MCMCB Pro
X31.XXXS

X31.XXXSExposure to excessive natural cold, sequela

Billable / specific codeICD-10-CMPOA exempt

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

7th character "S" — sequela

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

X31.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.

Related codes at this level

Codes that share X31. If X31.XXXS is not quite right, the correct code is usually one of these.

Questions about X31.XXXS

Is X31.XXXS a billable ICD-10-CM code?
Yes. X31.XXXS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does X31.XXXS sit in the tabular list?
External causes of morbidity (V00-Y99), in the block Exposure to forces of nature (X30-X39).
What cannot be coded together with X31.XXXS?
X31.XXXS carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 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.