Nonsuicidal self-harm

This code describes intentional, self-inflicted damage to one's body tissue without suicidal intent. It encompasses behaviors such as cutting, burning, scratching, or hitting oneself, typically as a coping mechanism for intense emotional pain or distress. The key differentiator is the absence of a desire to end one's life.

Assign this code when documentation clearly indicates self-harming behaviors are present, and the clinician explicitly states or implies that the patient denies suicidal ideation or intent. This is often seen in patients with personality disorders, anxiety, depression, or trauma-related conditions. Supporting documentation includes psychiatric evaluations, therapy notes, and emergency department records detailing the self-harm incident and the patient's stated intent.

• Do not use this code if suicidal intent is documented; instead, refer to codes for suicidal ideation or attempts.
• Always sequence this code after the primary mental health diagnosis (e.g., F43.10 for PTSD, F60.3 for Borderline Personality Disorder) that may be contributing to the self-harm.
• Ensure the documentation differentiates between accidental self-injury and intentional self-harm without suicidal intent.