T31.61

Billable

Burns involving 60-69% 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

Very severe burns affecting 60-69% of the body surface, with 10-19% being third-degree burns that destroy all skin layers.

Coding Tips

•Burns of this extent typically result in significant fluid loss and require aggressive fluid resuscitation
•Document inhalation injury separately if present, as this greatly affects prognosis

Clinical Significance

This code represents a life-threatening burn with massive body surface involvement and moderate full-thickness component. These patients require immediate burn center management with intensive monitoring for shock, organ failure, and infectious complications.

Documentation Requirements

✓Total body surface area (TBSA) documented as 60-69%
✓Third-degree burns documented as 10-19% of body surface
✓Standardized burn assessment methodology used
✓Complete anatomical distribution mapping
✓Burn mechanism and etiology clearly documented
✓Burn depth classification for all involved areas
✓Initial treatment response and complications
✓Burn center referral and transfer decisions

Commonly Confused Codes

T31.51 — Total TBSA 50-59% versus 60-69%T31.62 — 20-29% third-degree versus 10-19% third-degree T31.71 — Total TBSA 70-79% versus 60-69%T32.61 — Corrosion versus burn mechanism T31.60 — Less than 10% third-degree versus 10-19%

Code Hierarchy

└T31Burns classified according to extent of body surface involved └T31.6Burns involving 60-69% of body surface └T31.61Burns involving 60-69% of body surface with 10-19% third degree burns

└T31.61Burns involving 60-69% of body surface with 10-19% third degree burns