2026 ICD-10-CM Diagnosis Code T75.01XAShock due to being struck by lightning, initial encounter
T75.01XA is a billable ICD-10-CM diagnosis code for shock due to being struck by lightning, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. 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. Coders also document this condition as effects of lightning. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Effect of other external causes, initial encounter; External cause codes: intent of injury, accidental/unintentional; and External cause codes: natural/environment; initial encounter.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Effects of lightning
- Electric shock caused by lightning
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Other and unspecified effects of other external causes (T75). 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.
Patient EducationClinical
Electrical Injuries
When you come in direct contact with electricity, it can pass through your body and cause injuries. These electrical injuries can be external or internal. You may have one or both types. External injuries are skin burns. Internal injuries include damage to your organs, bones, muscles, and nerves.
Read the full article at MedlinePlus
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Convert T75.01XA to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T75.01XAOverview
Is T75.01XA (Shock due to being struck by lightning) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report shock due to being struck by lightning, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in T75.01XA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for shock due to being struck by lightning, such as an emergency visit or first evaluation.
What MS-DRG does T75.01XA group to?
When shock due to being struck by lightning, initial encounter 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.
What is the ICD-9 equivalent of T75.01XA?
Under the General Equivalence Mappings, shock due to being struck by lightning, initial encounter converts to ICD-9-CM 994.0 (effects of lightning). 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.
