T68.XXXS — Hypothermia, sequela
T68.XXXS is a billable, specific ICD-10-CM code for hypothermia, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to code T68
- 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.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Use additional code
Add a secondary code to capture the detail described below.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Accidental hypothermia
- Hypothermia NOS
Risk adjustment
T68.XXXS 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
T68.XXXS is named in 1 Medicare coverage policy — 1 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
Related codes at this level
Codes that share T68. If T68.XXXS is not quite right, the correct code is usually one of these.
Questions about T68.XXXS
- Is T68.XXXS a billable ICD-10-CM code?
- Yes. T68.XXXS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T68.XXXS 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 T68.XXXS?
- T68.XXXS carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.