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ICD-10/T20.09XD

T20.09XD ICD-10-CM Code: Burn of unspecified degree of multiple sites of head, face, and neck, subsequent encounter

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Official Registry Overview & Definition

Burn of unspecified degree of multiple sites of head, face, and neck, subsequent encounter is a billable ICD-10-CM diagnosis code (T20.09D).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T20.09XD in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • 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]

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
  • Use additional code from category T31 or T32 to identify extent of body surface involved

Change history

No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.

Verify Before Coding

  • Billable — reportable as written.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Contextual Map

Every relationship of T20.09XD in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
  • T20-T25 — Burns and corrosions of external body surface, specified by site [Hierarchy]

Referenced by Excludes1 notes

  • T07 — Unspecified multiple injuries [Excludes1](via T20.-): “burns and corrosions (T20-T32)”
  • T66 — Radiation sickness, unspecified [Excludes1](via T20.-): “burns (T20-T31)”

Referenced by Excludes2 notes (121)

  • S00 — Superficial injury of head [Excludes2](via T20.-): “burns and corrosions (T20-T32)”
  • S00-S09 — Injuries to the head (S00-S09) [Excludes2](via T20.-): “burns and corrosions (T20-T32)”
  • S01 — Open wound of head [Excludes2](via T20.-): “burns and corrosions (T20-T32)”
  • S02 — Fracture of skull and facial bones [Excludes2](via T20.-): “burns and corrosions (T20-T32)”
  • S03 — Dislocation and sprain of joints and ligaments of head [Excludes2](via T20.-): “burns and corrosions (T20-T32)”
  • S04 — Injury of cranial nerve [Excludes2](via T20.-): “burns and corrosions (T20-T32)”
  • S05 — Injury of eye and orbit [Excludes2](via T20.-): “burns and corrosions (T20-T32)”
  • S06 — Intracranial injury [Excludes2](via T20.-): “burns and corrosions (T20-T32)”
  • and 113 more

Clinical classification (CCSR)

  • INJ056 — Burns and corrosion, subsequent encounter [CCSR]

Potential MS-DRG

  • DRG 949 — AFTERCARE WITH CC/MCC [MS-DRG]: “AFTERCARE WITH CC/MCC (MDC 23)”
  • DRG 950 — AFTERCARE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE WITHOUT CC/MCC (MDC 23)”

Nearest codes (40)

  • T20 — Burn and corrosion of head, face, and neck [Sibling]
  • T20.03XD — Burn of unspecified degree of chin, subsequent encounter [Sibling]
  • T20.03XS — Burn of unspecified degree of chin, sequela [Sibling]
  • T20.04 — Burn of unspecified degree of nose (septum) [Sibling]
  • T20.04XA — Burn of unspecified degree of nose (septum), initial encounter [Sibling]
  • T20.04XD — Burn of unspecified degree of nose (septum), subsequent encounter [Sibling]
  • T20.04XS — Burn of unspecified degree of nose (septum), sequela [Sibling]
  • T20.05 — Burn of unspecified degree of scalp [any part] [Sibling]
  • and 32 more

Referenced by Other Codes

Clinical classification (AHRQ CCSR):INJ056 — Burns and corrosion, subsequent encounter (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 2 MS-DRGs: DRG 949 (MDC 23), DRG 950 (MDC 23).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Official ICD-10-CM tabular notes on other codes that name T20.09XD or its code family.

2 Excludes1 notes: T07 (via T20.-), T66 (via T20.-).

121 Excludes2 notes: S00 (via T20.-), S00-S09 (via T20.-), S01 (via T20.-), S02 (via T20.-), S03 (via T20.-), S04 (via T20.-), S05 (via T20.-), S06 (via T20.-), S07 (via T20.-), S08 (via T20.-) and 111 more.

Frequently Asked Questions (FAQ) & Clinical Guidance

Does T20.09XD require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category T20.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to T20.09XD in its code family, with their registry titles.

  • T20.07XA — Burn of unspecified degree of neck, initial encounter
  • T20.07XD — Burn of unspecified degree of neck, subsequent encounter
  • T20.07XS — Burn of unspecified degree of neck, sequela
  • T20.09 — Burn of unspecified degree of multiple sites of head, face, and neck
  • T20.09XA — Burn of unspecified degree of multiple sites of head, face, and neck, initial encounter
  • T20.09XS — Burn of unspecified degree of multiple sites of head, face, and neck, sequela
  • T20.1 — Burn of first degree of head, face, and neck
  • T20.10 — Burn of first degree of head, face, and neck, unspecified site
  • T20.10XA — Burn of first degree of head, face, and neck, unspecified site, initial encounter
  • T20.10XD — Burn of first degree of head, face, and neck, unspecified site, subsequent encounter

View all codes in the T20 family