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

ICD-10-CM 2027 diagnosis code · Intentional self-harm

Non-billable header

ICD-10-CM code X74

Code: X74 (claims format: X74)
Description: Intentional self-harm by other and unspecified firearm and gun discharge
Short description: Self-harm by oth and unsp firearm and gun discharge
Billable: No – use a more specific code below
Valid for: Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter: 20. External causes of morbidity (V00-Y99)
Block: X71-X83 Intentional self-harm

Billable codes under X74

X74 is a header code and cannot be used on claims. Choose the most specific code:

X74.0 – Intentional self-harm by gas, air or spring-operated gunsHeader (more codes below)
X74.8 – Intentional self-harm by other firearm dischargeHeader (more codes below)
X74.9 – Intentional self-harm by unspecified firearm dischargeHeader (more codes below)

7th character values

Codes in this category need a 7th character to describe the encounter or episode of care (use placeholder X for empty positions).

Character	Meaning
`A`	initial encounter
`D`	subsequent encounter
`S`	sequela

Notes for X74

7th character note:

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

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

Block X71-X83

Applicable to:

Purposely self-inflicted injury
Suicide (attempted)

Frequently asked questions

What is ICD-10 code X74?

X74 is the ICD-10-CM code for intentional self-harm by other and unspecified firearm and gun discharge, in the block X71-X83 (Intentional self-harm).

Is X74 a billable code?

No. X74 is a header code with more specific child codes; report one of the billable codes listed above.

Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.