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2025 ICD-10-CM code Y24.9

Unspecified firearm discharge, undetermined intent.

This code should only be used when the intent of the firearm discharge is truly undetermined. If there's any indication, however slight, of the intent (accidental, self-harm, assault, etc.), use the most accurate code reflecting that intent.

The medical necessity is established by the presence of injuries requiring treatment. The documentation should support the uncertainty regarding the intent of the firearm discharge and justify the use of code Y24.9. Accurate coding ensures appropriate reimbursement.

The clinical responsibility lies with the physician or healthcare provider treating the injuries resulting from the firearm discharge.Documentation of the event and treatment is crucial.

IMPORTANT If the intent is known (accidental, self-harm, assault), use the appropriate code from the Y-chapter.If the injury is specified, use a code from Chapter 19 (Injury, poisoning and certain other consequences of external causes) to describe the injury itself, and code Y24.9 as a secondary code.

In simple words: This code is used when someone is hurt by a gun, but it's unclear whether it was an accident, suicide attempt, or intentional harm by another person.

This ICD-10-CM code classifies an unspecified firearm discharge where the intent (accidental, intentional self-harm, assault, etc.) cannot be determined.It is secondary to a code from another chapter specifying the nature of the injury sustained.Use only when there is documented uncertainty regarding the intent of the firearm discharge.

Example 1: A patient presents to the emergency department with a gunshot wound to the leg. The patient is unable to recall the circumstances of the injury, and there are no witnesses.Code Y24.9 is used secondarily to the code describing the gunshot wound., A law enforcement officer discovers an individual with a self-inflicted gunshot wound.The investigation cannot definitively establish whether the discharge was accidental or intentional. Y24.9 is used as a secondary code to describe the circumstance., During a hunting trip, a hunter accidentally discharges their firearm, injuring a nearby individual.The intent was clearly accidental, but Y24.9 could potentially be used if the precise sequence of events leading to the discharge is undocumented and remains uncertain.

Detailed documentation of the incident is essential.This includes the patient's statement (if available), witness accounts, police reports, and any other relevant evidence.Medical records must clearly describe the injuries sustained, treatment provided, and the reason for the uncertainty regarding the intent of the firearm discharge.

** This code is part of the ICD-10-CM External Causes of Morbidity chapter.It's crucial to ensure that the uncertainty regarding the intent of the firearm discharge is explicitly documented in the medical record to support the use of this code.

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