Intentional self-harm by other and unspecified firearm and gun discharge (X74) ICD-10-CM
The X74 code range covers intentional self-harm by other and unspecified firearm and gun discharge with 22 ICD-10-CM diagnosis codes. 15 of them are billable and valid for claim submission in fiscal year 2026, and the category headers group them but cannot themselves be billed.
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
Codes in the X74 Range 22 codes · 15 billable
- X74 Intentional self-harm by other and unspecified firearm and gun dischargeNon-billable
- X74.0 Intentional self-harm by gas, air or spring-operated gunsNon-billable
- X74.01 Intentional self-harm by airgunNon-billable
- 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 gunNon-billable
- 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 gunNon-billable
- 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 dischargeNon-billable
- 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 dischargeNon-billable
- 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
About the X74 Code Range
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.
Questions About This Page
How many billable codes are in the X74 range?
Of the 22 codes in this range, 15 are billable and valid for claim submission from October 1, 2025 through September 30, 2026. Category header codes group them but cannot be reported on claims.
What does the X74 range classify?
The range classifies intentional self-harm by other and unspecified firearm and gun discharge. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2026 ICD-10-CM Tabular List and order file, effective October 1, 2025 through September 30, 2026.
