T31.90

T31.90: Burns involving 90% or more of body surface with 0% to 9% third degree burns

Billable / specific codeICD-10-CM

T31.90 is a billable, specific ICD-10-CM code for burns involving 90% or more of body surface with 0% to 9% third degree burns. It is valid for submission on a claim.

Check T31.90 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Burns involving 90% or more of body surface NOS

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

T31.90 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›90 percent or more
Burn›unspecified site with extent of body surface involved specified›90 percent or more(0-9 percent third degree)
Burn›extent›90 percent or more›with 0-9 percent third degree burns

Code history

Unchanged in every release from FY2024 to FY2027.