T67.2XXA vs T67.2XXD
T67.2XXA (Heat cramp, initial encounter) compared with T67.2XXD (Heat cramp, subsequent encounter), from the official CMS tabular data. T67.2XXA and T67.2XXD code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. T67.2XXA and T67.2XXD code the same injury at a different phase of treatment, set by the 7th character.
The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.
Side by side
| T67.2XXAHeat cramp, initial encounter | T67.2XXDHeat cramp, subsequent encounter | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | S00-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) |
| Definition | Heat cramp, initial encounter is a billable ICD-10-CM diagnosis code (T67.2A). | Heat cramp, subsequent encounter is a billable ICD-10-CM diagnosis code (T67.2D). |
| 7th character | The appropriate 7th character is to be added to each code from category T67 | The appropriate 7th character is to be added to each code from category T67 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources