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T33.99XD vs T68

T33.99XD (Superficial frostbite of other sites, subsequent encounter) compared with T68 (Hypothermia), 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. T33.99XD carries an Excludes2 note covering T68: “hypothermia and other effects of reduced temperature (T68, T69.-)”

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

Yes, when both are documented. T68 carries an Excludes2 note covering T33.99XD: “frostbite (T33-T34)”

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

Side by side

T33.99XDSuperficial frostbite of other sites, subsequent encounterT68Hypothermia
Billing statusBillableNon-billable header

Report instead: T68.XXXA, T68.XXXD, T68.XXXS

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 other sites, subsequent encounter is a billable ICD-10-CM diagnosis code (T33.99D).Hypothermia is a non-billable ICD-10-CM category code (T68).
7th characterThe appropriate 7th character is to be added to each code from category T33The appropriate 7th character is to be added to code T68
Includes
frostbite with partial thickness skin loss
Superficial frostbite of leg NOS
Superficial frostbite of trunk NOS
Accidental hypothermia
Hypothermia NOS
Use additional code
code to identify source of exposure:
Exposure to excessive cold of man-made origin (W93)
Exposure to excessive cold of natural origin (X31)

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