Patient is admitted with third degree burns of the scalp as well as second

Patient is admitted with third degree burns of the

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Patient is admitted with third-degree burns of the scalp as well as second-degree burns to the back of the right hand T20.35XA Burn of third degree of scalp [any part], initial encounter T23.261A Burn of second degree of back of right hand, initial encounter Explanation: Since burns to the hand and scalp are classified to two different three-digit categories, both burns may be reported as they represent distinct sites.
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Chapter 19. Injury, Poisoning and Certain Other Consequences of External Causes ICD-10-CM 2017 Chapter 19. Injury, Poisoning and Certain Other Consequences of External Causes Guidelines and Examples ICD-10-CM 2017 475 body surface involved, when the site of the burn is not specified or when there is a need for additional data. It is advisable to use category T31 as additional coding when needed to provide data for evaluating burn mortality, such as that needed by burn units. It is also advisable to use category T31 as an additional code for reporting purposes when there is mention of a third-degree burn involving 20 percent or more of the body surface. Categories T31 and T32 are based on the classic “rule of nines” in estimating body surface involved: head and neck are assigned nine percent, each arm nine percent, each leg 18 percent, the anterior trunk 18 percent, posterior trunk 18 percent, and genitalia one percent. Providers may change these percentage assignments where necessary to accommodate infants and children who have proportionately larger heads than adults, and patients who have large buttocks, thighs, or abdomen that involve burns. 7) Encounters for treatment of sequela of burns Encounters for the treatment of the late effects of burns or corrosions (i.e., scars or joint contractures) should be coded with a burn or corrosion code with the 7th character “S” for sequela. 8) Sequelae with a late effect code and current burn When appropriate, both a code for a current burn or corrosion with 7th character “A” or “D” and a burn or corrosion code with 7th character “S” may be assigned on the same record (when both a current burn and sequelae of an old burn exist). Burns and corrosions do not heal at the same rate and a current healing wound may still exist with sequela of a healed burn or corrosion. See Section I.B.10 Sequela (Late Effects) 9) Use of an external cause code with burns and corrosions An external cause code should be used with burns and corrosions to identify the source and intent of the burn, as well as the place where it occurred. e. Adverse effects, poisoning, underdosing and toxic effects Codes in categories T36-T65 are combination codes that include the substance that was taken as well as the intent. No additional external cause code is required for poisonings, toxic effects, adverse effects and underdosing codes.
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