ICD-10-CM code R45.81 describes low self-esteem. Symptom-level code for diminished self-worth. It is a billable, specific code valid for claim submission. It is grouped under the “Symptoms & Signs (R Codes)” section of the mental, behavioral, and neurodevelopmental disorders chapter.
When to use R45.81
R codes report symptoms, signs, or ill-defined findings such as suicidal ideation, irritability, or cognitive deficits when no definitive diagnosis has been established. They are frequently secondary to a documented mental health diagnosis. For R45.81 specifically, symptom-level code for diminished self-worth.
Documentation & billing
Document the symptom and any workup to date. Once diagnostic criteria are met, use a definitive mental disorder code rather than relying indefinitely on a symptom code.
Common pitfalls
- Using a symptom R code when a definitive diagnosis is already documented.
- Coding suicidal ideation (R45.84) without a corresponding risk assessment and safety plan.
- Relying on R codes long-term instead of establishing a diagnosis.
Common search terms for R45.81
Clinicians often look up R45.81 using plain-language terms. This code maps to:
Frequently asked questions
What is ICD-10-CM code R45.81?
Low self-esteem. Symptom-level code for diminished self-worth.
Is R45.81 a billable ICD-10-CM code?
Yes. R45.81 (Low self-esteem) is a billable, specific ICD-10-CM code that can be reported on a claim. Confirm the current official descriptor against the CDC code set and your payer’s policies before submitting.
What should I document to support R45.81?
Document the symptom and any workup to date. Once diagnostic criteria are met, use a definitive mental disorder code rather than relying indefinitely on a symptom code.