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T31.62 ICD-10-CM Code: Burns involving 60-69% of body surface with 20-29% 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, 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.

Official Registry Overview & Definition

Burns involving 60-69% of body surface with 20-29% third degree burns is a billable ICD-10-CM diagnosis code (T31.62).

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), 60-69 percent, with 20-29 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, 60-69 percent (0-9 percent third degree), with, 20-29 percent third degree

Change history

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

Verify Before Coding

  • MCC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.

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

Relationships & Classification

Potential MS-DRG Relationships (FY2026)

MCC — Major Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 110 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 1 MS-DRG: DRG 927 (MDC 22).

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

Clinical classification (AHRQ CCSR):INJ019 — Burn and corrosion, initial encounter (default).

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

Contextual Map

Every relationship of T31.62 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]

Clinical classification (CCSR)

  • INJ019 — Burn and corrosion, initial encounter [CCSR]

Risk adjustment (CMS-HCC)

  • HCC 385 — Severe Skin Burn [CMS-HCC]

Potential MS-DRG

  • MCC — Major Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (MCC).”
  • DRG 927 — EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT [MS-DRG]: “EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT (MDC 22)”

MDC crossing · procedures (377)

  • MDC 22 — Burns [MDC crossing]: “Burns — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • 0HR0X72 — Replacement of Scalp Skin with Autologous Tissue Substitute, Cell Suspension Technique, External Approach [Same-MDC procedure]: “Replacement of Scalp Skin with Autologous Tissue Substitute, Cell Suspension Technique, External Approach — grouped in MDC 22, the procedure side of this code's crossing.” · check together
  • 0HR0X73 — Replacement of Scalp Skin with Autologous Tissue Substitute, Full Thickness, External Approach [Same-MDC procedure]: “Replacement of Scalp Skin with Autologous Tissue Substitute, Full Thickness, External Approach — grouped in MDC 22, the procedure side of this code's crossing.” · check together
  • 0HR0X74 — Replacement of Scalp Skin with Autologous Tissue Substitute, Partial Thickness, External Approach [Same-MDC procedure]: “Replacement of Scalp Skin with Autologous Tissue Substitute, Partial Thickness, External Approach — grouped in MDC 22, the procedure side of this code's crossing.” · check together
  • 0HR0XJ3 — Replacement of Scalp Skin with Synthetic Substitute, Full Thickness, External Approach [Same-MDC procedure]: “Replacement of Scalp Skin with Synthetic Substitute, Full Thickness, External Approach — grouped in MDC 22, the procedure side of this code's crossing.” · check together
  • 0HR0XJ4 — Replacement of Scalp Skin with Synthetic Substitute, Partial Thickness, External Approach [Same-MDC procedure]: “Replacement of Scalp Skin with Synthetic Substitute, Partial Thickness, External Approach — grouped in MDC 22, the procedure side of this code's crossing.” · check together
  • and 372 more

Index entries

  • Burn (electricity) (flame) (hot gas, liquid or hot object) (radiation) (steam) (thermal), extent (percentage of body surface), 60-69 percent, with 20-29 percent third degree burns[Index term]
  • Burn (electricity) (flame) (hot gas, liquid or hot object) (radiation) (steam) (thermal), unspecified site with extent of body surface involved specified, 60-69 percent (0-9 percent third degree), with, 20-29 percent third degree[Index term]

Nearest codes (40)

  • T31 — Burns classified according to extent of body surface involved [Sibling]
  • T31.30 — Burns involving 30-39% of body surface with 0% to 9% third degree burns [Sibling]
  • T31.31 — Burns involving 30-39% of body surface with 10-19% third degree burns [Sibling]
  • T31.32 — Burns involving 30-39% of body surface with 20-29% third degree burns [Sibling]
  • T31.33 — Burns involving 30-39% of body surface with 30-39% third degree burns [Sibling]
  • T31.4 — Burns involving 40-49% of body surface [Sibling]
  • T31.40 — Burns involving 40-49% of body surface with 0% to 9% third degree burns [Sibling]
  • T31.41 — Burns involving 40-49% of body surface with 10-19% third degree burns [Sibling]
  • and 32 more

Nearest Codes in This Family

Official ICD-10-CM classifications closest to T31.62 in its code family, with their registry titles.

  • T31.54 — Burns involving 50-59% of body surface with 40-49% third degree burns
  • T31.55 — Burns involving 50-59% of body surface with 50-59% 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
  • T31.63 — Burns involving 60-69% of body surface with 30-39% third degree burns
  • T31.64 — Burns involving 60-69% of body surface with 40-49% third degree burns
  • T31.65 — Burns involving 60-69% of body surface with 50-59% third degree burns
  • T31.66 — Burns involving 60-69% of body surface with 60-69% third degree burns
  • T31.7 — Burns involving 70-79% of body surface

View all codes in the T31 family