X72 vs X74.8
X72 (Intentional self-harm by handgun discharge) compared with X74.8 (Intentional self-harm by other firearm discharge), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. X72 carries an Excludes1 note covering X74.8: “Very pistol (X74.8)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| X72Intentional self-harm by handgun discharge | X74.8Intentional self-harm by other firearm discharge | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Intentional self-harm by handgun discharge is a non-billable ICD-10-CM category code (X72). | Intentional self-harm by other firearm discharge is a non-billable ICD-10-CM category code (X74.8). |
| 7th character | The appropriate 7th character is to be added to code X72 | The appropriate 7th character is to be added to each code from category X74 |
| Includes | Intentional self-harm by gun for single hand use Intentional self-harm by pistol Intentional self-harm by revolver | Intentional self-harm by Very pistol [flare] discharge |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources