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2025 ICD-10-CM code T31.7

Burns involving 70-79% of body surface.

Always use additional codes from Chapter 20 (External causes of morbidity) to identify the cause of the burn.Also, use code Z18.- for any retained foreign body.

Modifiers may be used depending on the specific circumstances of the case, particularly to indicate the location and nature of the service provided. Consult local and payer-specific guidelines for allowed modifiers.

Medical necessity for the treatment of extensive burns is established by the severity of the injury, the extent of the burn, and the need for specialized medical care, such as fluid resuscitation, surgical intervention, wound care, pain management, and rehabilitation. This is a life-threatening injury that requires immediate and intensive medical care.

The clinical responsibility for this code would involve the physician's assessment of the burn's severity, treatment plan (including fluid resuscitation, wound care, pain management, and possible surgical intervention), and ongoing monitoring for complications.

IMPORTANT:Additional codes from Chapter 20 (External causes of morbidity) should be used to specify the cause of the burn.If a foreign body is retained, code Z18.- should also be used.

In simple words: This code describes severe burns covering a large portion (70-79%) of the body.These burns can be caused by fire, hot liquids, chemicals, electricity, or other sources of heat.

This ICD-10-CM code classifies burns affecting 70-79% of the total body surface area.It encompasses various burn types, including thermal burns (caused by flames, hot objects, hot liquids, electricity, radiation, or friction), and chemical burns (corrosions).

Example 1: A patient is admitted to the burn unit after a house fire, suffering from extensive burns covering 75% of their body.The initial assessment would require this code along with appropriate external cause codes., A construction worker suffers a severe electrical burn affecting 72% of his body.Appropriate codes from Chapter 20 detailing the workplace accident must accompany this code., A patient sustains extensive burns (78%) in an industrial chemical spill.Besides T31.7, additional codes will be necessary for the type of chemical causing the burn.

Detailed burn assessment including total body surface area (TBSA) affected, depth of burns (superficial, partial thickness, full thickness), location of burns, presence of inhalation injury, and any complications (e.g., infection, sepsis).Complete history of the burn event and any pre-existing conditions should be documented.Imaging studies may also be necessary to assess the extent of the injury.

** The 7th character for this code should be used to indicate the encounter (A-initial encounter, D-subsequent encounter, S-sequela). This is a severe injury and requires immediate and specialized care.

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