Primary Care Coding Alert

You Be the Coder:

Selecting Correct ICD-9 Code for Multiple Burns

Question: An established patient reports to our physician with firstand second-degree burns to his abdominal wall from a steam burn. During an E/M service, the physician uses gauze and topical ointment to treat the patient's burn. Notes indicate that the anterior trunk is "18% burned." How many diagnosis codes should I include on the claim?Georgia SubscriberAnswer: You'll report two diagnosis codes; one for the burn and one for the total body surface area (TBSA) burned. On your claim, report the following:The appropriate burn treatment code. Since the patient suffered both first and second degree burns on 18% of the body, consider 16030 (Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area). Had the burns been first-degree only, the alternative code would be 16000(Initial treatment, first degree burn, when no more than local treatment is required).The appropriate [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Primary Care Coding Alert

View All

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.