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

ICD-10 T31.0

Billable / Specific

Burns involving less than 10% of body surface

T31
Block
0
Synonyms
136
LCDs
7
Payer Policies
0
Linked CPTs

About ICD-10-CM T31.0

ICD-10-CM code T31.0 represents Burns involving less than 10% of body surface. This is a billable/specific code in the Injury, Poisoning, and External Causes chapter (block T31). The 2026 edition of ICD-10-CM T31.0 became effective on October 1, 2025.

Coding Tips for T31.0

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 T31.0

Local Coverage Determinations (LCDs) from CMS MACs that list T31.0 as a covered diagnosis.

136 LCDs

Showing top 10 of 136 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Magnesium
Article ID: 59186, Effective: 2025-10-01 00:00:00, 4358 covered, 0 non-covered
CPT 83735 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29131 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29260 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29580 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97036 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29445 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97542 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97110 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97533 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29130 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing T31.0.

7 policies

5 Medicare

Billing and Coding: Tetanus Immunization
Policy ID: ART-52438
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Immunizations
Policy ID: ART-56900
Billing and Coding: Oximetry Services
Policy ID: ART-57205
Billing and Coding: Tetanus Immunization
Policy ID: ART-58872

CPT Codes Commonly Billed with T31.0

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

No procedure linkages on file for T31.0

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.

Convert T31.0 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
T31.0 94800 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To T31.0

Other codes in section T30-T32 (Burns and corrosions of multiple and unspecified body regions).

ICD-10 T31.0, Billing FAQ

Is ICD-10 code T31.0 billable? +

Yes, T31.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does T31.0 map to? +

Per CMS GEMs, T31.0 maps to ICD-9 codes: 94800. Useful for legacy data review and historical claim analysis.

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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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