Not Valid for Submission
T67.5 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of heat exhaustion, unspecified. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Unspecified diagnosis codes like T67.5 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
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
Specific Coding for Heat exhaustion, unspecified
Non-specific codes like T67.5 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for heat exhaustion, unspecified:
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code T67.5:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Heat prostration NOS
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code T67.5 are found in the index:
- HEAT EXHAUSTION-. a clinical syndrome caused by heat stress such as over exertion in a hot environment or excessive exposure to sun. it is characterized by sweating water volume depletion salt depletion cool clammy skin nausea and headache.
Information for Patients
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
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