T31.55 ICD-10-CM Code: Burns involving 50-59% of body surface with 50-59% third degree burns
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 (FY2026), Appendix B.
- MS-DRG 927 — EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT (MDC 22)
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.
Risk Adjustment (CMS-HCC)
Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.
- HCC 385 — Severe Skin Burn
Other models: CMS-HCC V22 HCC 162
Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Nearest Codes in This Family
Official ICD-10-CM classifications closest to T31.55 in its code family, with their registry titles.
- T31.50 — Burns involving 50-59% of body surface with 0% to 9% third degree burns
- T31.51 — Burns involving 50-59% of body surface with 10-19% third degree burns
- T31.52 — Burns involving 50-59% of body surface with 20-29% third degree burns
- T31.53 — Burns involving 50-59% of body surface with 30-39% third degree burns
- T31.54 — Burns involving 50-59% of body surface with 40-49% third degree burns
- T31.6 — Burns involving 60-69% of body surface
- T31.60 — Burns involving 60-69% of body surface with 0% to 9% third degree burns
- T31.61 — Burns involving 60-69% of body surface with 10-19% third degree burns
- T31.62 — Burns involving 60-69% of body surface with 20-29% third degree burns
- T31.63 — Burns involving 60-69% of body surface with 30-39% third degree burns
Indexed Clinical Terms (2)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Burn (electricity) (flame) (hot gas, liquid or hot object) (radiation) (steam) (thermal), extent (percentage of body surface), 50-59 percent, with 50-59 percent third degree burns
- Burn (electricity) (flame) (hot gas, liquid or hot object) (radiation) (steam) (thermal), unspecified site with extent of body surface involved specified, 50-59 percent (0-9 percent third degree), with, 50-59 percent third degree