R68.0

R68.0: Hypothermia, not associated with low environmental temperature

Billable / specific codeICD-10-CM

R68.0 is a billable, specific ICD-10-CM code for hypothermia, not associated with low environmental temperature. It is valid for submission on a claim.

Check R68.0 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

hypothermia NOS (accidental) (T68)
hypothermia due to anesthesia (T88.51)
hypothermia due to low environmental temperature (T68)
newborn hypothermia (P80.-)

Other codes that can never be billed with R68.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

R50Fever of other and unknown origin
T68Hypothermia
T68.XXXAHypothermia, initial encounter
T68.XXXDHypothermia, subsequent encounter
T68.XXXSHypothermia, sequela

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

R68.0 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57204Billing and Coding: MRI and CT Scans of the Head and Neck

Alphabetic index entries that lead here

Hypopyrexia
Hypothermia›not associated with low environmental temperature

Code history

Unchanged in every release from FY2024 to FY2027.