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A patient was admitted for deep erythema of the anterior and posterior upper and lower bilateral...

A patient was admitted for deep erythema of the anterior and posterior upper and lower bilateral legs, bilateral upper arms, chest, back, and gluteal region. Physician’s estimate is that 81% to 90% of total body surface appears to be affected by first-degree burn. Burns were sustained after using a tanning bed multiple times during the course of the day. Patient is very uncomfortable and slightly dehydrated. Patient is treated with IV hydration, morphine sulfate for pain, and silvadene to burns.

Final diagnosis: First-degree burns to 90% of body.

Assign the appropriate codes.(3)

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Answer #1

Answer: The appropriate codes for diagnosis as first - degree burn to 90% of the body is T21. 11X.It is actually a non- billable. The seventh character must be used which describes the diagnosis of first degree burn of 90% of chest wall. Now the billable code would be T21. 11XA/T21.11XD/T21.11XS which represents first degree burn of 90% at the initial encounter, subsequent encounter and sequelae respectively.

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