ICD-10 Coding for Heat Exhaustion(T67.3XXA, T67.4XXA, T67.5XXA)
Complete ICD-10-CM coding and documentation guide for Heat Exhaustion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Heat Exhaustion
T67.3-T67.5Primary Range
Heat exhaustion codes
These codes cover various types of heat exhaustion, including anhidrotic, salt depletion, and unspecified forms.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| T67.3XXA | Anhidrotic heat exhaustion, initial encounter | Use when patient presents with heat exhaustion symptoms and is not sweating. |
|
| T67.4XXA | Heat exhaustion due to salt depletion, initial encounter | Use when patient presents with heat exhaustion symptoms and profuse sweating. |
|
| T67.5XXA | Heat exhaustion, unspecified, initial encounter | Use when documentation lacks specific details about type of heat exhaustion. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for heat exhaustion
Essential facts and insights about Heat Exhaustion
Primary ICD-10-CM Codes for heat exhaustion
Decision Criteria
clinical Criteria
- Patient exhibits dry skin and elevated core temperature without sweating.
Applicable To
- Heat exhaustion due to failure to sweat
Excludes
- Heatstroke (T67.0XXA)
Clinical Validation Requirements
- Absence of sweating
- Elevated core temperature <104°F
- Dry skin
Code-Specific Risks
- Misclassification if sweating is present
Coding Notes
- Ensure documentation specifies lack of sweating and elevated core temperature.
T67.4XXA - Heat exhaustion due to salt depletion, initial encounter
Use when patient presents with heat exhaustion symptoms and profuse sweating.
Applicable To
- Heat exhaustion with profuse sweating and muscle cramps
Excludes
- Heatstroke (T67.0XXA)
Clinical Validation Requirements
- Profuse sweating
- Serum sodium <135 mEq/L
- Muscle cramps
Coding Notes
Ensure documentation specifies profuse sweating and low sodium levels.
T67.5XXA - Heat exhaustion, unspecified, initial encounter
Use when documentation lacks specific details about type of heat exhaustion.
Applicable To
- General heat exhaustion without specific details
Excludes
- Heatstroke (T67.0XXA)
Clinical Validation Requirements
- General symptoms of heat exhaustion without specific details
Coding Notes
Ensure documentation specifies general symptoms of heat exhaustion.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Dehydration
E86.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Heatstroke and sunstroke
T67.0XXADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Heat Exhaustion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T67.3XXA.
Impact
Clinical: May lead to incorrect treatment decisions., Regulatory: Increases risk of audit and non-compliance., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure thorough documentation of clinical findings., Use templates to guide documentation.
Impact
Reimbursement: May result in lower reimbursement due to lack of specificity., Compliance: Increases risk of audit due to non-specific coding., Data Quality: Reduces data quality and accuracy in health records.
Mitigation Strategy
Ensure documentation specifies type of heat exhaustion for accurate coding.
Impact
Risk of audit due to non-specific coding of heat exhaustion.
Mitigation Strategy
Ensure documentation includes specific clinical details and use the most specific code available.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Heat Exhaustion, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Heat Exhaustion
Use these documentation templates to ensure complete and accurate documentation for Heat Exhaustion. These templates include all required elements for proper coding and billing.
Emergency Department Visit for Heat Exhaustion
Specialty: Emergency MedicineRequired Elements
- Exposure details
- Core temperature measurement
- Skin condition
- Neurological status
- Laboratory results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Heat Exhaustion? Ask your questions below.