2025 ICD-10-CM code X74
(Active) Effective Date: N/A External causes of morbidity - Intentional self-harm 20 Feed
Intentional self-harm by other and unspecified firearm and gun discharge.
Yes, seventh character extensions are applicable for X74. A is used for initial encounter, D for subsequent encounter, and S for sequela. Fourth character extensions exist for more specific coding based on the firearm type.
Medical necessity for the use of this code rests on the accurate documentation of a suicide attempt involving a firearm where the specific type is unknown. It is essential to distinguish intentional self-harm from accidental injury.
Clinicians should use this code as a secondary code to the code describing the nature of the injury.It is crucial to document the type of firearm used, if known, for more specific coding. If the type of firearm is known, a more specific code should be used (e.g., X73.- for handgun discharge, X74.0 for gas, air, or spring-operated guns).
In simple words: This code describes a suicide attempt involving a firearm, where the specific type of firearm isn't identified.
Intentional self-harm by other and unspecified firearm and gun discharge. This code is used to classify self-inflicted injuries caused by firearms that are not specified elsewhere in the ICD-10-CM.
Example 1: A patient presents to the emergency department with a self-inflicted gunshot wound to the abdomen. The patient admits to attempting suicide using a firearm. The type of firearm is unknown.Code X74 is used as a secondary code, along with the appropriate code for the injury (e.g., S31.111A, Penetrating wound of abdomen with injury to small intestine, initial encounter)., A patient is found unconscious with a gunshot wound to the chest.A suicide note is discovered nearby. Law enforcement confirms the firearm used belonged to the patient.The firearm type is not specified in the police report.Along with the code for the injury (e.g.,S27.131A, Penetrating wound of thorax with injury to lung, initial encounter), code X74 is reported., A patient is admitted after attempting suicide using an antique firearm.The firearm is identified as a musket. Since the specific code exists for self-harm with other and unspecified firearm discharge (X74), this should be used in addition to the injury code.
Documentation should clearly state the intent of self-harm and the use of a firearm. The type of firearm should be documented if known. Details of the resulting injuries should also be recorded.Any associated mental health conditions should be documented as well.A thorough history and physical exam are necessary.
** It's important to differentiate this code (X74) from accidental firearm injuries (W32-W34) and assault by firearm (X93-X95).Accurate and detailed documentation is crucial for proper coding.
- Specialties:Emergency Medicine, Psychiatry, General Surgery, Trauma Surgery, Forensic Pathology
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Office