ED Coding and Reimbursement Alert

Difference in Burn Coding ICD-9 to ICD-10

ICD-9: Burns and Corrosions Classifications:

  • Body Site
  • Depth

          o Erythema: first degree.
          o Blistering: second degree.
          o Full Thickness Involvement: third degree.

  • Extent

          o Total Body Surface Area (TBSA).

  • External Cause

          o To identify the source, place and intent of the burn/corrosion.

ICD-10: Burns and Corrosions Classifications:

  • Body Site
  • Depth

          o Erythema: first degree.
          o Blistering: second degree.
          o Full Thickness Involvement: third degree.

  • Extent

          o Total Body Surface Area (TBSA).

  • External Cause/Agent

          o External Cause – To identify the source, place and intent of the burn.
          o Agent – To identify the chemical substance of the corrosion.

  • Laterality

          o Right.
          o Left.
          o Unspecified.

  • Encounter – For burns and corrosions, the seventh character designates the episode of care as:

          o Initial Encounter – A.
          o Subsequent Encounter – D.
          o Sequela – S.