icd 9 code for self injury behavior

In ICD-9-CM, self-harm was indicated by recording additional cause-of-injury diagnoses in the range E950–E958 (definitely self-inflicted) or E980–E988 (unknown if accidental or self-inflicted). For example, intentional benzodiazepine overdose was indicated by a primary diagnosis of 969.4 and an additional diagnosis of E950.0.

Full Answer

What is the ICD 9 code for self-inflicted injury?

Suicide and self-inflicted injury by cutting and piercing instrument Short description: Injury-cut instrument. ICD-9-CM E956 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, E956 should only be used for claims with a date of service on or before September 30, 2015.

Should self-injurious behavior be a separate clinical syndrome?

In 2005 Muehlenkamp [10] also proposed that self-injurious behavior should be a separate clinical syndrome, emphasizing the absence of conscious suicidal intent, the inability to resist NSSI impulses, the negative affective/cognitive state prior to and the relief after NSSI, as well as the preoccupation with and repetitiveness of the behavior.

What is criterion D of self-injurious behavior?

Criterion D In a study of young adults [53] 91% of self-injurers met criterion D, which refers to behaviors that are not socially sanctioned. Eighty-eight percent of clinicians and NSSI experts thought this to be a prototypic symptom [42].

What is the ICD 9 code for injury cut instrument?

Short description: Injury-cut instrument. ICD-9-CM E956 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, E956 should only be used for claims with a date of service on or before September 30, 2015.

What is the ICD-10 code for self inflicted injury?

R45. 88 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM R45.

What is diagnosis code z915?

Personal history of self-harmPersonal history of self-harm.

What is the code for suicidal ideation?

81 Suicidal ideation may be assigned as a principal diagnosis if the clinician has confirmed that there is no underlying mental disorder.

What is a self injurious behavior?

Self-injurious behavior (SIB), displayed by individuals with autism and intellectual disabilities, involves the occurrence of behavior that results in physical injury to one's own body. Common forms of SIB include, but are not limited to, head-hitting, head-banging and hand-biting.

What is the ICD-10 code for borderline personality?

ICD-10 code F60. 3 for Borderline personality disorder is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .

What is the difference between suicidal ideation and suicidal intent?

Suicidal ideation is any self-reported thoughts of engaging in suicide-related behavior. Subtypes of suicide-related ideations depend on the presence or absence of suicidal intent. To have suicidal intent is to have suicide or deliberate self-killing as one's purpose.

What is the ICD-10 code for altered mental status?

82 Altered mental status, unspecified.

What is the ICD-10 code for history of suicidal ideation?

R45. 851 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM R45.

What is the ICD-10 code for History of fall?

Z91.81There is also another code available in ICD-10 for falls: Z91. 81 (History of falling). This code is to be used when the patient has fallen before and is at risk for future falls.

Is PTSD billable?

ICD-Code F43. 12 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Post-Traumatic Stress Disorder, Chronic. Its corresponding ICD-9 code is 309.81. Code F43.

What is NSSI in psychology?

Nonsuicidal self-injury (NSSI), defined as the deliberate, self-inflicted destruction of body tissue without suicidal intent and for purposes not socially sanctioned, includes behaviors such as cutting, burning, biting and scratching skin [1]. NSSI is especially prevalent during adolescence with mean and pooled rates of 17–18% in recent reviews of community samples [2, 3]. In clinical samples of adolescents rates are even higher, with 40% or more reporting NSSI [4]. During the last decades there have been ongoing discussions regarding the conceptualization and diagnostic organization of NSSI. In the diagnostic nomenclature NSSI has been limited to a symptom of borderline personality disorder (BPD), described as suicidal behavior, gestures, threats or self-mutilating behavior [5]. Arguments have been put forward that NSSI should be a separate syndrome [6–11]. In the early 1980s Pattison and Kahan [11] and Kahan and Pattison [9] described the typical patterns of a separate deliberate self-harm syndrome, proposing that it should be included in the fourth version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) [5], with inability to resist the impulse to injure oneself, increased sense of tension prior to the act and experience of release/relief after the act as essential features. Later, Favazza and Rosenthal [6, 7] suggested DSM inclusion of a repetitive self-mutilation syndrome and complemented earlier descriptions by adding preoccupation with harming oneself. In 2005 Muehlenkamp [10] also proposed that self-injurious behavior should be a separate clinical syndrome, emphasizing the absence of conscious suicidal intent, the inability to resist NSSI impulses, the negative affective/cognitive state prior to and the relief after NSSI, as well as the preoccupation with and repetitiveness of the behavior. These earlier features overlap to a large extent with the suggested Shaffer and Jacobson [12] NSSI criteria proposed to the DSM-5 [13] Childhood Disorder and Mood Disorders work group for inclusion as a DSM-5 disorder, in that they describe the functional, motivational and emotional aspects of NSSI [14]. The criteria have been revised several times during the work progress, mainly concerning their organization [12, 13, 15].

What is NSSID in DSM-5?

With the presentation of nonsuicidal self-injury disorder (NSSID) criteria in the fifth version of the Statistical and Diagnostic Manual of Mental Disorders (DSM-5), empirical studies have emerged where the criteria have been operationalized on samples of children, adolescents and young adults. Since NSSID is a condition in need of further study, empirical data are crucial at this stage in order to gather information on the suggested criteria concerning prevalence rates, characteristics, clinical correlates and potential independence of the disorder. A review was conducted based on published peer-reviewed empirical studies of the DSM-5 NSSID criteria up to May 16, 2015. When the DSM-5 criteria were operationalized on both clinical and community samples, a sample of individuals was identified that had more general psychopathology and impairment than clinical controls as well as those with NSSI not meeting criteria for NSSID. Across all studies interpersonal difficulties or negative state preceding NSSI was highly endorsed by participants, while the distress or impairment criterion tended to have a lower endorsement. Results showed preliminary support for a distinct and independent NSSID diagnosis, but additional empirical data are needed with direct and structured assessment of the final DSM-5 criteria in order to reliably assess and validate a potential diagnosis of NSSID.

Is NSSI a symptom of BPD?

There is general consensus that there is an association between BPD and NSSI [16–19], but that NSSI is not unique to BPD. NSSI is also associated with other personality disorders [19, 20] and to several axis I symptomatologies [16, 19–21], and may also be present without any psychiatric comorbidities [22]. To classify NSSI purely as a criterion of BPD implies that it does not have clinical significance outside the BPD context [23].

Is NSSI a psychopathological diagnosis?

Despite the fact that NSSI is prevalent and impairing in adolescents, it has not been given any psychopathological significance except as a symptom of BPD until DSM-5 [22]. Improved communication, more precise definition and clearer implications for prognosis and treatment are thus advocated [22, 33], allowing NSSI to be highlighted and treated outside the BPD context [22, 34, 35]. However, doubts have also been voiced [36], mainly concerning the issue of suicidal intent and how the relationship between NSSI and suicidal behaviors should be conceptualized. Critics argue that suicidal or nonsuicidal intent is wrongly reduced to a dichotomy, instead of being conceptualized as a multidimensional construct where the ambiguity and the difficulty in arriving at a valid and reliable assessment of intent need to be acknowledged. Critics further claim that the term nonsuicidal is questionable due to the afore-mentioned overlap between suicidal thoughts and behaviors and NSSI. There is also concern that a diagnosis could increase stigmatization in a young age group and that the lack of empirical support for an NSSI diagnosis argues for caution at this stage [37, 38].

When did the ICD-9-CM change to the 10th revision?

2 In October 2015, the United States transitioned coding systems for reporting diagnoses and inpatient procedures from the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) to International Classification of Diseases, Tenth Revision, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS).

What is the E950.4?

Suicide and self-inflicted poisoning by tranquilizers and other psychotropic agents E950.4