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ICD-10 Guide
ICD-10 CodesChapter 19: Injury, poisoning and other consequences of external causesT22

T22

Non-billable

Burn and corrosion of shoulder and upper limb, except wrist and hand

Chapter 19:Injury, poisoning and other consequences of external causes

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 T22 is a used to indicate a diagnosis of burn and corrosion of shoulder and upper limb, except wrist and hand.

Key Diagnostic Point:

The ICD-10 Level 1 Category code T22 encompasses burns and corrosions affecting the shoulder and upper limb, excluding the wrist and hand. This category includes a variety of injuries resulting from thermal, chemical, or electrical sources. Clinical conditions covered under this category can range from minor burns to severe tissue damage, which may require extensive medical intervention. Accurate coding is essential for proper treatment planning and reimbursement, as these injuries can significantly affect a patient's functional capacity and quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in burn severity
  • Potential for complications
  • Need for multidisciplinary care

Audit Risk Factors

  • Inadequate documentation of burn severity
  • Misclassification of burn type
  • Failure to capture associated injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Plastic Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical impact of T22 codes is significant, as they relate to injuries that can lead to long-term functional impairment and require ongoing management. From an administrative perspective, accurate coding is vital for quality measures and population health tracking. Understanding the trends in burn injuries can inform preventive measures and resource allocation within healthcare systems, ultimately improving patient outcomes.

ICD-9 vs ICD-10

The clinical impact of T22 codes is significant, as they relate to injuries that can lead to long-term functional impairment and require ongoing management. From an administrative perspective, accurate coding is vital for quality measures and population health tracking. Understanding the trends in burn injuries can inform preventive measures and resource allocation within healthcare systems, ultimately improving patient outcomes.

Reimbursement & Billing Impact

Reimbursement may depend on the specific treatment rendered, such as wound care, surgical intervention, or follow-up visits. It is crucial to ensure that all services provided are well-documented and correlate with the codes submitted to avoid denials and ensure appropriate reimbursement.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for T22

Coding & Billing References

  • •
    Official ICD-10 Guidelines for T22

Frequently Asked Questions

What conditions are included in T22?

T22 includes various types of burns and corrosions affecting the shoulder and upper limb, such as first-degree burns, second-degree burns, and chemical burns that do not involve the wrist and hand.

When should I use T22 codes?

T22 codes should be used when documenting burns or corrosions specifically located on the shoulder and upper limb, ensuring that the injury is not affecting the wrist or hand.

What documentation is required for T22?

Documentation for T22 should include details about the burn type, severity, extent of the injury, treatment provided, and any associated complications to support the coding.