2024 ICD-10-CM Diagnosis Code X83.8XXD

Intentional self-harm by other specified means, subsequent encounter

ICD-10-CM Code:
X83.8XXD
ICD-10 Code for:
Intentional self-harm by other specified means, subs encntr
Is Billable?
Yes - Valid for Submission
Code Navigator:

Code Classification

  • External causes of morbidity and mortality
    (V01–Y99)
    • Intentional self-harm
      (X71-X83)
      • Intentional self-harm by other specified means
        (X83)

X83.8XXD is a billable diagnosis code used to specify a medical diagnosis of intentional self-harm by other specified means, subsequent encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

X83.8XXD is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like intentional self-harm by other specified means. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.

Approximate Synonyms

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

  • Assisted suicide
  • Attempted suicide - domestic gas
  • Attempted suicide - hanging
  • Attempted suicide - suffocation
  • Biting own arm
  • Biting own fingers
  • Biting own hand
  • Biting own toes
  • Biting own tongue
  • Biting self
  • Biting self
  • Biting self
  • Breaking own bones
  • Burning self
  • Compulsive knuckle-biting behavior
  • Compulsive scratching behavior
  • Compulsive self-biting behavior
  • Compulsive self-biting behavior
  • Damaging own wounds
  • Death by asphyxiation
  • Drowning self
  • Eating own flesh
  • Found hanging self
  • Gouging own body parts
  • Gouging own eyes
  • Gouging own flesh
  • Gouging own rectum
  • Gouging own vagina
  • Habitual hand biting
  • Hanging self
  • Head-hitting
  • Hitting self
  • Inserting foreign bodies into own orifices
  • Inserting objects into wound
  • Intentionally harming self
  • Nipping self
  • Non suicidal self inflicted injury
  • Parasuicide
  • Patient suicide, or attempted suicide resulting in serious disability, while being cared for in a healthcare facility
  • Picking own skin
  • Pinching self
  • Poking fingers into wound
  • Pulling out sutures
  • Pulling own teeth out
  • Punching self
  • Removing own nails
  • Reopening scars
  • Rubbing own skin
  • Scratches self
  • Scratches self
  • Self inflicted injury
  • Self inflicted injury of lip
  • Self-inflicted caustic burn
  • Self-inflicted skin lesions
  • Self-inflicted trauma involving penis
  • Serious reportable event associated with patient protection
  • Slapping self
  • Suicide - car exhaust
  • Suicide - hanging
  • Suicide - suffocation
  • Suicide by multiple means
  • Suicide by self-administered drug
  • Suicide while incarcerated
  • Swallowing objects
  • Swallowing substances
  • Throwing self onto floor

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
External cause codes: subsequent encounterEXT029X - Not applicable.X - Not applicable.
Suicide attempt/intentional self-harm; subsequent encounterMBD027X - Not applicable.X - Not applicable.

Present on Admission (POA)

X83.8XXD is exempt from POA reporting - 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. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert X83.8XXD to ICD-9-CM

  • ICD-9-CM Code: E958.7 - Injury-caustic substance
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
  • ICD-9-CM Code: E958.8 - Injury-NEC
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.