ICD-10 R45.88
Billable / Specific HCC v28: 59Nonsuicidal self-harm
About ICD-10-CM R45.88
ICD-10-CM code R45.88 represents Nonsuicidal self-harm. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R45). The 2026 edition of ICD-10-CM R45.88 became effective on October 1, 2025.
Coding Tips for R45.88
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
R45.88 is a CMS-HCC v28 risk-adjustment code (category 59). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under R45.88. Per CMS ICD-10-CM Tabular 2026.
- Nonsuicidal self-injury
- Nonsuicidal self-mutilation
- Self-inflicted injury without suicidal intent
Coding Notes
Code Also
- injury, if known
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for R45.88
Local Coverage Determinations (LCDs) from CMS MACs that list R45.88 as a covered diagnosis.
Showing top 10 of 194 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R45.88.
5 Medicare
CPT Codes Commonly Billed with R45.88
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To R45.88
Other codes in section R40-R46 (Symptoms and signs involving cognition, perception, emotional state and behavior).
ICD-10 R45.88, Billing FAQ
Is ICD-10 code R45.88 billable? +
Yes, R45.88 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to R45.88? +
ICD-10 R45.88 includes: Nonsuicidal self-injury; Nonsuicidal self-mutilation; Self-inflicted injury without suicidal intent.
Does R45.88 affect Medicare Advantage HCC risk adjustment? +
Yes. R45.88 maps to CMS-HCC v28 category 59. Capture this diagnosis annually for accurate Medicare Advantage risk score.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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