ICD-10 · PDGM grouping
X74 Intentional self-harm by other and unspecified firearm and gun discharge
All 15 codes in the X74 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.
Codes in family
15
Can lead a claim
0
Cannot lead a claim
15
What CMS assigns to X74
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 X74
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| X74.0 Intentional self-harm by gas, air or spring-operated guns | ||||
| X74.01 Intentional self-harm by airgun | ||||
| X74.01XA | Intentional self-harm by airgun, initial encounter | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X74.01XD | Intentional self-harm by airgun, subsequent encounter | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X74.01XS | Intentional self-harm by airgun, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X74.02 Intentional self-harm by paintball gun | ||||
| X74.02XA | Intentional self-harm by paintball gun, initial encounter | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X74.02XD | Intentional self-harm by paintball gun, subsequent encounter | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X74.02XS | Intentional self-harm by paintball gun, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| 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 encounterCMS: Self-harm by oth gas, air or spring-operated gun, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X74.09XD | Intentional self-harm by other gas, air or spring-operated gun, subsequent encounterCMS: Self-harm by oth gas, air or spring-operated gun, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X74.09XS | Intentional self-harm by other gas, air or spring-operated gun, sequelaCMS: Self-harm by oth gas, air or spring-operated gun, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X74.8 Intentional self-harm by other firearm discharge | ||||
| X74.8XXA | Intentional self-harm by other firearm discharge, initial encounterCMS: Intentional self-harm by oth firearm discharge, init encntr | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X74.8XXD | Intentional self-harm by other firearm discharge, subsequent encounterCMS: Intentional self-harm by oth firearm discharge, subs encntr | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X74.8XXS | Intentional self-harm by other firearm discharge, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X74.9 Intentional self-harm by unspecified firearm discharge | ||||
| X74.9XXA | Intentional self-harm by unspecified firearm discharge, initial encounterCMS: Intentional self-harm by unsp firearm discharge, init encntr | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X74.9XXD | Intentional self-harm by unspecified firearm discharge, subsequent encounterCMS: Intentional self-harm by unsp firearm discharge, subs encntr | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X74.9XXS | Intentional self-harm by unspecified firearm discharge, sequelaCMS: Intentional self-harm by unsp firearm discharge, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
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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