2027 ICD-10-CM Diagnosis Code T22.692ACorrosion of second degree of multiple sites of left shoulder and upper limb, except wrist and hand, initial encounter

ICD-10-CM Codes›S00–T88›T20-T25›T22

ICD-10-CM T22.692A
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

T22.692A is a billable ICD-10-CM diagnosis code for corrosion of second degree of multiple sites of left shoulder and upper limb, except wrist and hand, 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 935. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Burn and corrosion, initial encounter.

Code Identity

ICD-10-CM Code
T22.692A
Billable Status
Yes — Valid for Submission
Code Describes
Corrosion of second degree of multiple sites of left shoulder and upper limb, except wrist and hand, initial encounter
Short Description
Corros 2nd deg mul site of l shldr/up lmb, ex wrs/hnd, init
Parent Code
T22.692
Corrosion of second degree of multiple sites of left shoulder and upper limb, except wrist and hand

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionT20-T25Burns and corrosions of external body surface, specified by site
CategoryT22Burn and corrosion of shoulder and upper limb, except wrist and hand
This CodeT22.692ACorrosion of second degree of multiple sites of left shoulder and upper limb, except wrist and hand, initial encounter

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 shoulder and upper limb, except wrist and hand (T22). 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 T22.692A: its own notes plus those printed at T22.6, T22, 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 T22 Burn and corrosion of shoulder and upper limb, except wrist and hand applies to 528 codes
  • burn and corrosion of interscapular region (T21.-)
  • burn and corrosion of wrist and hand (T23.-)
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

Code First

The underlying condition named in the note is sequenced before this code.

From T22.6 Corrosion of second degree of shoulder and upper limb, except wrist and hand applies to 66 codes
  • (T51-T65) to identify chemical and intent

Use Additional Code

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

From T22.6 Corrosion of second degree of shoulder and upper limb, except wrist and hand applies to 66 codes
  • external cause code to identify place (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 T22 Burn and corrosion of shoulder and upper limb, except wrist and hand applies to 528 codes
  • The appropriate 7th character is to be added to each code from category T22
Values for category T22 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter this code
  • Dsubsequent encounter
  • Ssequela

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

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name T22.692A, its category, or a range that includes it.

Excludes2 3

These codes carry an Excludes2 note naming T22.692A: its condition is not part of those codes, and both may be reported when the patient has both.

  • T21 Burn and corrosion of trunk
    burns and corrosion of axilla (T22.- with fifth character 4) names T22.-, which includes this code
  • T21 Burn and corrosion of trunk
    burns and corrosion of scapular region (T22.- with fifth character 6) names T22.-, which includes this code
  • T21 Burn and corrosion of trunk
    burns and corrosion of shoulder (T22.- with fifth character 5) names T22.-, which includes this code

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 T22.692A to ICD-9-CMHistory

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

ICD-9-CM
943.29 2nd deg burn arm-mult
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 T22.692AOverview

Is T22.692A a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report corrosion of second degree of multiple sites of left shoulder and upper limb, except wrist and hand, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character A in T22.692A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for corrosion of second degree of multiple sites of left shoulder and upper limb, except wrist and hand, such as an emergency visit or first evaluation.

What MS-DRG does T22.692A group to?

When corrosion of second degree of multiple sites of left shoulder and upper limb, except wrist and hand, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 935 (Non-Extensive Burns), which carries a relative weight of 2.4232. Higher weights mean higher Medicare reimbursement.

Does T22.692A need an additional code?

When the condition applies, yes. The Use Additional Code note at T22.6, which applies to T22.692A, reads: external cause code to identify place (Y92). The additional code is reported after T22.692A.

What is the ICD-9 equivalent of T22.692A?

Under the General Equivalence Mappings, corrosion of second degree of multiple sites of left shoulder and upper limb, except wrist and hand, initial encounter converts to ICD-9-CM 943.29 (2nd deg burn arm-mult). The mapping is approximate, so confirm the match fits the documentation.