X72 ICD-10-CM Code: Intentional self-harm by handgun discharge
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / External causes of morbidity (V00-Y99) / Intentional self-harm (X71-X83)
X72
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceIntentional self-harm by handgun discharge
Intentional self-harm by handgun discharge
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
Basket needed
Code Book Path
Inclusion Terms
Official- Intentional self-harm by gun for single hand use
- Intentional self-harm by pistol
- Intentional self-harm by revolver
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for X72 in this effective period.
Related Child Codes
ICD-10-CM does not list child codes under X72 for this display context.
Includes
OfficialICD-10-CM does not list Includes notes for X72 in this effective period.
Excludes 1
Official- Very pistol (X74.8)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for X72 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for X72 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for X72 in this effective period.
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
What This Code Means
X72 is the ICD-10-CM diagnosis code for intentional self-harm by handgun discharge. X72 sits in the ICD-10-CM chapter for external causes of morbidity (v00-y99), within the section covering intentional self-harm (x71-x83).
Header codes like X72 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at X72's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for X72 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Excludes 1, Do NOT code together
- Very pistol (X74.8)