T31.40
T31.40: Burns involving 40-49% of body surface with 0% to 9% third degree burns
Billable / specific codeICD-10-CM
T31.40 is a billable, specific ICD-10-CM code for burns involving 40-49% of body surface with 0% to 9% third degree burns. It is valid for submission on a claim.
Check T31.40 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Burns involving 40-49% of body surface NOS
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
T31.40 is named in 9 Medicare coverage policies: 7 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- 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
Alphabetic index entries that lead here
- Burn›extent›40-49 percent
- Burn›unspecified site with extent of body surface involved specified›40-49 percent(0-9 percent third degree)
- Burn›extent›40-49 percent›with 0-9 percent third degree burns
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under T31.4
- T31.41Burns involving 40-49% of body surface with 10-19% third degree burns
- T31.42Burns involving 40-49% of body surface with 20-29% third degree burns
- T31.43Burns involving 40-49% of body surface with 30-39% third degree burns
- T31.44Burns involving 40-49% of body surface with 40-49% third degree burns