2025 ICD-10-CM code T22.1
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Injury - Burns and corrosions of external body surface, specified by site (T20-T25) Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
First-degree burn of the shoulder and upper limb (excluding wrist and hand).
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).
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- T20-T25 (Burns and corrosions of external body surface, specified by site)
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.
- Revenue Code: Revenue codes will vary depending on the healthcare facility and payer.
- RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement depends on factors such as place of service, provider type, and payer-specific policies.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.Reimbursement is determined by various factors including payer policies and place of service.
- Specialties:Emergency Medicine, Burn Surgery, General Surgery, Plastic Surgery
- Place of Service:Emergency Room - Hospital, Office, Urgent Care Facility, Other Place of Service