self harm ideation

kdt930

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I work in a psychiatric hospital and I frequently see "self-harm ideation" documented in the mental status exam. It is never listed as a diagnosis so I've never coded it separately but there are new coders here that use 300.9 for it and I'm hoping to get other opinions on this. This is my first time doing inpatient facility coding and the person who trained me was a CCS that did not code it separately either. When a person has an acute injury due to self harming, I code the injury and the Ecode, but when they are just having the thoughts/ideations I don't code anything but the listed Axis I diagnoses.

I'd love to hear from anyone who has some input on this because I can't really find anything in my resources about it.

Thanks
 
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