T31.76

Billable

Burns involving 70-79% 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

Extensive burns covering 70-79% of the body surface with 60-69% being third-degree burns that destroy all skin layers.

Coding Tips

•Document the total body surface area percentage and confirm third-degree burns represent 60-69% of the affected area
•These catastrophic injuries have significant mortality risk and require specialized burn center care with detailed clinical documentation

Clinical Significance

This represents a catastrophic burn injury with extensive body surface involvement and major 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 70-79%
✓Third-degree burns documented as 60-69% of body surface
✓Standardized burn assessment tool utilization
✓Complete anatomical burn location mapping
✓Burn etiology and mechanism clearly documented
✓Full burn depth evaluation and classification
✓Associated complications and injuries noted
✓Maximum intensive care and burn center protocols

Commonly Confused Codes

T31.75 — 50-59% third-degree versus 60-69% third-degree T31.77 — 70-79% third-degree versus 60-69% third-degree T31.66 — Total TBSA 60-69% versus 70-79%T32.76 — Chemical corrosion versus thermal burn T31.86 — Total TBSA 80-89% versus 70-79%

Code Hierarchy

└T31Burns classified according to extent of body surface involved └T31.7Burns involving 70-79% of body surface └T31.76Burns involving 70-79% of body surface with 60-69% third degree burns

└T31.76Burns involving 70-79% of body surface with 60-69% third degree burns