2025 ICD-10-CM code X72

Intentional self-harm by handgun discharge.

Use this code only when the intentional self-harm is clearly due to the discharge of a handgun.Remember to always use a primary code to describe the nature of the injury sustained, followed by X72 as a secondary code.Apply the appropriate 7th character based on the encounter.

Modifiers may be applicable depending on the circumstances of the encounter and the services provided.Consult official coding guidelines for appropriate modifier usage.

The medical necessity for coding X72 is established by the presence of a self-inflicted gunshot wound.The necessity for treatment is evident in the immediate need for injury management, potential ongoing care, and psychological intervention.

The clinical responsibility involves the assessment, treatment, and documentation of the injuries sustained from the self-inflicted gunshot wound.This may include initial stabilization, surgical intervention (if needed), ongoing wound care, and psychological evaluation.

IMPORTANT Related codes include X73 (Intentional self-harm by rifle, shotgun and larger firearm discharge), X74 (Intentional self-harm by other and unspecified firearm discharge).The appropriate 7th character (A, D, or S) should be added to further specify the encounter (initial, subsequent, or sequela).

In simple words: This code is used when someone intentionally hurts themselves by shooting themselves with a handgun (like a pistol or revolver).

This code classifies intentional injuries inflicted upon oneself using a handgun.It encompasses various types of handguns, including pistols and revolvers, and accounts for the specific mechanism of injury—discharge of a firearm.The code should be used as a secondary code, following the primary code indicating the nature of the injury sustained (e.g., gunshot wounds).

Example 1: A 30-year-old male presents to the emergency department with a single gunshot wound to the chest after attempting suicide with a handgun.The wound is actively bleeding and requires immediate surgical intervention.Code X72 would be used as a secondary code following the code for the specific injury (e.g., chest gunshot wound)., A 22-year-old female is brought to the hospital after a suicide attempt involving a handgun. She sustained a superficial wound to her arm, and after receiving appropriate medical treatment, undergoes a psychiatric evaluation., A 45-year-old male is admitted to the hospital with a complex, self-inflicted gunshot wound requiring multiple surgeries. The patient also receives long-term physical therapy.X72 will be used alongside the codes for the specific injuries.

Detailed documentation should include the circumstances of the event, the type of firearm used, the location and nature of the wound(s),treatment rendered, and the patient's mental health status.Complete documentation of the injury and subsequent treatment is vital for accurate coding.

** This code is part of a broader category of intentional self-harm codes.Careful consideration should be given to the specific details of the case to select the most appropriate codes.Always verify coding guidelines for updates and any relevant changes.

  • Payment Status: Active
  • Specialties:Emergency Medicine, Surgery, Psychiatry
  • Place of Service:Emergency Room - Hospital, Inpatient Hospital, Office
** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.