October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

X73 Intentional self-harm by rifle, shotgun and larger firearm discharge

All 15 codes in the X73 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

15

Can lead a claim

0

Cannot lead a claim

15

What CMS assigns to X73

None of the 15 codes is assigned a clinical group. None of the 15 is assigned a comorbidity subgroup. None can lead a claim.

Every code in X73

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
X73.0 Intentional self-harm by shotgun discharge
X73.0XXAIntentional self-harm by shotgun discharge, initial encounterCMS: Intentional self-harm by shotgun discharge, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X73.0XXDIntentional self-harm by shotgun discharge, subsequent encounterCMS: Intentional self-harm by shotgun discharge, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X73.0XXSIntentional self-harm by shotgun discharge, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X73.1 Intentional self-harm by hunting rifle discharge
X73.1XXAIntentional self-harm by hunting rifle discharge, initial encounterCMS: Intentional self-harm by hunting rifle discharge, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X73.1XXDIntentional self-harm by hunting rifle discharge, subsequent encounterCMS: Intentional self-harm by hunting rifle discharge, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X73.1XXSIntentional self-harm by hunting rifle discharge, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X73.2 Intentional self-harm by machine gun discharge
X73.2XXAIntentional self-harm by machine gun discharge, initial encounterCMS: Intentional self-harm by machine gun discharge, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X73.2XXDIntentional self-harm by machine gun discharge, subsequent encounterCMS: Intentional self-harm by machine gun discharge, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X73.2XXSIntentional self-harm by machine gun discharge, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X73.8 Intentional self-harm by other larger firearm discharge
X73.8XXAIntentional self-harm by other larger firearm discharge, initial encounterCMS: Intentional self-harm by oth larger firearm discharge, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X73.8XXDIntentional self-harm by other larger firearm discharge, subsequent encounterCMS: Intentional self-harm by oth larger firearm discharge, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X73.8XXSIntentional self-harm by other larger firearm discharge, sequelaCMS: Self-harm by oth larger firearm discharge, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X73.9 Intentional self-harm by unspecified larger firearm discharge
X73.9XXAIntentional self-harm by unspecified larger firearm discharge, initial encounterCMS: Intentional self-harm by unsp larger firearm discharge, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X73.9XXDIntentional self-harm by unspecified larger firearm discharge, subsequent encounterCMS: Intentional self-harm by unsp larger firearm discharge, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X73.9XXSIntentional self-harm by unspecified larger firearm discharge, sequelaCMS: Self-harm by unsp larger firearm discharge, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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