1. Home
  2. ICD-10-CM Codes List
  3. V01–Y99
  4. X71-X83
  5. Intentional self-harm by other and unspecified firearm and gun discharge (X74)

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

The ICD-10 code X74 and its subcategories are used to document cases of intentional self-harm caused by various firearms and gun discharges, including gas or air-operated guns, paintball guns, and other or unspecified firearms. These codes help specify the exact type of firearm involved and the stage of medical care, such as initial, subsequent, or sequela encounters.

These codes cover intentional self-inflicted injuries from devices like airguns (X74.01), paintball guns (X74.02), and other gas, air, or spring-operated guns (X74.09), along with other firearm discharges (X74.8) and unspecified firearms (X74.9). For example, the code X74.9XXA refers to an initial encounter for intentional self-harm by an unspecified firearm, commonly known as "shooting self" or a "suicide attempt by firearms." The use of seventh characters (A, D, S) distinguishes between initial treatment, follow-up visits, and late effects. Medical coders use these specific codes to precisely capture the nature of firearm-related self-injury and its treatment timeline in medical records and reporting.

  • External causes of morbidity and mortality (V01–Y99)

    • Intentional self-harm (X71-X83)

        • Intentional self-harm by other and unspecified firearm and gun discharge (X74)

        • X74 Intentional self-harm by other and unspecified firearm and gun discharge
        • X74.0 Intentional self-harm by gas, air or spring-operated guns
        • X74.01 Intentional self-harm by airgun
        • X74.01XA Intentional self-harm by airgun, initial encounter
        • X74.01XD Intentional self-harm by airgun, subsequent encounter
        • X74.01XS Intentional self-harm by airgun, sequela
        • X74.02 Intentional self-harm by paintball gun
        • X74.02XA Intentional self-harm by paintball gun, initial encounter
        • X74.02XD Intentional self-harm by paintball gun, subsequent encounter
        • X74.02XS Intentional self-harm by paintball gun, sequela
        • X74.09 Intentional self-harm by other gas, air or spring-operated gun
        • X74.09XA Intentional self-harm by other gas, air or spring-operated gun, initial encounter
        • X74.09XD Intentional self-harm by other gas, air or spring-operated gun, subsequent encounter
        • X74.09XS Intentional self-harm by other gas, air or spring-operated gun, sequela
        • X74.8 Intentional self-harm by other firearm discharge
        • X74.8XXA Intentional self-harm by other firearm discharge, initial encounter
        • X74.8XXD Intentional self-harm by other firearm discharge, subsequent encounter
        • X74.8XXS Intentional self-harm by other firearm discharge, sequela
        • X74.9 Intentional self-harm by unspecified firearm discharge
        • X74.9XXA Intentional self-harm by unspecified firearm discharge, initial encounter
        • X74.9XXD Intentional self-harm by unspecified firearm discharge, subsequent encounter
        • X74.9XXS Intentional self-harm by unspecified firearm discharge, sequela

Instructional Notations

7th Character Note

Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.

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

7th Character

Indicates that a seventh character is to be assigned to codes in a subcategory.

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