T31.33

Billable

Burns involving 30-39% of body surface with 30-39% third degree burns

HCC Category Mapping

V28HCC 385 — Severe Skin Burn or Condition

0.350

V24HCC 162 — Severe Skin Burn or Condition

0.517

ESRDHCC 162 — Severe Skin Burn or Condition

0.000

What This Code Means

Severe burns covering 30-39% of the body surface with 30-39% deep tissue damage (third degree burns). This represents extensive full-thickness burns with the entire affected area being deep tissue damage.

Coding Tips

•This code indicates the most severe scenario within the 30-39% total body surface area category
•Document clearly that the percentage of third-degree burns equals the total body surface area percentage

Clinical Significance

Burns involving 30-39% of body surface area where all burned tissue (30-39%) is third-degree represents catastrophic burn injury with extremely high mortality risk. This pattern indicates complete skin destruction across the entire burned area, requiring immediate life-saving interventions, extensive surgical reconstruction, and long-term specialized care with significant risk of death or permanent disability.

Documentation Requirements

✓Documentation that 30-39% of total body surface area is burned
✓Clear documentation that all burned areas (30-39%) are third-degree
✓Burn specialist assessment confirming full-thickness involvement
✓Evidence of complete skin destruction through all layers
✓Documentation of immediate life-saving interventions performed
✓Burn center admission with multidisciplinary team involvement
✓Surgical planning for extensive debridement and reconstruction
✓Assessment and management of systemic complications

Commonly Confused Codes

T31.32 — Burns 30-39% TBSA with 20-29% third degree (not all burns are third-degree)T31.31 — Burns 30-39% TBSA with 10-19% third degree (much less third-degree involvement)T31.44 — Burns 40-49% TBSA with 40-49% third degree (larger total area)T32.33 — Corrosions 30-39% TBSA with 30-39% third degree (chemical cause)T31.22 — Burns 20-29% TBSA with 20-29% third degree (smaller total area)

Code Hierarchy

└T31Burns classified according to extent of body surface involved └T31.3Burns involving 30-39% of body surface └T31.33Burns involving 30-39% of body surface with 30-39% third degree burns

└T31.33Burns involving 30-39% of body surface with 30-39% third degree burns