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2025 ICD-10-CM code T22.1

First-degree burn of the shoulder and upper limb (excluding wrist and hand).

Follow official ICD-10-CM coding guidelines.Always use an additional external cause code (Chapter 20) to specify the cause of the burn, unless the external cause is already inherent in the T-code itself.Use codes from T31-T32 to specify the extent of the burn injury.

ICD-10 codes do not use modifiers.

Medical necessity is established by the presence of a burn injury requiring medical evaluation and treatment. The need for documentation of the external cause code is also crucial for public health surveillance and research.

The clinical responsibility for this code involves assessment of the burn, determining the degree of the burn, and treatment (which might involve wound care, pain management, and infection prevention).

IMPORTANT:Additional codes may be necessary to specify the extent of the burn (T31-T32) and the external cause (Chapter 20 codes).

In simple words: This code describes a minor burn (first-degree) on the shoulder or upper arm, but not the wrist or hand.The burn only affects the top layer of skin and causes redness and some pain.

This code classifies a first-degree burn affecting the shoulder and upper limb, excluding the wrist and hand.First-degree burns are characterized by superficial damage to the epidermis (outer layer of skin), resulting in redness, pain, and mild swelling.Additional codes from category T31 or T32 should be used to specify the extent of body surface area involved.An additional external cause code (from Chapter 20, External causes of morbidity) is required to identify the source, place, and intent of the burn.

Example 1: A patient presents to the emergency department after spilling hot coffee on their upper arm.Examination reveals a first-degree burn affecting the anterior aspect of the right upper arm.T22.1 is assigned.A secondary code from Chapter 20 (e.g., W23.XXX - Contact with hot substance in domestic setting) is also assigned., During a home improvement project, a patient experiences a minor burn to their shoulder from a soldering iron.The burn is superficial and involves only the epidermis.A diagnosis of T22.1 and an external cause code is documented. An appropriate 7th character (A, D, or S) must be added depending on the encounter., A child sustains a first-degree burn to their left upper arm after touching a hot stove. The burn is localized to a small area on the arm and shows signs of superficial damage to the skin. The coder assigns T22.1 along with a secondary code from Chapter 20 reflecting the circumstances of the burn and an appropriate 7th character.

Detailed description of the burn (location, size, depth), mechanism of injury, date and time of injury, and any treatment provided.If applicable, photographs of the injury are beneficial.An external cause code is mandatory to provide information about the circumstances and cause of the injury.

** Remember to always code to the highest level of specificity possible.Accurate documentation is crucial to avoid claim denials.

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