ICD-10-CM Code X83.8XXS

Intentional self-harm by other specified means, sequela

Version 2020 Billable Code POA Exempt

Valid for Submission

X83.8XXS is a billable code used to specify a medical diagnosis of intentional self-harm by other specified means, sequela. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code X83.8XXS might also be used to specify conditions or terms like assisted suicide, attempt suicide - domestic gas, attempted suicide - hanging, attempted suicide - suffocation, biting own arm, biting own fingers, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:X83.8XXS
Short Description:Intentional self-harm by other specified means, sequela
Long Description:Intentional self-harm by other specified means, sequela

Synonyms

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

  • Assisted suicide
  • Attempt 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
  • Breaking own bones
  • Compulsive scratching 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
  • Hanging self
  • Head-hitting
  • Hitting self
  • Inserting foreign bodies into own orifices
  • Inserting objects into wound
  • Intentionally harming self
  • Late effect of self inflicted injury
  • Nipping self
  • Non suicidal self inflicted injury
  • 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
  • Self inflicted injury
  • Self inflicted injury of lip
  • 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

Present on Admission (POA)

X83.8XXS 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 Indicator CodePOA Reason 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 X83.8XXS to ICD-9

  • E959 - Late eff of self-injury (Approximate Flag)

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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