X74.8XXA ICD-10-CM Code: Intentional self-harm by other firearm discharge, initial encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Risk Adjustment (CMS-HCC)
Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.
- HCC 155 — Major Depression, Moderate or Severe, without Psychosis
Other models: CMS-HCC V22 HCC 58 · RxHCC V08 HCC 132
Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for X74.8XXA in the official ICD-10-CM tabular list.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Intentional self-harm by Very pistol [flare] discharge
Frequently Asked Questions (FAQ) & Clinical Guidance
Does X74.8XXA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category X74.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to X74.8XXA in its code family, with their registry titles.
- X74.09 — Intentional self-harm by other gas, air or spring-operated gun
- X74.09XA — Intentional self-harm by other gas, air or spring-operated gun, initial encounter
- X74.09XD — Intentional self-harm by other gas, air or spring-operated gun, subsequent encounter
- X74.09XS — Intentional self-harm by other gas, air or spring-operated gun, sequela
- X74.8 — Intentional self-harm by other firearm discharge
- X74.8XXD — Intentional self-harm by other firearm discharge, subsequent encounter
- X74.8XXS — Intentional self-harm by other firearm discharge, sequela
- X74.9 — Intentional self-harm by unspecified firearm discharge
- X74.9XXA — Intentional self-harm by unspecified firearm discharge, initial encounter
- X74.9XXD — Intentional self-harm by unspecified firearm discharge, subsequent encounter