MCMedicalCodingSoftware
X72.XXXA

X72.XXXAIntentional self-harm by handgun discharge, initial encounter

Billable / specific codeICD-10-CMPOA exempt

X72.XXXA is a billable, specific ICD-10-CM code for intentional self-harm by handgun discharge, initial encounter. It is valid for submission on a claim.

7th character "A" — initial encounter

The appropriate 7th character is to be added to code X72

A
initial encounter
D
subsequent encounter
S
sequela

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Intentional self-harm by gun for single hand use
  • Intentional self-harm by pistol
  • Intentional self-harm by revolver

Excludes1 inherited from the categories above X72.XXXA

These are not written on X72.XXXA, but they bind it: a note on a category applies to every code beneath it. Billing X72.XXXA with anything listed here is a denial.

Written on X72 Intentional self-harm by handgun discharge

Risk adjustment

X72.XXXA risk-adjusts. Under the CMS-HCC V28 model it maps to these categories:

  • HCC 155 Major Depression, Moderate or Severe, without Psychosis0.299 RAF
  • HCC 155 Major Depression, Moderate or Severe, without Psychosis0.299 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Code history

X72.XXXA has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share X72. If X72.XXXA is not quite right, the correct code is usually one of these.

Questions about X72.XXXA

Is X72.XXXA a billable ICD-10-CM code?
Yes. X72.XXXA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does X72.XXXA sit in the tabular list?
External causes of morbidity (V00-Y99), in the block Intentional self-harm (X71-X83).
What cannot be coded together with X72.XXXA?
X72.XXXA carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above X72.XXXA (X72) and apply to it just the same.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.