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T22.391 vs T22.392

T22.391 (Burn of third degree of multiple sites of right shoulder and upper limb, except wrist and hand) compared with T22.392 (Burn of third degree of multiple sites of left shoulder and upper limb, except wrist and hand), from the official CMS tabular data. T22.391 and T22.392 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

T22.391
Right
Burn of third degree of multiple sites of right shoulder and upper limb, except wrist and hand
↔
T22.392
Left
Burn of third degree of multiple sites of left shoulder and upper limb, except wrist and hand

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. T22.391 and T22.392 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

T22.391Burn of third degree of multiple sites of right shoulder and upper limb, except wrist and handT22.392Burn of third degree of multiple sites of left shoulder and upper limb, except wrist and hand
Billing statusNon-billable header

Report instead: T22.391A, T22.391D, T22.391S

Non-billable header

Report instead: T22.392A, T22.392D, T22.392S

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionBurn of third degree of multiple sites of right shoulder and upper limb, except wrist and hand is a non-billable ICD-10-CM category code (T22.391).Burn of third degree of multiple sites of left shoulder and upper limb, except wrist and hand is a non-billable ICD-10-CM category code (T22.392).
7th characterThe appropriate 7th character is to be added to each code from category T22The appropriate 7th character is to be added to each code from category T22
Includes
burns and corrosions of first degree [erythema]
burns and corrosions of second degree [blisters][epidermal loss]
burns and corrosions of third degree [deep necrosis of underlying tissue] [full- thickness skin loss]
burns and corrosions of first degree [erythema]
burns and corrosions of second degree [blisters][epidermal loss]
burns and corrosions of third degree [deep necrosis of underlying tissue] [full- thickness skin loss]
Use additional code
external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
code from category T31 or T32 to identify extent of body surface involved
external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
code from category T31 or T32 to identify extent of body surface involved
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources