![]() When a patient is admitted for burn injuries and other related conditions such as smoke inhalation and/or respiratory failure, the circumstances of admission govern the selection of the principal diagnosis.When a patient has both internal and external burns/corrosions, the circumstances of admission govern the selection of the principal diagnosis (i.e., first-listed diagnosis.When the reason for the admission or encounter is for treatment of external burns/corrosions, sequence the code that reflects the highest degree first.When more than one burn/corrosion is present, sequence the code that reflects the highest degree first.In addition to the distinction, there are coding conventions that are essential in attaining the correct code assignment. ICD-10 makes a distinction between burns and corrosions. The same code is used for burns and corrosions. ICD-9: Body Site, Depth, Extent and External cause NOTE: Burns of the eye and internal organs are classified by site, not by degree. Encounter – For burns and corrosions, the seventh character designates the episode of care as:. ![]() Agent – To identify the chemical substance of the corrosion.External Cause – To identify the source, place and intent of the burn.ICD-10: Burns and Corrosions Classifications: To identify the source, place and intent of the burn/corrosion.Full Thickness Involvement: third degree.ICD-9: Burns and Corrosions Classifications: Burn codes apply to thermal burns (except sunburns) that come from a heat source, such as fire, hot appliance, electricity and radiation. ICD-10 also makes a distinction between burns and corrosions. The additional concepts are reporting the agent or cause of the corrosion, laterality and encounter. The same will be reported in ICD-10 but with a few additional concepts. In ICD-9, burn codes are reported by body site, depth, extent and an additional code to identify the external cause, when applicable. This article will explore the new clinical concept that distinguishes burns and corrosions as conveyed in ICD-10.
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