ICD-10-CM Code T21.26XD

Burn of second degree of male genital region, subsequent encounter

Version 2020 Billable Code Diagnoses For Males Only POA Exempt

Valid for Submission

T21.26XD is a billable code used to specify a medical diagnosis of burn of second degree of male genital region, subsequent encounter. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code T21.26XD might also be used to specify conditions or terms like burn of male genitalia, burn of male perineum, deep partial thickness burn of genitalia, deep partial thickness burn of perineum, deep partial thickness burn of perineum, deep partial thickness burn of trunk, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code T21.26XD is applicable to male patients only. It is clinically and virtually impossible to use this code on a non-male patient.

ICD-10:T21.26XD
Short Description:Burn of second degree of male genital region, subs encntr
Long Description:Burn of second degree of male genital region, subsequent encounter

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Diagnoses for males only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to MALES only .

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Burn of male genitalia
  • Burn of male perineum
  • Deep partial thickness burn of genitalia
  • Deep partial thickness burn of perineum
  • Deep partial thickness burn of perineum
  • Deep partial thickness burn of trunk
  • Deep partial thickness burn of trunk
  • Partial thickness burn of genitalia
  • Partial thickness burn of genitalia
  • Partial thickness burn of male genitalia
  • Superficial partial thickness burn of genitalia
  • Superficial partial thickness burn of perineum
  • Superficial partial thickness burn of perineum
  • Superficial partial thickness burn of trunk
  • Superficial partial thickness burn of trunk

Diagnostic Related Groups

The ICD-10 code T21.26XD is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 949 - AFTERCARE WITH CC/MCC
  • 950 - AFTERCARE WITHOUT CC/MCC

Present on Admission (POA)

T21.26XD is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert T21.26XD to ICD-9

  • V58.89 - Other specfied aftercare (Approximate Flag)

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Burns and corrosions of external body surface, specified by site (T20-T25)
      • Burn and corrosion of trunk (T21)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


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.

There are three types of burns:

  • First-degree burns damage only the outer layer of skin
  • Second-degree burns damage the outer layer and the layer underneath
  • Third-degree burns damage or destroy the deepest layer of skin and tissues underneath

Burns can cause swelling, blistering, scarring and, in serious cases, shock, and even death. They also can lead to infections because they damage your skin's protective barrier. Treatment for burns depends on the cause of the burn, how deep it is, and how much of the body it covers. Antibiotic creams can prevent or treat infections. For more serious burns, treatment may be needed to clean the wound, replace the skin, and make sure the patient has enough fluids and nutrition.

NIH: National Institute of General Medical Sciences


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