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2025 ICD-10-CM code X73.1

Intentional self-harm by hunting rifle discharge.

This code should be used secondarily to a code that identifies the specific injury sustained.

The medical necessity for coding X73.1 is established by the presence of injuries resulting from the self-inflicted act. The documentation must support the clinical diagnosis, treatment, and the link between the injury and the mechanism of injury.

The clinical responsibility involves assessing the patient's injuries, providing necessary medical care (including stabilization, surgery, wound care), managing potential complications, and addressing the psychological aspects of self-harm.The treating physician or healthcare team will also collaborate with mental health professionals for evaluation and treatment of underlying mental health conditions contributing to the self-harm behavior.

IMPORTANT This code is a subcategory of X73 (Intentional self-harm by rifle, shotgun and larger firearm discharge).It excludes intentional self-harm by airgun (X74.01).

In simple words: This code describes a situation where someone intentionally harmed themselves using a hunting rifle.Doctors use this code to record the type of injury and how it happened.

This ICD-10-CM code classifies intentional self-inflicted injury caused by the discharge of a hunting rifle.It is used to indicate the specific method of self-harm and should be used in conjunction with a code from another chapter specifying the nature of the injury sustained (e.g., Chapter 19 for injuries).

Example 1: A 45-year-old male presents to the emergency department with a self-inflicted gunshot wound to the chest sustained from a hunting rifle. He is conscious but severely injured. , A 22-year-old female is brought to the hospital after an attempted suicide by firing a hunting rifle at her abdomen. She requires immediate surgical intervention. , A 60-year-old male is found with a self-inflicted gunshot wound to the head, using a hunting rifle. He is unresponsive upon arrival at the emergency room. The treating team determines he is in critical condition with no chance of survival.

Detailed documentation should include the type of firearm used (hunting rifle), the location and nature of the injuries, the circumstances surrounding the event (e.g., suicide attempt, accidental discharge), and the patient's mental status.Any treatment administered, surgical procedures performed, and patient's response should also be comprehensively documented. Police reports, if available, can be included.

** When coding self-harm cases, it is crucial to document thoroughly and accurately to capture the complexity of the situation.It's important to consider the patient's mental health status and the circumstances surrounding the event.

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