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
These codes carry an Excludes1 note pointing at X74. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading X74 alone.
- 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
X74 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead X74
3 child codes. Green means billable.
Questions about X74
- Is X74 a billable ICD-10-CM code?
- No. X74 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does X74 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Intentional self-harm (X71-X83).