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T32.93 ICD-10-CM Code: Corrosions involving 90% or more of body surface with 30-39% third degree corrosion

T32.93 maps to CMS-HCC V28 385. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · HCC Buddy coding tools

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Code lookupT32.93

FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Burns and corrosions of multiple and unspecified body regions (T30-T32)

T32.93

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Corrosions involving 90% or more of body surface with 30-39% third degree corrosion

Catastrophic chemical burn covering 90% or more of the body with 30-39% showing the deepest, most severe burns. This indicates extensive full-thickness injury with critical prognosis.

Buddy the Bee presenting code insight

Buddy Insight

This represents catastrophic chemical burns covering 90% or more of the body with extensive full-thickness destruction (30-39% third-degree), indicating potentially fatal injury with extremely high mortality risk.

CMS-HCC V28

HCC 385

Code-level coefficient reference

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

HCC 218

Code-level coefficient reference

ESRD/PACE

HCC 162

Code-level coefficient reference

RXHCC

N/A

Not mapped

Inclusion Terms

Official

No inclusion terms are included in this display for T32.93. Check the code and parent instructions in the Code Book.

Excludes 2

Official
  • birth trauma (P10-P15)Inherited from S00-T88
  • obstetric trauma (O70-O71)Inherited from S00-T88

Includes

Official

No Includes notes are included in this display for T32.93. Check the code and parent instructions in the Code Book.

Excludes 1

Official

No Excludes 1 notes are included in this display for T32.93. Check the code and parent instructions in the Code Book.

Code First

Official

No Code First sequencing instructions are included in this display for T32.93. Check the code and parent instructions in the Code Book.

Use Additional

Official
  • code to identify any retained foreign body, if applicable (Z18.-)Inherited from S00-T88

Code Also

Official

No Code Also instructions are included in this display for T32.93. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Total body surface area (90% or greater)
Third-degree burn percentage (30-39%)
Chemical agent and exposure circumstances
Timeline of injury and emergency care

MEAT Support

HCC Buddy guidance
Total body surface area (90% or greater)
Third-degree burn percentage (30-39%)
Chemical agent and exposure circumstances
Timeline of injury and emergency care

Audit Caution

HCC Buddy guidance
Confusing total surface area with third-degree percentages
Using burn codes when corrosion documented
Omitting required external cause codes
Miscalculating near-total burn areas

Common Mistakes

HCC Buddy guidance
T32.92 — Has 20-29% third-degree involvement instead of 30-39%
T32.94 — Has 40-49% third-degree involvement instead of 30-39%
T32.83 — Involves 80-89% total BSA instead of 90%+
T31.93 — Thermal burns rather than chemical corrosions

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is T32.93 an HCC code?

Yes. T32.93 (Corrosions involving 90% or more of body surface with 30-39% third degree corrosion) maps to HCC 385, Severe Skin Burn or Condition under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 1.291. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: T32.93 is billable and maps to V28 HCC 385, Severe Skin Burn or Condition. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code
T32.93
Description
Corrosions involving 90% or more of body surface with 30-39% third degree corrosion
HCC (V28)
HCC 385 — Severe Skin Burn or Condition
RAF reference coefficient
1.291
Billable
Yes
Payment year
2026

HCC Category Mapping

V28HCC 385, Severe Skin Burn or Condition
1.291
ESRDHCC 162, Severe Skin Burn or Condition
Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work T32.93 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for T32.93

For T32.93, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

  • MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
  • EEvaluate: test results, medication response, or physical findings reviewed by the provider
  • AAssess: explicit mention in the assessment or plan with acknowledgment of status
  • TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Coder workflow notes

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What This Code Means

T32.93 is the ICD-10-CM diagnosis code for corrosions involving 90% or more of body surface with 30-39% third degree corrosion. Catastrophic chemical burn covering 90% or more of the body with 30-39% showing the deepest, most severe burns. This indicates extensive full-thickness injury with critical prognosis. T32.93 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering burns and corrosions of multiple and unspecified body regions (t30-t32).

Under the CMS-HCC V28 risk adjustment model, T32.93 maps to Severe Skin Burn or Condition (HCC 385) with a source-labeled community, non-dual, aged reference coefficient of 1.291. No V24 mapping is shown for T32.93; use the applicable model and payment year when reviewing the V28 mapping. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

Ensure all documentation specifies the extent of third-degree corrosion separately from the total body surface area percentage. For T32.93, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for T32.93 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Ensure all documentation specifies the extent of third-degree corrosion separately from the total body surface area percentage
  • Include seventh character and coordinate with codes for specific body regions affected and any associated complications

Clinical Significance

This represents catastrophic chemical burns covering 90% or more of the body with extensive full-thickness destruction (30-39% third-degree), indicating potentially fatal injury with extremely high mortality risk. These patients require immediate intensive burn care with extensive surgical reconstruction and represent among the most severe chemical injuries possible with critical prognosis.

Documentation Requirements

  • Total body surface area (90% or greater)
  • Third-degree burn percentage (30-39%)
  • Chemical agent and exposure circumstances
  • Timeline of injury and emergency care
  • Current treatment status
  • Anatomical involvement pattern
  • Associated organ dysfunction
  • Extensive surgical procedures

Commonly Confused Codes

  • T32.92: Has 20-29% third-degree involvement instead of 30-39%
  • T32.94: Has 40-49% third-degree involvement instead of 30-39%
  • T32.83: Involves 80-89% total BSA instead of 90%+
  • T31.93: Thermal burns rather than chemical corrosions

Child Codes

Code Hierarchy

For T32.93, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

T32.93 maps to CMS-HCC V28 category 385, Severe Skin Burn or Condition. See the ICD-10 to HCC mapping hub for how the V28 crosswalk works. The mapping identifies a payment HCC category for T32.93. Review its source-labeled HCC coefficient above, check the RAF Calculator with complete member context for CMS-HCC V28 PY2026, and confirm the documentation the chart needs before the code is submitted. HCC Buddy shows no RAF score unless every required source and calculation check passes.

Work T32.93 in HCC Buddy

Open T32.93 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.