disorder (F01-F99)

Referências do índice oficial (4)

Injury (1)

Injury › self-inflicted, without suicidal intentÍndice de doenças

Self-harm(attempted) (1)

Self-harm(attempted) › nonsuicidalÍndice de doenças

Self-injury, nonsuicidal (1)

Self-injury, nonsuicidalÍndice de doenças

Self-mutilation(attempted) (1)

Self-mutilation(attempted) › nonsuicidalÍndice de doenças

Histórico oficial de conversão

Historical assignments from the CDC conversion table support data retrieval. They do not authorize substituting a previous code for the current code.

Datas de validade 2021-10-01

Atribuição anterior: R45.89

Códigos relacionados

Outras entradas da mesma categoria; não são substitutos automáticos.

Código	Descrição	Categoria · é necessária maior especificidade
R45.81	Low self-esteem	Código faturável e específico
R45.82	Worries	Código faturável e específico
R45.83	Excessive crying of child, adolescent or adult	Código faturável e específico
R45.84	Anhedonia	Código faturável e específico
R45.85	Homicidal and suicidal ideations	Categoria · é necessária maior especificidade
R45.86	Emotional lability	Código faturável e específico
R45.87	Impulsiveness	Código faturável e específico
R45.89	Other symptoms and signs involving emotional state	Código faturável e específico

Os títulos e instruções oficiais são preservados no idioma de origem. Fontes oficiais ↗

Faturamento e cobertura

A cobertura depende do pagador, do serviço e da política aplicável. Um código faturável não garante pagamento.

Quando ICD-10-CM é obrigatório

ICD-10-CM é obrigatório para diagnósticos em pedidos de reembolso dos EUA sujeitos à HIPAA desde 1 de outubro de 2015.

Diretrizes oficiais de codificação → · CMS ↗

MS-DRG · 43.1 · 883

O agrupamento depende do atendimento completo e das regras CMS.

883 · Disorders of Personality and Impulse Control

2026-04-01 – 2026-09-30

CMS · MS-DRG 43.1

Consultar cobertura Medicare ↗

Todas as edições

Válido a partir de

Histórico do código

FY2022

2021-10-01

Adicionado

FY2022 · 04-01

2022-04-01

Sem alteração tabular

FY2023

2022-10-01

Sem alteração tabular

FY2023 · 04-01

2023-04-01

Sem alteração tabular

FY2024

2023-10-01

Sem alteração tabular

FY2024 · 04-01

2024-04-01

Sem alteração tabular

FY2025

2024-10-01

Sem alteração tabular

FY2025 · 04-01

2025-04-01

Sem alteração tabular

FY2026

2025-10-01

Sem alteração tabular

FY2026 · April

2026-04-01

Sem alteração tabular

FY2027

2026-10-01

Sem alteração tabular

Capítulos 18 · Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Excludes 2

abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

Note

This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
The conditions and signs or symptoms included in categories R00-R94 consist of:
(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
(c) provisional diagnosis in a patient who failed to return for further investigation or care;
(d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
(e) cases in which a more precise diagnosis was not available for any other reason;
(f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.