Intentional self-harm by other and unspecified firearm and gun discharge
In Intentional self-harm (X71-X83), chapter 20: External Causes of Morbidity
15 billable codes under X74: none are a CC or MCC; 5 map to HCC 155 (Major Depression, Moderate or Severe, without Psychosis).An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Also applies, from Intentional self-harm (X71-X83)
These notes sit on X71-X83 and apply to every code under it, including X74.
Includes: conditions that are coded here
- Purposely self-inflicted injury
- Suicide (attempted)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers how to report external cause codes (V00-Y99) describing cause, intent, place, activity, and status. They are never principal or first-listed, and reporting is voluntary unless required.
- General External Cause Coding Guidelines (page 88)
- Place of Occurrence Guideline (page 89)
- Activity Code (page 89)
- Place of Occurrence, Activity, and Status Codes Used with other External Cause Code (page 89)
- If the Reporting Format Limits the Number of External Cause Codes (page 90)
- Multiple External Cause Coding Guidelines (page 90)
- Child and Adult Abuse Guideline (page 90)
- Unknown or Undetermined Intent Guideline (page 91)
All codes under X74
X74 can't be used on a claim. Pick a billable code below; grey headings group them.
- X74.0Intentional self-harm by gas, air or spring-operated guns
- X74.01Intentional self-harm by airgun
- X74.01XAIntentional self-harm by airgun, initial encounter
- X74.01XDIntentional self-harm by airgun, subsequent encounter
- X74.01XSIntentional self-harm by airgun, sequela
- X74.02Intentional self-harm by paintball gun
- X74.02XAIntentional self-harm by paintball gun, initial encounter
- X74.02XDIntentional self-harm by paintball gun, subsequent encounter
- X74.02XSIntentional self-harm by paintball gun, sequela
- X74.09Intentional self-harm by other gas, air or spring-operated gun
- X74.09XAIntentional self-harm by other gas, air or spring-operated gun, initial encounter
- X74.09XDIntentional self-harm by other gas, air or spring-operated gun, subsequent encounter
- X74.09XSIntentional self-harm by other gas, air or spring-operated gun, sequela
- X74.8Intentional self-harm by other firearm discharge
- X74.8XXAIntentional self-harm by other firearm discharge, initial encounter
- X74.8XXDIntentional self-harm by other firearm discharge, subsequent encounter
- X74.8XXSIntentional self-harm by other firearm discharge, sequela
- X74.9Intentional self-harm by unspecified firearm discharge
- X74.9XXAIntentional self-harm by unspecified firearm discharge, initial encounter
- X74.9XXDIntentional self-harm by unspecified firearm discharge, subsequent encounter
- X74.9XXSIntentional self-harm by unspecified firearm discharge, sequela
X74 MS-DRGs
This code does not group to an MS-DRG as a principal diagnosis.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Self-Harm
Self-harm, or self-injury, is when a person hurts his or her own body on purpose. The injuries may be minor, but sometimes they can be severe. They may leave permanent scars or cause serious health problems. Some examples are:
Read more about self-harm on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.