MCMedicalCodingSoftware
X31

X31: Exposure to excessive natural cold

Non-billable headerICD-10-CM

X31 is a non-billable header ICD-10-CM code for exposure to excessive natural cold. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to code X31

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.

  • cold of man-made origin (W93.-)
  • contact with or inhalation of dry ice (W93.-)
  • contact with or inhalation of liquefied gas (W93.-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Excessive cold as the cause of chilblains NOS
  • Excessive cold as the cause of immersion foot or hand
  • Exposure to cold NOS
  • Exposure to weather conditions

Risk adjustment

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

Alphabetic index entries that lead here

  • Frostbite
  • Exposure›cold(accidental) (excessive) (extreme) (natural) (place)
  • Forces of nature›cold(natural)
  • Immersion›hand or foot due to cold(excessive)
  • Overexposure›cold
  • Exposure›cold›due to›weather(conditions)

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead X31

3 child codes. Green means billable.

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.