Effects of heat and light
In Other and unspecified effects of external causes (T66-T78), chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes
36 billable codes under T67: 3 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
Advertisements
Instructional notes
Excludes1: not coded here, use a different code
Also applies, from Other and unspecified effects of external causes (T66-T78)
These notes sit on T66-T78 and apply to every code under it, including T67.
Code also: add a code for this too, order depends on the encounter
- if applicable, place of occurrence, such as:
- highway rest stop (Y92.523)
- school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)
- service areas as the place of occurrence of the external cause (Y92.52-)
- single-family non-institutional (private) house as the place of occurrence of the external cause (Y92.01-)
- transport vehicle as the place of occurrence of the external cause (Y92.81-)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers 7th character use and coding of injuries, fractures, burns, drug and toxic effects, abuse and neglect, and complications of care (S00-T88).
- Application of 7th Characters in Chapter 19 (page 77)
- Coding of Injuries (page 78)
- Coding of Traumatic Fractures (page 79)
- Coding of Burns and Corrosions (page 80)
- Adverse Effects, Poisoning, Underdosing and Toxic Effects (page 82)
- Adult and child abuse, neglect and other maltreatment (page 85)
- Complications of care (page 85)
All codes under T67
T67 can't be used on a claim. Pick a billable code below; grey headings group them.
- T67.0Heatstroke and sunstroke
- T67.01Heatstroke and sunstroke
- T67.01XAHeatstroke and sunstroke, initial encounter
- T67.01XDHeatstroke and sunstroke, subsequent encounter
- T67.01XSHeatstroke and sunstroke, sequela
- T67.02Exertional heatstroke
- T67.02XAExertional heatstroke, initial encounter
- T67.02XDExertional heatstroke, subsequent encounter
- T67.02XSExertional heatstroke, sequela
- T67.09Other heatstroke and sunstroke
- T67.09XAOther heatstroke and sunstroke, initial encounter
- T67.09XDOther heatstroke and sunstroke, subsequent encounter
- T67.09XSOther heatstroke and sunstroke, sequela
- T67.1Heat syncope
- T67.1XXAHeat syncope, initial encounter
- T67.1XXDHeat syncope, subsequent encounter
- T67.1XXSHeat syncope, sequela
- T67.2Heat cramp
- T67.2XXAHeat cramp, initial encounter
- T67.2XXDHeat cramp, subsequent encounter
- T67.2XXSHeat cramp, sequela
- T67.3Heat exhaustion, anhydrotic
- T67.3XXAHeat exhaustion, anhydrotic, initial encounter
- T67.3XXDHeat exhaustion, anhydrotic, subsequent encounter
- T67.3XXSHeat exhaustion, anhydrotic, sequela
- T67.4Heat exhaustion due to salt depletion
- T67.4XXAHeat exhaustion due to salt depletion, initial encounter
- T67.4XXDHeat exhaustion due to salt depletion, subsequent encounter
- T67.4XXSHeat exhaustion due to salt depletion, sequela
- T67.5Heat exhaustion, unspecified
- T67.5XXAHeat exhaustion, unspecified, initial encounter
- T67.5XXDHeat exhaustion, unspecified, subsequent encounter
- T67.5XXSHeat exhaustion, unspecified, sequela
- T67.6Heat fatigue, transient
- T67.6XXAHeat fatigue, transient, initial encounter
- T67.6XXDHeat fatigue, transient, subsequent encounter
- T67.6XXSHeat fatigue, transient, sequela
- T67.7Heat edema
- T67.7XXAHeat edema, initial encounter
- T67.7XXDHeat edema, subsequent encounter
- T67.7XXSHeat edema, sequela
- T67.8Other effects of heat and light
- T67.8XXAOther effects of heat and light, initial encounter
- T67.8XXDOther effects of heat and light, subsequent encounter
- T67.8XXSOther effects of heat and light, sequela
- T67.9Effect of heat and light, unspecified
- T67.9XXAEffect of heat and light, unspecified, initial encounter
- T67.9XXDEffect of heat and light, unspecified, subsequent encounter
- T67.9XXSEffect of heat and light, unspecified, sequela
T67 MS-DRGs
As the principal diagnosis, the billable codes under T67 group to MS-DRG 922, 923, 949, or 950 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 922 Other Injury, Poisoning and Toxic Effect Diagnoses with MCC (24 of 36 codes)
- DRG 923 Other Injury, Poisoning and Toxic Effect Diagnoses without MCC (24 of 36 codes)
- DRG 949 Aftercare with CC/MCC (12 of 36 codes)
- DRG 950 Aftercare without CC/MCC (12 of 36 codes)
Other codes that refer to T67
Notes on these codes point to T67.
- R53.8 Excludes1: exhaustion and fatigue due to heat (T67.-)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Heat Illness
Your body normally cools itself by sweating. During hot weather, especially when it is very humid, sweating just isn't enough to cool you off. Your body temperature can rise to dangerous levels and you can develop a heat illness.
Read more about heat illness on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
