Alphabetic Index FY2027

T28.40XA

Burn of unspecified internal organ, initial encounter

FY2027Chapter 19: Injury, poisoning and certain other consequences of external causes/T26–T28 Burns and corrosions confined to eye and internal organs

BillableComplete code, valid to report

T28.40XA (also written T2840XA) is a billable ICD-10-CM diagnosis code for burn of unspecified internal organ, initial encounter. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 54 codes in category T28 (Burn and corrosion of other internal organs). The Alphabetic Index lists it under 1 entry. Its 7th character, A, means initial encounter. Its coding notes include a Use additional code instruction and 2 Excludes2 entries.

7th character

Category T28 requires a 7th character. T28.40 has only 5 characters, so a placeholder X fills the 6th position.

Assembled code T28.40XA Open code

Guidelines tips

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

The 7th character depends on whether the patient is in active treatment, not on who sees the patient. An aftercare Z code is not used for injury aftercare.

Guidelines I.C.19.aInjuries: application of 7th charactersRead the official text

Late effects of burns are coded with 7th character S, and a current burn and a sequela of an old burn can be coded together. An external cause code is used with burns.

Guidelines I.C.19.d.7; I.C.19.d.8; I.C.19.d.9Burn sequelae and external causeRead the official text

Use additional code

Add the listed code as a secondary code, if known.

Inherited from T28 Burn and corrosion of other internal organs
  • external cause code to identify the source and intent of the burn (X00-X19, X75-X77, X96-X98)
  • external cause code to identify place (Y92)
Also from chapter/block level (1 note)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • code to identify any retained foreign body, if applicable (Z18.-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (2 notes)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Notes

Also from chapter/block level (2 notes)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • 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.

Alphabetic Index terms

Terms the official Alphabetic Index lists for T28.40. This code adds the 7th character. 1 entry