2018/2019 ICD-10-CM Diagnosis Code T21.4

Corrosion of unspecified degree of trunk

Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • external cause code to identify place (
    ICD-10-CM Diagnosis Code Y92

    Place of occurrence of the external cause

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Applicable To
    • The following category is for use, when relevant, to identify the place of occurrence of the external cause. Use in conjunction with an activity code.
    • Place of occurrence should be recorded only at the initial encounter for treatment
    Y92
    )
Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • (T51-T65
    ICD-10-CM Range T51-T65

    Toxic effects of substances chiefly nonmedicinal as to source

    Note
    • When no intent is indicated code to accidental. Undetermined intent is only for use when there is specific documentation in the record that the intent of the toxic effect cannot be determined.
    Type 1 Excludes
    • contact with and (suspected) exposure to toxic substances (Z77.-)
    Use Additional
    • code(s):
    • for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70)
    • personal history of foreign body fully removed (Z87.821)
    • to identify any retained foreign body, if applicable (Z18.-)
    • T51 Toxic effect of alcohol
    • T52 Toxic effect of organic solvents
    • T53 Toxic effect of halogen derivatives of a...
    • T54 Toxic effect of corrosive substances
    • T55 Toxic effect of soaps and detergents
    • T56 Toxic effect of metals
    • T57 Toxic effect of other inorganic substanc...
    • T58 Toxic effect of carbon monoxide
    • T59 Toxic effect of other gases, fumes and v...
    • T60 Toxic effect of pesticides
    • T61 Toxic effect of noxious substances eaten...
    • T62 Toxic effect of other noxious substances...
    • T63 Toxic effect of contact with venomous an...
    • T64 Toxic effect of aflatoxin and other myco...
    • T65 Toxic effect of other and unspecified su...
    ) to identify chemical and intent
The following code(s) above T21.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to T21.4:
  • S00-T88
    2019 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • 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
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
  • T20-T25
    2019 ICD-10-CM Range T20-T25

    Burns and corrosions of external body surface, specified by site

    Includes
    • 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]
    Use Additional
    • code from category T31 or T32 to identify extent of body surface involved
    Burns and corrosions of external body surface, specified by site
  • T21
    ICD-10-CM Diagnosis Code T21

    Burn and corrosion of trunk

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • burns and corrosion of hip region
    Type 2 Excludes
    • burns and corrosion of axilla (T22.- with fifth character 4)
    • burns and corrosion of scapular region (T22.- with fifth character 6)
    • burns and corrosion of shoulder (T22.- with fifth character 5)
    Burn and corrosion of trunk
Code History
ICD-10-CM Codes Adjacent To T21.4
T21.36XD …… subsequent encounter
T21.36XS …… sequela
T21.37 Burn of third degree of female genital region
T21.37XA …… initial encounter
T21.37XD …… subsequent encounter
T21.37XS …… sequela
T21.39 Burn of third degree of other site of trunk
T21.39XA …… initial encounter
T21.39XD …… subsequent encounter
T21.39XS …… sequela
T21.4 Corrosion of unspecified degree of trunk
T21.40 Corrosion of unspecified degree of trunk, unspecified site
T21.40XA …… initial encounter
T21.40XD …… subsequent encounter
T21.40XS …… sequela
T21.41 Corrosion of unspecified degree of chest wall
T21.41XA …… initial encounter
T21.41XD …… subsequent encounter
T21.41XS …… sequela
T21.42 Corrosion of unspecified degree of abdominal wall
T21.42XA …… initial encounter

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.