1. Home
  2. ICD-10-CM Codes
  3. Z00–Z99
  4. Z77-Z99
  5. Z91
  6. 2024 ICD-10-CM Code Z91.52

2024 ICD-10-CM Diagnosis Code Z91.52

Personal history of nonsuicidal self-harm

ICD-10-CM Code:
Z91.52
ICD-10 Code for:
Personal history of nonsuicidal self-harm
Is Billable?
Yes - Valid for Submission
Code Navigator:

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)

Z91.52 is a billable diagnosis code used to specify a medical diagnosis of personal history of nonsuicidal self-harm. 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.

This code describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

Approximate Synonyms

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

  • Biting own arm
  • Biting own fingers
  • Biting own hand
  • Biting own toes
  • Biting own tongue
  • Biting self
  • Breaking own bones
  • Damaging own wounds
  • Eating own flesh
  • Enucleation of own eyes
  • Gouging own body parts
  • Gouging own eyes
  • Gouging own flesh
  • Gouging own rectum
  • Gouging own vagina
  • Head-hitting
  • Hitting self
  • Inserting foreign bodies into own orifices
  • Inserting objects into wound
  • Nipping self
  • 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-inducing a prolapse
  • Self-inflicted skin problems
  • Self-mutilation
  • Self-mutilation of ears
  • Self-mutilation of eyes
  • Self-mutilation of genitalia
  • Self-mutilation of hands
  • Self-mutilation of penis
  • Slapping self
  • Stripping own skin

Clinical Classification

Clinical Information

  • Lesch-Nyhan Syndrome

    an inherited disorder transmitted as a sex-linked trait and caused by a deficiency of an enzyme of purine metabolism; hypoxanthine phosphoribosyltransferase. affected individuals are normal in the first year of life and then develop psychomotor retardation, extrapyramidal movement disorders, progressive spasticity, and seizures. self-destructive behaviors such as biting of fingers and lips are seen frequently. intellectual impairment may also occur but is typically not severe. elevation of uric acid in the serum leads to the development of renal calculi and gouty arthritis. (menkes, textbook of child neurology, 5th ed, pp127)

  • Self Mutilation

    the act of injuring one's own body to the extent of cutting off or permanently destroying a limb or other essential part of a body.

  • Hypoxanthine Phosphoribosyltransferase

    an enzyme that catalyzes the conversion of 5-phosphoribosyl-1-pyrophosphate and hypoxanthine, guanine, or mercaptopurine to the corresponding 5'-mononucleotides and pyrophosphate. the enzyme is important in purine biosynthesis as well as central nervous system functions. complete lack of enzyme activity is associated with the lesch-nyhan syndrome, while partial deficiency results in overproduction of uric acid. ec 2.4.2.8.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Personal history of nonsuicidal self-injury
  • Personal history of self-inflicted injury without suicidal intent
  • Personal history of self-mutilation

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:

  • Unacceptable 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.

Present on Admission (POA)

Z91.52 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

Replacement Code

Z9152 replaces the following previously assigned ICD-10-CM code(s):

  • Z91.5 - Personal history of self-harm

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 - Code Added, effective from 10/1/2021 through 9/30/2022