Blisters, epidermal loss [second degree], unspecified site

This code represents a second-degree burn characterized by blistering and partial-thickness epidermal loss, where the specific anatomical location of the burn is not documented. It indicates damage extending through the epidermis and into the dermis, but not through the full thickness of the skin.

Use this code when documentation clearly states a second-degree burn with blistering and epidermal loss, but the physician's notes do not specify the body site affected. This is appropriate for initial encounters where the exact location is unknown or not recorded, or for follow-up if the site remains unspecified.

• Avoid using this code if a more specific anatomical site for the second-degree burn is documented.
• Distinguish from first-degree burns (erythema only) and third-degree burns (full-thickness skin destruction).
• Always seek clarification from the provider if the burn site is missing from the documentation.