Intentional self-harm by other specified means (X83)

The ICD-10 code X83 and its subcategories are specifically used to classify cases of intentional self-harm carried out by various unusual or less common methods. These codes cover types of self-injury that differ from more typical means, providing precise coding for health professionals and medical coders.

The section includes codes like X83.0 for intentional self-harm by crashing an aircraft, X83.1 for self-electrocution (also known as suicide attempt by electrocution or self-electrocution), and X83.2 for harm resulting from exposure to extreme cold. Additionally, X83.8 encompasses a wide range of other specified self-harm behaviors such as compulsive knuckle-biting, gouging own eyes, hanging, drowning, self-inflicted injuries like biting or scratching, swallowing objects, burning, and many more. These detailed labels assist medical coders and clinicians in accurately documenting the nature and context of these self-harm incidents, including initial encounters, subsequent encounters, and complications or sequelae. Using the ICD-10 code for intentional self-harm by other specified means helps clarify the specific method used, supporting better care management and data collection in healthcare settings.

Instructional Notations

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

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

Indicates that a seventh character is to be assigned to codes in a subcategory.

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela