2025 ICD-10-CM code X73
(Active) Effective Date: N/A External causes of morbidity - Intentional self-harm 20 Feed
Intentional self-harm by rifle, shotgun and larger firearm discharge.
Medical necessity for this code stems from the acute medical care required to treat the injuries resulting from the self-harm attempt. Additionally, mental health services may be medically necessary for assessment and treatment of underlying mental health conditions contributing to the self-harm behavior.
Assessment and stabilization of any immediate, life-threatening injuries resulting from the self-harm attempt is the priority. This may involve managing bleeding, addressing airway or breathing issues, and providing emergency care.
In simple words: Intentionally harming oneself using a rifle, shotgun, or larger firearm.
Intentional self-harm by rifle, shotgun and larger firearm discharge.
Example 1: A patient presents to the emergency room with a self-inflicted gunshot wound to the abdomen from a hunting rifle. The code X73.1 would be used as the secondary diagnosis after the appropriate code for the injury itself (e.g., penetrating wound of abdomen)., A patient is found by paramedics with a self-inflicted shotgun wound to the chest. They are transported to the hospital for emergency care. Code X73.0 is used secondary to the primary injury code., A patient presents to their therapist with suicidal ideation and admits to having attempted self-harm using a shotgun a week prior. The therapist notes the patient has a bandaged arm consistent with a gunshot wound. Code X73.0 is used in conjunction with mental health diagnosis codes.
Documentation should clearly indicate the intent of self-harm and the specific firearm involved. Details of the injury, treatment provided, and any subsequent mental health assessment should also be recorded.
** Excludes1: airgun (X74.01). This code should never be used at the same time as X73.It is crucial to accurately document the specific firearm used in the self-harm attempt.
- Specialties:Emergency Medicine, Trauma Surgery, Psychiatry, Psychology
- Place of Service:Emergency Room - Hospital, Inpatient Hospital, Office, Outpatient Hospital, Psychiatric Facility-Partial Hospitalization, Residential Substance Abuse Treatment Facility