2027 ICD-10-CM Diagnosis Code T33.3XXASuperficial frostbite of abdominal wall, lower back and pelvis, initial encounter
ICD-10-CM Codes›S00–T88›T33-T34›T33
- Billable — Valid for Submission
- CC — Complication or Comorbidity
- 7th Character A — Initial Encounter
- Not Chronic
T33.3XXA is a billable ICD-10-CM diagnosis code for superficial frostbite of abdominal wall, lower back and pelvis, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 922 through 923. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 77 closely related codes. Coders also document this condition as frostbite of abdominal wall. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Effect of other external causes, initial encounter.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Frostbite of abdominal wall
- Frostbite of lower back
- Frostbite of pelvis
- Superficial frostbite
- Superficial frostbite of abdominal wall, lower back and pelvis
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Superficial frostbite (T33). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to T33.3XXA: its own notes plus those printed at T33, block T33-T34, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- frostbite with partial thickness skin loss
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Notes
General instructions on how these codes are used.
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to each code from category T33
- Ainitial encounter this code
- Dsubsequent encounter
- Ssequela
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Frostbite
Frostbite is an injury to the body that is caused by freezing. It most often affects the nose, ears, cheeks, chin, fingers, or toes. Frostbite can permanently damage the body, and severe cases can lead to amputation.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert T33.3XXA to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T33.3XXAOverview
Is T33.3XXA a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report superficial frostbite of abdominal wall, lower back and pelvis, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character A in T33.3XXA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for superficial frostbite of abdominal wall, lower back and pelvis, such as an emergency visit or first evaluation.
What MS-DRG does T33.3XXA group to?
When superficial frostbite of abdominal wall, lower back and pelvis, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 923, 922, with relative weights from 0.9980 to 1.6248 depending on complications. Higher weights mean higher Medicare reimbursement.
Is T33.3XXA a CC or MCC?
CMS lists T33.3XXA as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 77 closely related codes in its exclusion list.
What is the ICD-9 equivalent of T33.3XXA?
Under the General Equivalence Mappings, superficial frostbite of abdominal wall, lower back and pelvis, initial encounter converts to ICD-9-CM 991.3 (frostbite NEC/NOS). The mapping is approximate, so confirm the match fits the documentation.