T67.3XXS — Heat exhaustion, anhydrotic, sequela
T67.3XXS is a billable, specific ICD-10-CM code for heat exhaustion, anhydrotic, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category T67
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- heat exhaustion due to salt depletion (T67.4)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Heat prostration due to water depletion
Risk adjustment
T67.3XXS does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
T67.3XXS is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56612Billing and Coding: CT of the Head
- A57326Billing and Coding: Electrocardiograms
Related codes at this level
Codes that share T67.3. If T67.3XXS is not quite right, the correct code is usually one of these.
Questions about T67.3XXS
- Is T67.3XXS a billable ICD-10-CM code?
- Yes. T67.3XXS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T67.3XXS sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Other and unspecified effects of external causes (T66-T78).
- What cannot be coded together with T67.3XXS?
- T67.3XXS carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.