ICD-10-CM Code X83

Intentional self-harm by other specified means

Version 2020 Non-Billable Code

Not Valid for Submission

X83 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of intentional self-harm by other specified means. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:X83
Short Description:Intentional self-harm by other specified means
Long Description:Intentional self-harm by other specified means

Consider the following ICD-10 codes with a higher level of specificity:

  • X83.0 - Intentional self-harm by crashing of aircraft
  • X83.0XXA - Intentional self-harm by crashing of aircraft, initial encounter
  • X83.0XXD - Intentional self-harm by crashing of aircraft, subsequent encounter
  • X83.0XXS - Intentional self-harm by crashing of aircraft, sequela
  • X83.1 - Intentional self-harm by electrocution
  • X83.1XXA - Intentional self-harm by electrocution, initial encounter
  • X83.1XXD - Intentional self-harm by electrocution, subsequent encounter
  • X83.1XXS - Intentional self-harm by electrocution, sequela
  • X83.2 - Intentional self-harm by exposure to extremes of cold
  • X83.2XXA - Intentional self-harm by exposure to extremes of cold, initial encounter
  • X83.2XXD - Intentional self-harm by exposure to extremes of cold, subsequent encounter
  • X83.2XXS - Intentional self-harm by exposure to extremes of cold, sequela
  • X83.8 - Intentional self-harm by other specified means
  • X83.8XXA - ... initial encounter
  • X83.8XXD - ... subsequent encounter
  • X83.8XXS - ... sequela

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code X83:

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • intentional self-harm by poisoning or contact with toxic substance- See Table of Drugs and Chemicals

7th Character Note

7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • The appropriate 7th character is to be added to each code from category X83

7th Character

7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Code Classification

  • External causes of morbidity and mortality (V01–Y98)
    • Intentional self-harm (X71-X83)
      • Intentional self-harm by other specified means (X83)

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

Information for Patients


Self-Harm

What is self-harm?

Self-harm, or self-injury, is when a person hurts his or her own body on purpose. The injuries may be minor, but sometimes they can be severe. They may leave permanent scars or cause serious health problems. Some examples are

  • Cutting yourself (such as using a razor blade, knife, or other sharp object to cut your 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

Self-harm is not a mental disorder. It is a behavior - an unhealthy way to cope with strong feelings. However, some of the people who harm themselves do have a mental disorder.

People who harm themselves are usually not trying to kill themselves. But they are at higher risk of attempting suicide if they do not get help.

Why do people harm themselves?

There are different reasons why people harm themselves. Often, they have trouble coping and dealing with their feelings. They harm themselves to try to

  • Make themselves feel something, when they feel empty or numb inside
  • Block upsetting memories
  • Show that they need help
  • Release strong feelings that overwhelm them, such as anger, loneliness, or hopelessness
  • Punish themselves
  • Feel a sense of control

Who is at risk for self-harm?

There are people of all ages who harm themselves, but it usually starts in the teen or early adult years. Self-harm is more common in people who

  • Were abused or went through a trauma as children
  • Have mental disorders, such as
    • Depression
    • Eating disorders
    • Post-traumatic stress disorder
    • Certain personality disorders
  • Abuse drugs or alcohol
  • Have friends who self-harm
  • Have low self-esteem

What are the signs of self-harm?

Signs that someone may be hurting themselves include

  • Having frequent cuts, bruises, or scars
  • Wearing long sleeves or pants even in hot weather
  • Making excuses about injuries
  • Having sharp objects around for no clear reason

How can I help someone who self-harms?

If someone you know is self-harming, it is important not to be judgmental. Let that person know that you want to help. If the person is a child or teenager, ask him or her to talk to a trusted adult. If he or she won't do that, talk to a trusted adult yourself. If the person who is self-harming is an adult, suggest mental health counseling.

What the treatments are for self-harm?

There are no medicines to treat self-harming behaviors. But there are medicines to treat any mental disorders that the person may have, such as anxiety and depression. Treating the mental disorder may weaken the urge to self-harm.

Mental health counseling or therapy can also help by teaching the person

  • Problem-solving skills
  • New ways to cope with strong emotions
  • Better relationship skills
  • Ways to strengthen self-esteem

If the problem is severe, the person may need more intensive treatment in a psychiatric hospital or a mental health day program.


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