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T33.4 vs T33.5

T33.4 (Superficial frostbite of arm) compared with T33.5 (Superficial frostbite of wrist, hand, and fingers), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. T33.4 carries an Excludes2 note covering T33.5: “superficial frostbite of wrist and hand (T33.5-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

T33.4Superficial frostbite of armT33.5Superficial frostbite of wrist, hand, and fingers
Billing statusNon-billable header

Report instead: T33.40XA, T33.40XD, T33.40XS, T33.41XA, T33.41XD

Non-billable header

Report instead: T33.511A, T33.511D, T33.511S, T33.512A, T33.512D

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionSuperficial frostbite of arm is a non-billable ICD-10-CM category code (T33.4).Superficial frostbite of wrist, hand, and fingers is a non-billable ICD-10-CM category code (T33.5).
7th characterThe appropriate 7th character is to be added to each code from category T33The appropriate 7th character is to be added to each code from category T33
Includes
frostbite with partial thickness skin loss
frostbite with partial thickness skin loss

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources