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T31.62

Billable

Burns involving 60-69% of body surface with 20-29% third degree burns

HCC Category Mapping

V28HCC 385Severe Skin Burn or Condition
0.350
V24HCC 162Severe Skin Burn or Condition
0.517
ESRDHCC 162Severe Skin Burn or Condition
0.000

What This Code Means

Very severe burns affecting 60-69% of the body surface, with 20-29% being third-degree burns that destroy all skin layers.

Coding Tips

  • These burns are life-threatening and require immediate transfer to a specialized burn center
  • Code any associated complications such as shock, infection, or respiratory compromise separately

Clinical Significance

This represents a critical burn injury with massive body surface involvement and significant full-thickness burns. These patients have extremely high morbidity and mortality requiring immediate specialized burn center care with comprehensive multidisciplinary management.

Documentation Requirements

  • Total body surface area (TBSA) calculated as 60-69%
  • Third-degree burns comprising 20-29% of body surface
  • Validated burn assessment tool documentation
  • Comprehensive anatomical burn distribution
  • Burn etiology and mechanism specification
  • Complete burn depth evaluation
  • Associated complications and injuries
  • Initial resuscitation and treatment protocols

Commonly Confused Codes

Code Hierarchy

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