2025 ICD-10-CM code X74.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A External causes of morbidity - Intentional self-harm External causes of morbidity (V00-Y99) Feed
Intentional self-harm using gas, air, or spring-operated guns.
Medical necessity for treatment related to intentional self-harm is established by the presence of injuries requiring medical or surgical intervention, and the need for ongoing mental health assessment and treatment to prevent further self-harm or suicide attempts.
The clinical responsibility for this code involves documenting the method of self-harm (gas, air, or spring-operated gun), the nature and extent of the injuries, the patient's mental state, and any relevant social history or contributing factors.Appropriate treatment and follow-up care should also be documented.
In simple words: This code is used when someone intentionally hurts themselves using a device like an air gun or a spring gun.It's important to note that this code is used along with other codes that describe the actual injuries.
This ICD-10-CM code classifies intentional self-harm resulting from the use of gas, air, or spring-operated guns.It is used to specify the method of self-inflicted injury.This code should be used in conjunction with codes from other chapters specifying the nature and extent of the injury sustained.
Example 1: A 17-year-old male presents to the emergency department with a self-inflicted airgun wound to the abdomen.He is alert and oriented but emotionally distraught. The wound is superficial, and the patient is treated and discharged with counseling referrals., A 35-year-old female is found unconscious in her home with a self-inflicted wound to the head from a spring-loaded pellet gun.She is transported to the hospital where she requires neurosurgical intervention. The patient subsequently requires prolonged rehabilitation., A 22-year-old male is admitted to an inpatient psychiatric unit after a suicide attempt involving an air rifle. He sustained multiple injuries requiring both surgical and psychiatric intervention. He needs ongoing psychiatric and potentially physical therapy.
Detailed description of the mechanism of injury (type of weapon, how it was used), location and description of all injuries, patient's mental status, level of consciousness, and any suicidal ideation.Documentation should also include details of any attempts to prevent future self-harm, such as counseling or medication prescriptions.
** This code is specifically for intentional self-harm and should not be used for accidental injuries or injuries caused by another person.Always use the most specific code possible to reflect the type of weapon and the resulting injuries.
- Payment Status: Active
- Specialties:Emergency Medicine, Psychiatry, Surgery
- Place of Service:Emergency Room - Hospital, Inpatient Hospital, Office, Psychiatric Facility-Partial Hospitalization