T31.41

Billable

Burns involving 40-49% of body surface with 10-19% 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

Critical burns covering 40-49% of the body surface with 10-19% deep tissue damage (third degree burns). This represents a life-threatening injury with significant full-thickness involvement.

Coding Tips

•This code indicates critical burn status with moderate full-thickness involvement requiring immediate burn center care
•Document the mechanism of injury and any associated inhalation injuries which are common with burns of this extent

Clinical Significance

Burns involving 40-49% of body surface area with 10-19% third-degree burns represent life-threatening major burn injury with high mortality and morbidity risk. This level of burn injury requires immediate admission to a specialized burn center with capability for complex fluid resuscitation, surgical intervention, and intensive care management to address systemic complications and prevent death.

Documentation Requirements

✓Precise calculation documenting 40-49% total body surface area involvement
✓Documentation that 10-19% of burned area is third-degree (full thickness)
✓Burn assessment using validated tools by burn-qualified provider
✓Evidence of burn center admission or immediate transfer
✓Documentation of aggressive fluid resuscitation protocols
✓Surgical evaluation for escharotomy, debridement, or grafting needs
✓Assessment of inhalation injury and airway management
✓Monitoring and documentation of systemic complications

Commonly Confused Codes

T31.40 — Burns 40-49% TBSA with no third degree involvement T31.42 — Burns 40-49% TBSA with 20-29% third degree (more extensive third-degree)T31.31 — Burns 30-39% TBSA with 10-19% third degree (smaller total area)T32.41 — Corrosions 40-49% TBSA with 10-19% third degree (chemical cause)T31.51 — Burns 50-59% TBSA with 10-19% third degree (larger total area)

Code Hierarchy

└T31Burns classified according to extent of body surface involved └T31.4Burns involving 40-49% of body surface └T31.41Burns involving 40-49% of body surface with 10-19% third degree burns

└T31.41Burns involving 40-49% of body surface with 10-19% third degree burns