ICD-10-CM Billable Code

T22.20

Burn of second degree of shoulder and upper limb, except wrist and hand, unspecified site

Clinical Classification Guidelines

Medical Intelligence & Overview

A second-degree burn, also known as a partial-thickness burn, affects the outer layers of the skin and can cause significant pain, swelling, and blistering. When such burns occur on the shoulder and upper limb (excluding the wrist and hand), they may result from various sources of heat or chemical exposure. This type of burn involves damage beyond the outermost skin layer, reaching into the underlying tissue, and requires appropriate care to promote healing and prevent complications.

Causes & Symptoms

Clinical Causes: Exposure to hot liquids or steam Contact with flames or fire Hot surfaces or objects Chemical burns from caustic substances Electrical burns causing intense heat Sunburns causing severe skin damage

Key Symptoms: Pain, often severe and throbbing Redness and swelling in the affected area Blister formation, which may be filled with fluid Tenderness to touch Possible skin discoloration or mottling In some cases, a raw or wet appearance of the skin Limited or impaired movement depending on the burn’s extent Scarring may develop as the burn heals

Diagnostic & Treatment

Diagnosis Path: A healthcare provider will evaluate the burn by examining the affected area, noting the depth, size, and location of the burn. They may assess the presence of blisters, swelling, and burns' impact on surrounding tissues. Additional tests are rarely needed for diagnosis but may include imaging if underlying injuries or complications are suspected. The severity of the burn is categorized based on clinical assessment, guiding treatment options.

Treatment Protocols: Immediate cooling of the burn area with running water for at least 10-20 minutes Gentle cleaning to prevent infection Application of sterile dressings to protect the area Use of prescribed topical antibiotics if infection risk is high Pain management through over-the-counter or prescribed analgesics Keeping the area clean and moist to facilitate healing Monitoring for signs of infection, such as increased redness, pus, or fever In cases of extensive burns, hospitalization may be necessary for wound care, fluid management, and pain control Surgical interventions, like skin grafts, may be required for severe or non-healing burns Follow-up care includes wound assessment, physical therapy if joints are affected, and scar management Avoiding sun exposure and trauma to the healing skin area

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is T22.20 a billable ICD-10 code?
Yes, T22.20 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report T22.20?
Clinical documentation must specify the nature of Burn of second degree of shoulder and upper limb, except wrist and hand, unspecified site and any associated comorbidities for accurate reporting.

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