T67.9XXA (Effect of heat and light, unspecified, initial encounter) compared with T67.9XXS (Effect of heat and light, unspecified, sequela), from the official CMS tabular data. T67.9XXA and T67.9XXS code the same injury at a different phase of treatment.
Same underlying diagnosis, different encounter phase.
The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.
Source: ICD-10-CM Official Guidelines, Section I.C.19.a
Same injury, other encounter phase. T67.9XXA and T67.9XXS 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.
| T67.9XXAEffect of heat and light, unspecified, initial encounter | T67.9XXSEffect of heat and light, unspecified, sequela | |
|---|---|---|
| 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 | Effect of heat and light, unspecified, initial encounter is a billable ICD-10-CM diagnosis code (T67.9A). | Effect of heat and light, unspecified, sequela is a billable ICD-10-CM diagnosis code (T67.9S). |
| 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