2026 ICD-10-CM Diagnosis Code T69.9XXSEffect of reduced temperature, unspecified, sequela

ICD-10-CM Codes›S00–T88›T66-T78›T69

ICD-10-CM T69.9XXS
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

T69.9XXS is a billable ICD-10-CM diagnosis code for effect of reduced temperature, 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 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 cold injury. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Effect of other external causes, sequela.

Code Identity

ICD-10-CM Code
T69.9XXS
Billable Status
Yes — Valid for Submission
Code Describes
Effect of reduced temperature, unspecified, sequela
Short Description
Effect of reduced temperature, unspecified, sequela
Same as the full description in the CMS dataset.
Parent Code
T69.9
Effect of reduced temperature, unspecified

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionT66-T78Other and unspecified effects of external causes
CategoryT69Other effects of reduced temperature
This CodeT69.9XXSEffect of reduced temperature, unspecified, sequela

Present on Admission (POA)Billing

T69.9XXS 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.

  • Cold injury
  • General effects of low temperature
  • Oral ulceration caused by cold burn
  • Ulcer of skin of face

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Other effects of reduced temperature (T69). 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.

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

Clinical InformationClinical

  • Cold Injury

    a physical injury caused by exposure of the body to extremely low ambient temperatures that may lead to loss of body parts, or in extreme cases, death. examples of cold injury are frostbite and chilblains.

Patient EducationClinical

Hypothermia

Cold weather can affect your body in different ways. You can get frostbite, which is an injury to the body that is caused by freezing. Your body can also lose heat faster than you can produce it. That can cause hypothermia, or abnormally low body temperature. It can make you sleepy, confused, and clumsy.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert T69.9XXS 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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About T69.9XXSOverview

Is T69.9XXS (Effect of reduced temperature, unspecified) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report effect of reduced temperature, unspecified, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character S in T69.9XXS mean?

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

What MS-DRG does T69.9XXS group to?

When effect of reduced temperature, unspecified, 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 T69.9XXS 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 effect of reduced temperature, unspecified, sequela on inpatient claims.

What is the ICD-9 equivalent of T69.9XXS?

Under the General Equivalence Mappings, effect of reduced temperature, unspecified, sequela converts to ICD-9-CM 909.4 (late eff cert ext cause). The mapping is approximate, so confirm the match fits the documentation.

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.