2026 ICD-10-CM Diagnosis Code X74Intentional self-harm by other and unspecified firearm and gun discharge

ICD-10-CM Codes›V01–Y99›X71-X83›X74

ICD-10-CM X74
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

X74 is a non-billable ICD-10-CM category code for intentional self-harm by other and unspecified firearm and gun discharge, so it cannot be submitted on claims. Use a more specific code from this category instead, such as X74.01XA, X74.01XD, X74.01XS, and X74.02XA.

Code Identity

ICD-10-CM Code
X74
Billable Status
No — Non-Billable Category
Code Describes
Intentional self-harm by other and unspecified firearm and gun discharge
Chapter
X71-X83
Intentional self-harm

Code Classification

ChapterV01–Y99External causes of morbidity and mortality
SectionX71-X83Intentional self-harm
CategoryX74Intentional self-harm by other and unspecified firearm and gun discharge
This CodeX74Intentional self-harm by other and unspecified firearm and gun discharge

Specific Coding for Self-harm by oth and unsp firearm and gun dischargeOverview

Non-specific codes like X74 require more characters. Use one of these billable codes instead:

  • X74.0 for Intentional self-harm by gas, air or spring-operated guns

  • X74.01 for Intentional self-harm by airgun

  • X74.02 for Intentional self-harm by paintball gun

  • X74.09 for Intentional self-harm by other gas, air or spring-operated gun

  • X74.8 for Intentional self-harm by other firearm discharge

  • X74.9 for Intentional self-harm by unspecified firearm discharge

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

7th Character Note

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

7th Character

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Patient EducationClinical

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:

The full article covers:

  • What is self-harm?
  • Why do people harm themselves?
  • Who is at risk for self-harm?
  • What are the signs of self-harm?
  • How can I help someone who self-harms?
  • What the treatments are for self-harm?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About X74Overview

Is X74 a billable code?

No. This is a category header that groups the codes for intentional self-harm by other and unspecified firearm and gun discharge, and headers cannot be submitted on claims. Claims for intentional self-harm by other and unspecified firearm and gun discharge need a more specific code from this category, such as X74.01XA, X74.01XD, and X74.01XS.