ICD-10-CM Code R45.81

Low self-esteem

Version 2020 Billable Code No Valid Principal Dx

Valid for Submission

R45.81 is a billable code used to specify a medical diagnosis of low self-esteem. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R45.81 might also be used to specify conditions or terms like chronic low self-esteem, devaluation - mental defense mechanism, excessive self-criticism, finding related to ability to maintain self-esteem, fragile self-esteem, lacking belief in own ability, etc

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

Short Description:Low self-esteem
Long Description:Low self-esteem

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code R45.81 are found in the index:


The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Chronic low self-esteem
  • Devaluation - mental defense mechanism
  • Excessive self-criticism
  • Finding related to ability to maintain self-esteem
  • Fragile self-esteem
  • Lacking belief in own ability
  • Lacks confidence
  • Loss of self-esteem
  • Low self-esteem
  • Poor self-esteem
  • Self-depreciation
  • Self-doubt
  • Self-esteem disturbance
  • Situational low self-esteem
  • Unable to maintain self-esteem

Convert R45.81 to ICD-9

  • 307.9 - Special symptom NEC/NOS (Approximate Flag)

Code Classification

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
    • Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)
      • Symptoms and signs involving emotional state (R45)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020