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T31.75

Billable

Burns involving 70-79% of body surface with 50-59% 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

Extensive burns covering 70-79% of the body surface with 50-59% being third-degree burns that destroy all skin layers.

Coding Tips

  • Confirm documentation clearly indicates the total BSA (70-79%) and that 50-59% of this is full-thickness injury
  • These severe injuries require detailed documentation of burn location, etiology, and treatment plan

Clinical Significance

This code represents one of the most critical burn injuries with extensive body surface involvement and the majority being full-thickness burns. These patients have extremely high mortality risk requiring immediate specialized burn center care with comprehensive intensive management.

Documentation Requirements

  • Total body surface area (TBSA) documented as 70-79%
  • Third-degree burns documented as 50-59% of body surface
  • Comprehensive burn assessment using validated methodology
  • Detailed anatomical location mapping
  • Burn mechanism and causative agent identification
  • Complete burn depth evaluation system
  • Complications and associated injuries documented
  • Intensive burn center protocols and arrangements

Commonly Confused Codes

Code Hierarchy

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