2027 ICD-10-CM Diagnosis Code T67.5XXSHeat exhaustion, unspecified, sequela

ICD-10-CM Codes›S00–T88›T66-T78›T67

ICD-10-CM T67.5XXS
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

T67.5XXS is a billable ICD-10-CM diagnosis code for heat exhaustion, unspecified, 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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 922 through 923. The code is exempt from POA reporting. Coders also document this condition as heat exhaustion. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Effect of other external causes, sequela.

Code Identity

ICD-10-CM Code
T67.5XXS
Billable Status
Yes — Valid for Submission
Code Describes
Heat exhaustion, unspecified, sequela
Short Description
Heat exhaustion, unspecified, sequela
Same as the full description in the CMS dataset.
Parent Code
T67.5
Heat exhaustion, unspecified

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionT66-T78Other and unspecified effects of external causes
CategoryT67Effects of heat and light
This CodeT67.5XXSHeat exhaustion, unspecified, sequela

Present on Admission (POA)Billing

T67.5XXS is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Other and unspecified effects of external causes (T66-T78).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Heat exhaustion

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 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 T67.5XXS: its own notes plus those printed at T67, block T66-T78, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From T67 Effects of heat and light applies to 36 codes
  • erythema [dermatitis] ab igne (L59.0)
  • malignant hyperpyrexia due to anesthesia (T88.3)
  • radiation-related disorders of the skin and subcutaneous tissue (L55-L59)

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.

From T67 Effects of heat and light applies to 36 codes
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From Block T66-T78 Other and unspecified effects of external causes applies to 456 codes
  • 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-)

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • 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.

From T67 Effects of heat and light applies to 36 codes
  • The appropriate 7th character is to be added to each code from category T67
Values for category T67 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter
  • Dsubsequent encounter
  • Ssequela this code

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name T67.5XXS, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming T67.5XXS: they are not reported together with it, unless the two conditions are unrelated.

  • R53.8 Other malaise and fatigue
    exhaustion and fatigue due to heat (T67.-) names T67.-, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ074
Effect of other external causes, sequela
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • 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.

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.

Convert T67.5XXS to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
909.4 Late eff cert ext cause
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About T67.5XXSOverview

What is the ICD-10 code for heat exhaustion, unspecified, sequela?

The ICD-10-CM code for heat exhaustion, unspecified, sequela is T67.5XXS (sometimes written as T675XXS). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is T67.5XXS (Heat exhaustion, unspecified) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report heat exhaustion, unspecified, sequela on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character S in T67.5XXS mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the heat exhaustion, unspecified itself has resolved, not the original event.

What MS-DRG does T67.5XXS group to?

When heat exhaustion, unspecified, sequela 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 T67.5XXS 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 heat exhaustion, unspecified, sequela on inpatient claims. The code appears in the Other and unspecified effects of external causes (T66-T78) range of the CMS exempt list.