2025 ICD-10-CM code T31.1
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Injury - Burns and corrosions (T20-T32) Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Burns involving 10-19% of body surface.
Modifiers may be applicable depending on the circumstances of the service provided.Consult appropriate guidelines for specific modifier usage.
Medical necessity for treatment is established by the severity of the burn injuries, requiring ongoing medical care, surgery, and physical therapy. The extent of the burn, depth of injury, and presence of any co-morbidities (infection, etc.) must be documented to justify the level of care provided.
The clinical responsibility for coding T31.1 falls on the physician or other qualified healthcare professional treating the burn patient.Thorough documentation of the burn’s extent, depth, location, and any complications is critical to accurate coding and appropriate reimbursement.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- Injury, poisoning and certain other consequences of external causes > Burns and corrosions (T20-T32) > Burns and corrosions of multiple and unspecified body regions (T30-T32)
In simple words: This code is for burns covering 10% to 19% of the body.This includes burns from fire, hot things, chemicals, or electricity.The doctor will need more information to fully describe the burn's severity and location.
This ICD-10-CM code classifies burns affecting 10% to 19% of the body's surface area.It encompasses thermal burns (from flames, hot objects, electricity, radiation, friction, hot air/gases, or lightning), and chemical burns (corrosions).The extent of the burn is crucial for accurate coding.Additional codes may be necessary to specify the location and depth of the burns, and any complications or co-morbidities.
Example 1: A 30-year-old male sustained second-degree burns over 15% of his body surface area (BSA) in a house fire.The burns affect his upper extremities and torso., A 12-year-old female suffered burns to 12% of her BSA when she accidentally spilled boiling water on herself. The burns affect her lower extremities. , A 55-year-old male received a 10% BSA electric burn to his left hand while working on electrical equipment. The wound is primarily superficial and requires debridement and topical treatment.
Detailed documentation is essential for accurate coding.The medical record must clearly specify the percentage of BSA affected, the depth and location of the burns, and any associated injuries or complications.Documentation should also include the mechanism of the injury and any treatment provided.
** Always refer to the most up-to-date official ICD-10-CM coding guidelines for complete and accurate coding practices.This information is for guidance only and should not be considered medical advice.
- Revenue Code: Revenue codes will vary depending on the healthcare setting and payer.
- RVU: RVUs vary by location, payer, and other factors. Consult your local fee schedule for the most current information.
- Global Days: The global period for burn treatment will depend on the severity and complexity of the case.It's not directly specified by this code.Consult your payer’s guidelines.
- Payment Status: Active
- Modifier TC rule: The application of a TC modifier (Technical Component) would depend on the specific services and circumstances of the case. Consult guidelines for modifier use.
- Fee Schedule: Historical fee schedules for this code are not readily available here but can be found through various resources like CMS or individual payer websites.
- Specialties:Burn surgery, plastic surgery, emergency medicine
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Ambulatory Surgical Center, Office