2027 ICD-10-CM Diagnosis Code T20.33XABurn of third degree of chin, initial encounter

ICD-10-CM Codes›S00–T88›T20-T25›T20

ICD-10-CM T20.33XA
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

T20.33XA is a billable ICD-10-CM diagnosis code for burn of third degree of chin, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 927 through 929, 933 through 934. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 4 closely related codes. Coders also document this condition as burn of chin. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Burn and corrosion, initial encounter.

Code Identity

ICD-10-CM Code
T20.33XA
Billable Status
Yes — Valid for Submission
Code Describes
Burn of third degree of chin, initial encounter
Short Description
Burn of third degree of chin, initial encounter
Same as the full description in the CMS dataset.
Parent Code
T20.33
Burn of third degree of chin

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionT20-T25Burns and corrosions of external body surface, specified by site
CategoryT20Burn and corrosion of head, face, and neck
This CodeT20.33XABurn of third degree of chin, initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Burn of chin
  • Deep third degree burn of chin
  • Deep third degree burn of face
  • Deep third degree burn of head
  • Full thickness burn of chin

Coding GuidelinesGuidance

The ICD-10-CM makes a distinction between burns and corrosions. The burn codes are for thermal burns, except sunburns, that come from a heat source, such as a fire or hot appliance. The burn codes are also for burns resulting from electricity and radiation. Corrosions are burns due to chemicals. The guidelines are the same for burns and corrosions.

Sequence first the code that reflects the highest degree of burn when more than one burn is present.

  • When the reason for the admission or encounter is for treatment of external multiple burns, sequence first the code that reflects the burn of the highest degree.
  • When a patient has both internal and external burns, the circumstances of admission govern the selection of the principal diagnosis or first-listed diagnosis.
  • When a patient is admitted for burn injuries and other related conditions such as smoke inhalation and/or respiratory failure, the circumstances of admission govern the selection of the principal or first-listed diagnosis.

Current burns (T20-T25) are classified by depth, extent and by agent (X code). Burns are classified by depth as first degree (erythema), second degree (blistering), and third degree (full-thickness involvement).

Classify burns of the same local site (three-character category level, T20-T28) but of different degrees to the subcategory identifying the highest degree recorded in the diagnosis.

The appropriate 7th character is to be added to each code from block Burn and corrosion of head, face, and neck (T20). Use the following options for the applicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to T20.33XA: its own notes plus those printed at T20.3, T20, block T20-T32, block T20-T25, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Block T20-T32 applies to 2,584 codes
  • burns (thermal) from electrical heating appliances
  • burns (thermal) from electricity
  • burns (thermal) from flame
  • burns (thermal) from friction
  • burns (thermal) from hot air and hot gases
  • burns (thermal) from hot objects
  • burns (thermal) from lightning
  • burns (thermal) from radiation
  • chemical burn [corrosion] (external) (internal)
  • scalds
From Block T20-T25 Burns and corrosions of external body surface, specified by site applies to 2,304 codes
  • burns and corrosions of first degree [erythema]
  • burns and corrosions of second degree [blisters][epidermal loss]
  • burns and corrosions of third degree [deep necrosis of underlying tissue] [full- thickness skin loss]

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From T20 Burn and corrosion of head, face, and neck applies to 264 codes
  • burn and corrosion of ear drum (T28.41, T28.91)
  • burn and corrosion of eye and adnexa (T26.-)
  • burn and corrosion of mouth and pharynx (T28.0)
From Block T20-T32 applies to 2,584 codes
  • erythema [dermatitis] ab igne (L59.0)
  • radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
  • sunburn (L55.-)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From T20.3 Burn of third degree of head, face, and neck applies to 33 codes
  • external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)
From Block T20-T25 Burns and corrosions of external body surface, specified by site applies to 2,304 codes
  • code from category T31 or T32 to identify extent of body surface involved
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

From T20 Burn and corrosion of head, face, and neck applies to 264 codes
  • The appropriate 7th character is to be added to each code from category T20
Values for category T20 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter this code
  • Dsubsequent encounter
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ019
Burn and corrosion, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Burns

A burn is damage to your body's tissues caused by heat, chemicals, electricity, sunlight, or radiation. Scalds from hot liquids and steam, building fires and flammable liquids and gases are the most common causes of burns. Another kind is an inhalation injury, caused by breathing smoke.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert T20.33XA to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
941.34 3rd deg burn chin
Approximate The match is approximate rather than exact.
ICD-9-CM
941.44 Deep 3rd deg burn chin
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About T20.33XAOverview

What is the ICD-10 code for burn of third degree of chin, initial encounter?

The ICD-10-CM code for burn of third degree of chin, initial encounter is T20.33XA (sometimes written as T2033XA). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is T20.33XA (Burn of third degree of chin) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report burn of third degree of chin, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character A in T20.33XA mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for burn of third degree of chin, such as an emergency visit or first evaluation.

What MS-DRG does T20.33XA group to?

When burn of third degree of chin, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 929, 927, 934, 928, 933, with relative weights from 1.8882 to 27.8336 depending on complications. Higher weights mean higher Medicare reimbursement.

Is T20.33XA a CC or MCC?

CMS lists T20.33XA as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 4 closely related codes in its exclusion list.