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2025 ICD-10-CM code X05

Exposure to ignition or melting of nightwear.

External cause codes, including X05, are always used as secondary codes to a code from another chapter indicating the nature of the condition, such as burns or other injuries.

Applicable 7th character modifiers are required to indicate the encounter type (initial, subsequent, sequela).

Medical necessity for this code is established when a patient experiences exposure to the ignition or melting of nightwear requiring medical attention.

Clinicians should document the circumstances of the exposure, the extent of any injuries, and any associated conditions. Treatment should focus on addressing the injuries resulting from the exposure.

In simple words: The code describes an incident where someone was exposed to burning or melting nightwear, such as pajamas or a nightgown. This doesn't include situations like house fires or flammable materials catching fire.

Exposure to ignition or melting of nightwear. Excludes2: exposure to uncontrolled fire in building or structure (X00.-) exposure to uncontrolled fire, not in building or structure (X01.-) exposure to controlled fire in building or structure (X02.-) exposure to controlled fire, not in building or structure (X03.-) exposure to ignition of highly flammable materials (X04.-)

Example 1: A patient's pajamas catch fire from a lit cigarette, resulting in burns to the arms and chest., A child's nightgown melts near a space heater, causing burns to the legs., An elderly patient's robe ignites while cooking, leading to burns on their hands.

Documentation should include the source of ignition, the type of nightwear involved, the location and extent of burns or other injuries, and any associated conditions.

** The code requires a 7th character to indicate the type of encounter. This code is used for statistical purposes and injury research.

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