T67.5XXS
T67.5XXS: Heat exhaustion, unspecified, sequela
Billable / specific codeICD-10-CMPOA exempt
T67.5XXS is a billable, specific ICD-10-CM code for heat exhaustion, unspecified, sequela. It is valid for submission on a claim.
Check T67.5XXS with the rest of the claim: free scrubber7th 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
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Heat prostration NOS
Excludes1 inherited from the categories above T67.5XXS
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above T67.5XXS
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with T67.5XXS
Their own Excludes1 notes name this code, so the conflict is not listed above.
- R53.8Other malaise and fatigue
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
T67.5XXS is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56612Billing and Coding: CT of the Head
Code history
Unchanged in every release from FY2024 to FY2027.