T31.63

Billable

Burns involving 60-69% 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

Very severe burns affecting 60-69% of the body surface, with 30-39% being third-degree burns that destroy all skin layers.

Coding Tips

•Document the rule of nines assessment used to calculate BSA percentage in the medical record
•Assign appropriate codes for burn center admission and critical care services

Clinical Significance

This code represents a severe burn with massive body surface involvement and extensive full-thickness tissue destruction. These patients face extremely high mortality risk and require immediate burn center care with intensive monitoring and aggressive treatment.

Documentation Requirements

✓Total body surface area (TBSA) documented as 60-69%
✓Third-degree burns documented as 30-39% of body surface
✓Burn assessment using standardized methodology
✓Detailed anatomical location documentation
✓Burn mechanism and causative agent identified
✓Complete burn depth classification
✓Complications and associated injuries noted
✓Burn center transfer criteria and decisions

Commonly Confused Codes

T31.62 — 20-29% third-degree versus 30-39% third-degree T31.64 — 40-49% third-degree versus 30-39% third-degree T31.53 — Total TBSA 50-59% versus 60-69%T32.63 — Corrosion versus burn etiology T31.73 — Total TBSA 70-79% versus 60-69%

Code Hierarchy

└T31Burns classified according to extent of body surface involved └T31.6Burns involving 60-69% of body surface └T31.63Burns involving 60-69% of body surface with 30-39% third degree burns

└T31.63Burns involving 60-69% of body surface with 30-39% third degree burns