T31.0 — Burns involving less than 10% of body surface
T31.0 is a billable, specific ICD-10-CM code for burns involving less than 10% of body surface. It is valid for submission on a claim.
Risk adjustment
T31.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
T31.0 is named in 9 Medicare coverage policies — 7 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A57067Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A52438Billing and Coding: Tetanus Immunization
- A53065Billing and Coding: Outpatient Physical Therapy
How T31.0 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to T31.0.
- Burn›extent›less than 10 percent
- Burn›unspecified site with extent of body surface involved specified›less than 10 percent
Related codes at this level
Codes that share T31. If T31.0 is not quite right, the correct code is usually one of these.
- T31.1Burns involving 10-19% of body surface
- T31.2Burns involving 20-29% of body surface
- T31.3Burns involving 30-39% of body surface
- T31.4Burns involving 40-49% of body surface
- T31.5Burns involving 50-59% of body surface
- T31.6Burns involving 60-69% of body surface
- T31.7Burns involving 70-79% of body surface
- T31.8Burns involving 80-89% of body surface
- T31.9Burns involving 90% or more of body surface
Questions about T31.0
- Is T31.0 a billable ICD-10-CM code?
- Yes. T31.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T31.0 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Burns and corrosions of multiple and unspecified body regions (T30-T32).