Burns ICD-10-CM Codes | 2023

What ICD-10 Codes are Used for Burns

ICD-10 codes categorize and document burns based on degree, body area affected, and cause. Below are the common Burns ICD-10 codes with clinical descriptions:

• T20 - Superficial injury of the head: This code is used for superficial burns that affect the skin of the head. These burns are typically minor and do not penetrate deep into the skin layers.
• T21 - Superficial injury of trunk: This code is for superficial burns on the body's trunk, including the chest and abdomen. These are typically first-degree burns, characterized by redness and pain but no blisters.
• T22 - Superficial injury of other body parts: This code is used for superficial burns on areas other than the head and trunk. It includes extremities, neck, and face. Superficial burns are often caused by exposure to heat or minor chemical irritants.
• T23 - Blistering of skin: This code is used when the burn leads to blister formation. Blisters are a characteristic feature of second-degree burns, which penetrate deeper skin layers and can be more painful.
• T24 - Full-thickness skin loss: This code is for burns that involve full-thickness skin loss. These third-degree burns destroy the entire thickness of the skin and can extend into deeper tissues.
• T25 - Burn of unspecified degree of multiple sites: When the degree of burn is not specified or when numerous areas are affected, this code is used. It may be necessary to provide additional details in the clinical documentation.
• T30 - Burns of multiple body regions: This code is used when burns affect numerous body regions, but the degree is unspecified. Again, clinical details are crucial for accurate coding.
• T31 - Chemical burns: This code is employed when a burn is caused by exposure to chemicals. Specifying the chemical agent type in the clinical description is essential.
• T32 - Corrosions of multiple body regions: This code is used for burns caused by corrosive substances. These burns can vary in severity, and accurate coding requires detailed clinical information.
• T33 - Superficial frostbite of multiple sites: In cases of superficial frostbite affecting various areas, this code is used—frostbite results from prolonged exposure to cold temperatures.

Accurate ICD-10 coding for burns is crucial for medical records, billing, and statistics. Proper documentation of degree, location, and cause is essential for selecting the appropriate code. Healthcare providers must adhere to these standards for accurate communication and data collection.

Which Burns ICD Codes are Billable

The billability of a specific ICD-10 code for burns varies depending on the payer, documentation, and patient's case. Consult with insurance providers or billing departments for accurate information.

Here's a general overview:

• T20 - Superficial injury of the head: Yes.
• T21 - Superficial injury of trunk: Yes.
• T22 - Superficial injury of other parts of the body: Yes.
• T23 - Blistering of skin:  Yes.
• T24 - Full-thickness skin loss:  es.
• T25 - Burn of unspecified degree of multiple sites: Potentially billable, depending on the specific clinical details.
• T30 - Burns of multiple body regions: Potentially billable if sufficient clinical documentation justifies billing.
• T31 - Chemical burns: Yes.
• T32 - Corrosions of multiple body regions: Yes. 
• T33 - Superficial frostbite of multiple sites: Yes. 

ICD-10 code billability depends on medical necessity and proper coding practices. Compliance with guidelines is crucial for successful claims processing.

Clinical Information

• Identify the burn degree as first, second, or third to guide treatment decisions.
• Specify the exact anatomical site where the burn has occurred. Whether on the head, trunk, extremities, face, or other parts, documenting the location is essential for assessment and ongoing care.
• Document the cause of the burn, whether it's heat, chemicals, electricity, or frostbite. In cases of chemical burns, it's crucial to specify the type of chemical agent involved, as different chemicals can have varying effects.
• Assess the size of the burn, typically measured as a percentage of total body surface area (TBSA). Methods like the Rule of Nines or Lund-Browder charts can help estimate the affected area, which informs treatment planning.
• Evaluate for other injuries or complications, mainly when burns result from accidents or trauma. Addressing these in conjunction with burn treatment is vital for comprehensive patient care.
• Document the presenting symptoms, including pain, redness, blistering, or numbness. Monitoring for signs of infection, such as increased redness, swelling, or drainage, is essential for ongoing care.
• Describe the initial and ongoing treatment strategies, including wound care, dressings, and medications. Severe burns may necessitate surgical interventions like debridement or skin grafts.
• Gather the patient's medical history, including any pre-existing conditions or medications, as these factors can impact treatment decisions.
• Plan for follow-up appointments to assess the healing progress and address any complications or concerns that may arise during the recovery process.
• For burn patients with altered consciousness, employ relevant assessment tools, such as the Glasgow Coma Scale, to determine the severity of the condition.
• Educate patients on burn prevention and safety measures to reduce the risk of future incidents.
• Ensure the maintenance of thorough, accurate, and detailed clinical records. Comprehensive documentation supports billing and coding processes and provides a comprehensive view of the patient's condition and treatment history.

Synonyms Include

• Scalds
• Wounds from heat
• Thermal injuries
• Fire-related injuries
• Singes