T31.50 — Burns involving 50-59% of body surface with 0% to 9% third degree burns
T31.50 is a billable, specific ICD-10-CM code for burns involving 50-59% of body surface with 0% to 9% third degree burns. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Burns involving 50-59% of body surface NOS
Risk adjustment
T31.50 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
T31.50 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 T31.50 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 T31.50.
- Burn›extent›50-59 percent
- Burn›unspecified site with extent of body surface involved specified›50-59 percent(0-9 percent third degree)
- Burn›extent›50-59 percent›with 0-9 percent third degree burns
Related codes at this level
Codes that share T31.5. If T31.50 is not quite right, the correct code is usually one of these.
- T31.51Burns involving 50-59% of body surface with 10-19% third degree burns
- T31.52Burns involving 50-59% of body surface with 20-29% third degree burns
- T31.53Burns involving 50-59% of body surface with 30-39% third degree burns
- T31.54Burns involving 50-59% of body surface with 40-49% third degree burns
- T31.55Burns involving 50-59% of body surface with 50-59% third degree burns
Questions about T31.50
- Is T31.50 a billable ICD-10-CM code?
- Yes. T31.50 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T31.50 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).