MCMedicalCodingSoftware
X74

X74: Intentional self-harm by other and unspecified firearm and gun discharge

Non-billable headerICD-10-CM

X74 is a non-billable header ICD-10-CM code for intentional self-harm by other and unspecified firearm and gun discharge. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category X74

A
initial encounter
D
subsequent encounter
S
sequela

Other codes that can never be billed with X74

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • X72Intentional self-harm by handgun discharge
  • X72.XXXAIntentional self-harm by handgun discharge, initial encounter
  • X72.XXXDIntentional self-harm by handgun discharge, subsequent encounter
  • X72.XXXSIntentional self-harm by handgun discharge, sequela
  • X73Intentional self-harm by rifle, shotgun and larger firearm discharge

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead X74

3 child codes. Green means billable.

ICD-10-CMFY2027· effective October 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.