2026 ICD-10-CM Diagnosis Code T67.02XSExertional heatstroke, sequela
T67.02XS is a billable ICD-10-CM diagnosis code for exertional heatstroke, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 922 through 923. The code is exempt from POA reporting. Coders also document this condition as exertional heat stroke. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Effect of other external causes, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
T67.02XS is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Exertional heat stroke
- Heat stroke
- Hyperthermia
Coding GuidelinesGuidance
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 applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Drug Fever
drug-induced fever.Hyperthermia
an abnormal elevation of body temperature, usually as a result of inability to regulate core body temperature due to non-pathologic factors.Hyperthermia, Induced
abnormally high temperature intentionally induced in living things regionally or whole body. it is most often induced by radiation (heat waves, infra-red), ultrasound, or drugs.Malignant Hyperthermia
rapid and excessive rise of temperature accompanied by muscular rigidity following general anesthesia.Heat Stroke
a condition caused by the failure of body to dissipate heat in an excessively hot environment or during physical exertion in a hot environment. contrast to heat exhaustion, the body temperature in heat stroke patient is dangerously high with red, hot skin accompanied by delusions; convulsions; or coma. it can be a life-threatening emergency and is most common in infants and the elderly.
Patient EducationClinical
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.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code History & ChangesHistory
Replacement T67.02XS replaces the following previously assigned code(s):
- T67.0XXS - Heatstroke and sunstroke, sequela
Questions About T67.02XSOverview
Is T67.02XS (Exertional heatstroke) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report exertional heatstroke, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in T67.02XS mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the exertional heatstroke itself has resolved, not the original event.
What MS-DRG does T67.02XS group to?
When exertional heatstroke, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 922, 923, with relative weights from 1.0177 to 1.7494 depending on complications. Higher weights mean higher Medicare reimbursement.
Is T67.02XS exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for exertional heatstroke, sequela on inpatient claims.
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.
