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2025 ICD-10-CM code T23.7

Corrosion of the third degree of the wrist and hand.

Code first any underlying conditions that contributed to the injury or that might influence treatment.Use additional codes from Chapter 20 to identify the external cause of the injury.Use additional codes from T31-T32 to specify the extent of the body surface area involved.

Modifiers may apply depending on the circumstances of the encounter and the services provided (e.g., anesthesia, surgical procedures).Consult the appropriate coding guidelines for specific modifier usage.

Medical necessity is established by the presence of a severe third-degree burn necessitating appropriate medical and surgical treatment for pain relief, infection prevention, wound healing, and functional restoration. Documentation should support the need for multiple debridements, skin grafts, pain management, and extensive physical therapy.

Diagnosis and treatment of the burn injury; pain management; wound care; potential surgical intervention; monitoring for complications; referral to specialist services as needed (e.g., plastic surgery, burn unit).

IMPORTANT:Consider additional codes from categories T31-T32 to specify the extent of body surface area involved.Use additional codes from category Z18.- to identify any retained foreign body.Use additional external cause codes from Chapter 20 (External causes of morbidity) to specify the cause of the injury (e.g., place of occurrence, circumstances).

In simple words: This code describes a serious burn or chemical injury on the wrist and/or hand, where the damage goes deep into the skin and possibly into underlying tissues. This is a severe injury usually caused by contact with a corrosive substance.

This code signifies a third-degree chemical burn or corrosion affecting the wrist and/or hand.Third-degree burns involve full-thickness skin loss, potentially extending to deeper tissues like muscle and bone.The injury is caused by a corrosive chemical agent, resulting in significant tissue damage and potentially requiring extensive medical intervention.

Example 1: A patient presents to the emergency room after accidentally splashing concentrated acid onto their hand while working in a laboratory. The resulting third-degree burn extends across their wrist and hand. , A construction worker suffers a third-degree burn to their wrist and hand from a chemical spill at a construction site.The burn requires multiple debridements, skin grafts, and long-term physical therapy., A child accidentally touches a corrosive cleaning solution, causing a severe third-degree chemical burn to a portion of their wrist. The burn involves significant tissue damage requiring extensive treatment.

Detailed description of the burn (location, depth, size, percentage of body surface area affected); mechanism of injury (specific chemical agent, exposure duration); photographs of the wound; results of laboratory tests (e.g., cultures to identify infection); documentation of any surgical interventions; descriptions of pain management; details of wound care; physical therapy notes; assessment of functional limitations.

** This code is highly specific to third-degree burns involving the wrist and hand caused by corrosive chemicals.Accurate coding requires meticulous documentation of the burn's characteristics and the circumstances of the injury.

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