ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 T23.042

Non-Billable Header

Burn of unspecified degree of multiple left fingers (nail), including thumb

T23
Block
0
Synonyms
0
LCDs
0
Payer Policies
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Linked CPTs

About ICD-10-CM T23.042

ICD-10-CM code T23.042 represents Burn of unspecified degree of multiple left fingers (nail), including thumb. This is a non-billable header code in the Injury, Poisoning, and External Causes chapter (block T23). The 2026 edition of ICD-10-CM T23.042 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Coding Tips for T23.042

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Injury chapter (S00-T88): 7th character extension required

Injury codes require a 7th character: A (initial encounter, active treatment), D (subsequent, healing/recovery), S (sequela, late effect of original injury). Codes with fewer than 6 characters need the placeholder X to bring them to 6 characters before adding the 7th. Wrong or missing 7th character is the #1 cause of injury claim denials.

Medicare LCD Coverage for T23.042

Local Coverage Determinations (LCDs) from CMS MACs that list T23.042 as a covered diagnosis.

No Medicare LCDs reference T23.042 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing T23.042.

No commercial payer policies reference T23.042 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but T23.042 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with T23.042

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for T23.042

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Codes Adjacent To T23.042

Other codes in section T20-T25 (Burns and corrosions of external body surface, specified by site).

T20 Burn and corrosion of head, face, and neck (non-billable) T20.0 Burn of unspecified degree of head, face, and neck (non-billable) T20.00 Burn of unspecified degree of head, face, and neck, unspecified site (non-billable) T20.01 Burn of unspecified degree of ear [any part, except ear drum] (non-billable) T20.011 Burn of unspecified degree of right ear [any part, except ear drum] (non-billable) T20.012 Burn of unspecified degree of left ear [any part, except ear drum] (non-billable) T20.019 Burn of unspecified degree of unspecified ear [any part, except ear drum] (non-billable) T20.02 Burn of unspecified degree of lip(s) (non-billable) T20.03 Burn of unspecified degree of chin (non-billable) T20.04 Burn of unspecified degree of nose (septum) (non-billable) T20.05 Burn of unspecified degree of scalp [any part] (non-billable) T20.06 Burn of unspecified degree of forehead and cheek (non-billable) T20.07 Burn of unspecified degree of neck (non-billable) T20.09 Burn of unspecified degree of multiple sites of head, face, and neck (non-billable) T20.1 Burn of first degree of head, face, and neck (non-billable) T20.10 Burn of first degree of head, face, and neck, unspecified site (non-billable) T20.11 Burn of first degree of ear [any part, except ear drum] (non-billable) T20.111 Burn of first degree of right ear [any part, except ear drum] (non-billable) T20.112 Burn of first degree of left ear [any part, except ear drum] (non-billable) T20.119 Burn of first degree of unspecified ear [any part, except ear drum] (non-billable)

ICD-10 T23.042, Billing FAQ

Is ICD-10 code T23.042 billable? +

No, T23.042 is a non-billable header code. Use a more specific child code from block T23 when submitting claims.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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