Nonsuicidal self-harm
ICD-10 R45.88 is a billable code used to indicate a diagnosis of nonsuicidal self-harm.
Nonsuicidal self-harm (NSSH) refers to intentional self-inflicted harm without the intent to die. This behavior can manifest in various forms, including cutting, burning, or hitting oneself. Individuals engaging in NSSH often do so as a coping mechanism to manage emotional distress, express feelings, or exert control over their bodies. Symptoms may include visible injuries, such as cuts or scars, and psychological signs like depression, anxiety, or feelings of emptiness. Clinical findings may reveal underlying mental health disorders, such as borderline personality disorder or major depressive disorder. It is crucial to differentiate NSSH from suicidal behavior, as the motivations and implications differ significantly. Accurate diagnosis and coding require a comprehensive assessment of the patient's mental health history and current emotional state, as well as any co-occurring conditions that may influence treatment and management.
Detailed patient history, including mental health assessments and any physical injuries.
Patients presenting with unexplained injuries or psychological distress.
Consideration of comorbid conditions such as depression or anxiety disorders.
Immediate assessment of injuries, mental status evaluation, and risk assessment for future self-harm.
Patients presenting with acute injuries from self-harm.
Rapid evaluation of intent and risk for suicide is critical in emergency settings.
Used for therapy sessions addressing self-harm behaviors.
Document the focus of therapy on coping strategies and emotional regulation.
Mental health providers should ensure comprehensive notes on the patient's progress.
Nonsuicidal self-harm involves self-injury without the intent to die, often as a coping mechanism, while suicidal behavior includes actions taken with the intent to end one's life. Accurate coding requires understanding this distinction.
