2024 ICD-10-CM Diagnosis Code T67.2XXD

Heat cramp, subsequent encounter

ICD-10-CM Code:
T67.2XXD
ICD-10 Code for:
Heat cramp, subsequent encounter
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Other and unspecified effects of external causes
      (T66-T78)
      • Effects of heat and light
        (T67)

T67.2XXD is a billable diagnosis code used to specify a medical diagnosis of heat cramp, subsequent encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

T67.2XXD is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like heat cramp. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Heat cramp

Clinical Classification

Coding Guidelines

The appropriate 7th character is to be added to each code from block Effects of heat and light (T67). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Present on Admission (POA)

T67.2XXD is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert T67.2XXD to ICD-9-CM

  • ICD-9-CM Code: V58.89 - Other specfied aftercare
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education


Heat Illness

Your body normally cools itself by sweating. During hot weather, especially when it is very humid, sweating just isn't enough to cool you off. Your body temperature can rise to dangerous levels and you can develop a heat illness.

Most heat illnesses happen when you stay out in the heat too long. Exercising and working outside in high heat can also lead to heat illness. Older adults, young children, and those who are sick or overweight are most at risk. Taking certain medicines or drinking alcohol can also raise your risk.

Heat-related illnesses include:

  • Heat stroke - a life-threatening illness in which body temperature may rise above 106 °F (41 °C) in minutes. Symptoms include dry skin, a rapid, strong pulse, dizziness, nausea, and confusion. If you see any of these signs, get medical help right away.
  • Heat exhaustion - an illness that can happen after several days of exposure to high temperatures and not enough fluids. Symptoms include heavy sweating, rapid breathing, and a fast, weak pulse. If it is not treated, it can turn into heat stroke.
  • Heat cramps - muscle pains or spasms that happen during heavy exercise. You usually get them in your abdomen, arms, or legs.
  • Heat rash - skin irritation from excessive sweating. It is more common in young children.

You can lower your risk of heat illness by drinking fluids to prevent dehydration, replacing lost salt and minerals, and limiting your time in the heat.

Centers for Disease Control and Prevention


[Learn More in MedlinePlus]

Muscle Cramps

What are muscle cramps?

Muscle cramps are sudden, involuntary contractions or spasms in one or more of your muscles. They are very common and often occur after exercise. Some people get muscle cramps, especially leg cramps, at night. They can be painful, and they may last a few seconds to several minutes.

You can have a cramp in any muscle, but they happen most often in the:

  • Thighs
  • Feet
  • Hands
  • Arms
  • Abdomen
  • Area along your ribcage

What causes muscle cramps?

Causes of muscle cramps include:

  • Straining or overusing a muscle. This is the most common cause.
  • Compression of your nerves, from problems such as a spinal cord injury or a pinched nerve in the neck or back
  • Dehydration
  • Low levels of electrolytes such as magnesium, potassium, or calcium
  • Not enough blood getting to your muscles
  • Pregnancy
  • Certain medicines
  • Getting dialysis

Sometimes the cause of muscle cramps is unknown.

Who is at risk for muscle cramps?

Anyone can get muscle cramps, but they are more common in some people:

  • Older adults
  • People who are overweight
  • Athletes
  • Pregnant women
  • People with certain medical conditions, such as thyroid and nerve disorders

When do I need to see a health care provider for muscle cramps?

Muscle cramps are usually harmless, and they go away after a few minutes. But you should contact your health care provider if the cramps:

  • Are severe
  • Happen frequently
  • Don't get better with stretching and drinking enough fluids
  • Last a long time
  • Are accompanied by swelling, redness, or a feeling of warmth
  • Are accompanied by muscle weakness

What are the treatments for muscle cramps?

You usually don't need treatment for muscle cramps. You may be able to find some relief from cramps by:

  • Stretching or gently massaging the muscle
  • Applying heat when the muscle is tight and ice when the muscle is sore
  • Getting more fluids if you are dehydrated

If another medical problem is causing the cramps, treating that problem will likely help. There are medicines that providers sometimes prescribe to prevent cramps, but they are not always effective and may cause side effects. Talk to your provider about the risks and benefits of medicines.

Can muscle cramps be prevented?

To prevent muscle cramps, you can:

  • Stretch your muscles, especially before exercising. If you often get leg cramps at night, stretch your leg muscles before bed.
  • Drink plenty of liquids. If you do intense exercise or exercise in the heat, sports drinks can help you replace electrolytes.

[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.