A 3 year-old is brought to the burn unit after pulling a pot of hot soup off the stove and spilling it on herself. She sustained 18% second degree burns on her legs and 20% third degree burns on her chest and arms. Total body surface area burned is 38%. What ICD-10-CM codes are reported for the burns (do not include external cause codes for the accident)? A) T21.31XA, T22.20XA, T24.209A, T31.32
B) T21.31XA, T22.399A, T24.299A, T31.32
C) T21.31, T22.20, T24.209, T31.32
D) T21.21XA, T22.20XA, T24.209A, T31.23

The correct answer is - T21.31XA, T22.399A, T24.299A, T31.32.

Explanation:

ICD -10-CM is the code developed by the international classification of disease. There is a particular code for a medical term or disease in this code. According to this when there is more than one burn in the body, the burn of the highest degree should be written in the first position in any sequence.  

Burns, in this case, is on the chest and the arm is of the serious third-degree, therefore it must be the first position and written by subcategory T21.31.

other burns:

- Burn on upper limb/multiple sites - T22.399

- Burn on upper limb/multiple sites - T24.299

The code of percentage degree of burn is T31.32 which signifies 30-39 % body surface burn and 20-29 percent third degree burns

Finally it would be : T21.31XA, T22.399A, T24.299A, T31.32

i agree d is most definitely correct!