Z91.5 ICD-10-CM Code: Personal history of self-harm
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Personal history of self-harm is a non-billable ICD-10-CM category code (Z91.5). A more specific billable subcode must be selected for claims submission.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for Z91.5 in the official ICD-10-CM tabular list.
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- contact with and (suspected) exposures hazardous to health (Z77.-)
- exposure to pollution and other problems related to physical environment (Z77.1-)
- female genital mutilation status (N90.81-)
- occupational exposure to risk factors (Z57.-)
- personal history of physical injury and trauma (Z87.81, Z87.82-)
Code Also
Additional codes that may be required to fully describe the encounter.
- mental health disorder, if known
- any follow-up examination (Z08-Z09)
Frequently Asked Questions (FAQ) & Clinical Guidance
Can Z91.5 be billed directly?
No. Z91.5 (Personal history of self-harm) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to Z91.5 in its code family, with their registry titles.
- Z91.413 — Personal history of adult financial abuse
- Z91.414 — Personal history of adult intimate partner abuse
- Z91.419 — Personal history of unspecified adult abuse
- Z91.42 — Personal history of forced labor or sexual exploitation
- Z91.49 — Other personal history of psychological trauma, not elsewhere classified
- Z91.51 — Personal history of suicidal behavior
- Z91.52 — Personal history of nonsuicidal self-harm
- Z91.8 — Other specified personal risk factors, not elsewhere classified
- Z91.81 — History of falling
- Z91.82 — Personal history of military deployment