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X31.XXXA

X31.XXXA: Exposure to excessive natural cold, initial encounter

Billable / specific codeICD-10-CMPOA exempt

X31.XXXA is a billable, specific ICD-10-CM code for exposure to excessive natural cold, initial encounter. It is valid for submission on a claim.

Check X31.XXXA with the rest of the claim: free scrubber

7th character "A": initial encounter

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

Excludes1 inherited from the categories above X31.XXXA

A category’s note binds every code beneath it.

Written on X31: Exposure to excessive natural cold

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

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under X31

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.