T67.09XA — Other heatstroke and sunstroke, initial encounter
Is T67.09XA billable?
Yes — T67.09XA is billable for FY2027. T67.09XA is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. T67.09XA may be submitted for encounters from October 1, 2026 through September 30, 2027.
T67.09XA at a glance
| Code | T67.09XA |
|---|---|
| Description | Other heatstroke and sunstroke, initial encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter |
What does the 7th character "A" mean in T67.09XA?
In T67.09XA, the 7th character A means initial encounter. The 7th character is required for T67.09XA to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does T67.09XA group to?
T67.09XA 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, T67.09XA 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 T67.09XA listed in the Alphabetic Index?
The Alphabetic Index lists these routes under T67.09, the nearest indexed parent of T67.09XA. Use them to find the family, then select the specific code.
- Sunstroke › specified NEC
- Heat › stroke › specified NEC (effects)
- Stroke › heat › specified NEC (apoplectic) (brain) (ischemic) (paralytic)
- Stroke › sun › specified NEC (apoplectic) (brain) (ischemic) (paralytic)
Excludes1 — never code together — inherited from T67
The conditions below can never be reported together with T67.09XA on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from Chapter 19
Report an additional code alongside T67.09XA to fully describe the condition. T67.09XA is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Use additional code — inherited from T67.0
Report an additional code alongside T67.09XA to fully describe the condition. T67.09XA is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T67.09XA, but a patient may have both at the same time. When documentation supports it, T67.09XA and the excluded code may both be reported.
Excludes2 — not included here — inherited from T67
The conditions below are not part of T67.09XA, but a patient may have both at the same time. When documentation supports it, T67.09XA and the excluded code may both be reported.
Code also — inherited from T66-T78
Two codes may be needed to describe the condition fully. Whether T67.09XA is sequenced first depends on the reason for the encounter.
- , if applicable, place of occurrence, such as:
- highway rest stop (Y92.523)
- school (private) (public) (state) as the place of occurrence of the external cause (Y92.21-)
- service areas as the place of occurrence of the external cause (Y92.52-)
- single-family non-institutional (private) house as the place of occurrence of the external cause (Y92.01-)
- transport vehicle as the place of occurrence of the external cause (Y92.81-)
How long has T67.09XA existed?
T67.09XA first appears in FY2021 (FY2020 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.