T31.66

Billable

Burns involving 60-69% of body surface with 60-69% 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 60-69% of the body surface, with 60-69% being third-degree burns that destroy all skin layers.

Coding Tips

•This code indicates a critical burn injury with extensive full-thickness damage; ensure documentation specifies both the total BSA and depth percentages
•Assign this code only when third-degree burns comprise 60-69% of the total affected area

Clinical Significance

This represents a catastrophic burn injury with massive body surface involvement and matching full-thickness destruction. These patients face extremely high mortality and require immediate burn center care with maximum intensive support and specialized interventions.

Documentation Requirements

✓Total body surface area (TBSA) calculated as 60-69%
✓Third-degree burns documented as 60-69% of body surface
✓Comprehensive burn assessment using validated tools
✓Complete anatomical burn location mapping
✓Burn etiology and mechanism clearly identified
✓Full burn depth evaluation and classification
✓Associated complications and injuries noted
✓Intensive care and burn center management protocols

Commonly Confused Codes

T31.65 — 50-59% third-degree versus 60-69% third-degree T31.55 — Total TBSA 50-59% with matching third-degree percentage T31.76 — Total TBSA 70-79% versus 60-69%T32.66 — Chemical corrosion versus thermal burn T31.77 — Different TBSA and third-degree combination

Code Hierarchy

└T31Burns classified according to extent of body surface involved └T31.6Burns involving 60-69% of body surface └T31.66Burns involving 60-69% of body surface with 60-69% third degree burns

└T31.66Burns involving 60-69% of body surface with 60-69% third degree burns