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2025 ICD-10-CM code X31.XXXA

Exposure to excessive natural cold, initial encounter.

Follow official ICD-10-CM coding guidelines when using this code.Ensure that both the nature of the injury or illness and the external cause of morbidity are accurately reflected in the coding.

No modifiers apply to this ICD-10-CM code.

Medical necessity is established by the presence of documented injuries or illnesses directly resulting from exposure to excessive natural cold.The treatment provided should be consistent with the severity of the condition and meet accepted standards of medical care.

The clinical responsibility involves documenting the patient's exposure to excessive natural cold, the resulting injury or illness, and the appropriate level of care provided.Accurate coding requires proper documentation of the event leading to the injury or illness and the specific injuries sustained.

IMPORTANT:This code should be used in conjunction with a code from another chapter describing the resulting injury or illness.Codes from Chapter 19 (Injury, poisoning and certain other consequences of external causes) are most commonly used.Excludes codes for cold of man-made origin (W93.-).

In simple words: This code is used when someone is hurt or gets sick because of being exposed to extreme natural cold for the first time.It's always used along with a code that describes the specific injury or illness caused by the cold.

This ICD-10-CM code classifies the circumstance of exposure to excessive natural cold resulting in an injury or other adverse health effect.It is used as a secondary code, following a code from another chapter specifying the nature of the injury or condition (most often Chapter 19).The code indicates the initial encounter with the excessive cold exposure.It excludes cold exposure of man-made origin.

Example 1: A hiker gets lost in a blizzard and suffers from hypothermia (T68.XXXA) due to exposure to excessive natural cold (X31.XXXA). The hypothermia is a consequence of the exposure., A person experiences frostbite (T33.-) to their fingers and toes after prolonged exposure to extreme cold during winter camping. The frostbite is documented along with the exposure code (X31.XXXA)., An individual experiences a cardiac arrest following exposure to extreme cold, while ice skating. The cardiac arrest (I46.9) is coded along with X31.XXXA reflecting the cause of this complication.

Detailed documentation of the circumstances surrounding the exposure to excessive natural cold is required.This includes the duration and intensity of the cold exposure, environmental conditions, and the specific injuries or illnesses sustained.The clinical documentation must support the diagnosis and justify the medical necessity of the treatment rendered.

** This code is exempt from the Present on Admission (POA) indicator reporting requirements.

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