Burn of unspecified degree of buttock, initial encounter

This code signifies a burn injury to the buttock where the depth of the burn (e.g., first, second, or third degree) has not been documented by the provider. It is used for the initial treatment or evaluation of the burn.

Apply this code when a patient presents with a burn to the buttock, and the medical record clearly states "burn of unspecified degree" or lacks specific documentation regarding the burn's depth. This code is appropriate for the initial encounter for treatment of this burn.

• Always query the provider for burn depth if "unspecified" is documented, as more specific codes exist.
• Ensure the "A" seventh character for "initial encounter" is appropriate for the patient's current visit.
• Do not use this code if the burn degree is documented, even if it's a minor burn.