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ICD-10 T31.85

Burns involving 80-89% of body surface with 50-59% third degree burns

ICD10 T31.85 Injury, poisoning and certain other consequences of external causes

Description

Burns involving 80-89% of body surface with 50-59% third degree burns

Common Specialties

Emergency Medicine

Documentation Requirements

  • Document clinical indications and clear medical necessity supporting the encounter or procedure.
  • Ensure complete provider signatures, credentials, date, and specific place of service (POS).
  • Verify documentation strictly supports code specificity to prevent downcoding or claim denials.

Billing & Coding Tips

  • Verify current payer fee schedules, NCCI edits, and Medically Unlikely Edits (MUEs).
  • Append correct modifiers (e.g., 25, 59, 26, TC) where distinct procedural services or components apply.
  • Confirm pre-authorization rules with Medicare, Medicaid, and commercial plans before submission.

Related Codes

T31 T31.0 T31.1 T31.10 T31.11 T31.2 T31.20 T31.21 T31.22 T31.3 T31.30 T31.31 T31.32 T31.33 T31.4

Quantum Health Services provides full-cycle revenue cycle management and medical billing services nationwide. This code reference is for educational purposes; always verify official payer policies. CPT© descriptors require proper AMA licensing.