ICDcodes.org
FY2027

T33.90XASuperficial frostbite of unspecified sites, initial encounter

BillableUnspecifiedCC

Is T33.90XA billable?

Yes, but T33.90XA will trip a Medicare edit. T33.90XA is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, CMS lists T33.90XA under Medicare Code Editor edit 20, “Unspecified code” — meaning a code specifying laterality (right, left or bilateral) exists in the same family. On an inpatient claim this triggers the edit, because CMS holds that there are very limited circumstances in which laterality cannot be documented.

T33.90XA at a glance

CodeT33.90XA
DescriptionSuperficial frostbite of unspecified sites, initial encounter
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "A"initial encounter

What does the 7th character "A" mean in T33.90XA?

In T33.90XA, the 7th character A means initial encounter. The 7th character is required for T33.90XA to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

What Medicare edits apply to T33.90XA?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name T33.90XA directly.

Unspecified — a laterality-specific code exists — MCE edit 20

A code specifying laterality (right, left or bilateral) exists in the same family. CMS holds that there are very limited circumstances in which laterality cannot be documented.

Which MS-DRGs does T33.90XA group to?

T33.90XA sits in MDC 21 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 922Other Injury, Poisoning and Toxic Effect Diagnoses with MCCmedical
  • 923Other Injury, Poisoning and Toxic Effect Diagnoses without MCCmedical

As a secondary diagnosis, T33.90XA is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG. It also carries Hospital-Acquired Condition category 05.

How is T33.90XA listed in the Alphabetic Index?

The Alphabetic Index lists these routes under T33.90, the nearest indexed parent of T33.90XA. Use them to find the family, then select the specific code.

  • Frostbite (superficial)

Inclusion terms

Alternative wording in documentation that is classified to T33.90XA.

  • Superficial frostbite NOS

Use additional code — inherited from Chapter 19

Report an additional code alongside T33.90XA to fully describe the condition. T33.90XA is sequenced first.

  • code to identify any retained foreign body, if applicable (Z18.-)

Excludes2 — not included here — inherited from Chapter 19

The conditions below are not part of T33.90XA, but a patient may have both at the same time. When documentation supports it, T33.90XA and the excluded code may both be reported.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Excludes2 — not included here — inherited from T33-T34

The conditions below are not part of T33.90XA, but a patient may have both at the same time. When documentation supports it, T33.90XA and the excluded code may both be reported.

  • hypothermia and other effects of reduced temperature (T68, T69.-)

How long has T33.90XA existed?

T33.90XA has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.