ICD-10 Diagnosis Code Z91.5

Personal history of self-harm

Diagnosis Code Z91.5

ICD-10: Z91.5
Short Description: Personal history of self-harm
Long Description: Personal history of self-harm
This is the 2017 version of the ICD-10-CM diagnosis code Z91.5

Valid for Submission
The code Z91.5 is valid for submission for HIPAA-covered transactions.

Code Classification
  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
      • Personal risk factors, not elsewhere classified (Z91)

Information for Medical Professionals


Code Edits
The following edits are applicable to this code:
Unacceptable principal diagnosis Additional informationCallout TooltipUnacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.


Convert to ICD-9 Additional informationCallout TooltipGeneral Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

Present on Admission (POA) Additional informationCallout TooltipPresent on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

The code Z91.5 is exempt from POA reporting.

Synonyms
  • Artefactual skin disease
  • At risk of self-injurious behavior
  • Caustic burn of skin
  • Enucleation of own eyes
  • Factitious skin disease
  • History of attempted suicide
  • History of deliberate self harm
  • Previous known suicide attempt
  • Self-inflicted caustic burn
  • Self-mutilation
  • Self-mutilation of ears
  • Self-mutilation of eyes
  • Self-mutilation of genitalia
  • Self-mutilation of hands
  • Self-mutilation of penis

Index of Diseases and Injuries
References found for the code Z91.5 in the Index of Diseases and Injuries:


Information for Patients


Self-harm

Self-harm refers to a person's harming their own body on purpose. About 1 in 100 people hurts himself or herself in this way. More females hurt themselves than males. A person who self-harms usually does not mean to kill himself or herself. But they are at higher risk of attempting suicide if they do not get help.

Self-harm tends to begin in teen or early adult years. Some people may engage in self-harm a few times and then stop. Others engage in it more often and have trouble stopping.

Examples of self-harm include

  • Cutting yourself (such as using a razor blade, knife, or other sharp object to cut the skin)
  • Punching yourself or punching things (like a wall)
  • Burning yourself with cigarettes, matches, or candles
  • Pulling out your hair
  • Poking objects through body openings
  • Breaking your bones or bruising yourself

Many people cut themselves because it gives them a sense of relief. Some people use cutting as a means to cope with a problem. Some teens say that when they hurt themselves, they are trying to stop feeling lonely, angry, or hopeless.

It is possible to overcome the urge to hurt yourself. There are other ways to find relief and cope with your emotions. Counseling may help.

Dept. of Health and Human Services, Office on Women's Health

  • Trichotillomania (Medical Encyclopedia)


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