These conditions include diabetes, high blood pressure, heart disease, kidney disease, and multiple sclerosis. People with partial-thickness burns over 10% or more of the total body surface area (TBSA)īurns of the face, hands, feet, groin, or genital area, or burns that extend all the way around a part of the bodyīurns that happen along with an inhalation injury that affects the airway or the lungsīurns that occur with existing long-term (chronic) conditions that may greatly affect how the burn heals. Occasionally, an additional classification called fourth-degree burns is used. The American Burn Association recommends that those who meet these criteria should be treated at a specialized burn center: The age of a burn victim, the location of the burn, and the percentage of the body's surface area affected are the most important factors affecting the outlook of a burn injury. Second-degree burns penetrate the epidermis and extend into the next layer of skin, the dermis. These burns usually are quite mild, though they may hurt a lot. Sunburn is a good example of a first-degree type burn. There is no feeling in the area because of nerve damage.īurns that are more severe and widespread need specialized treatment. First-degree burns affect only the top layer of skin (the epidermis). When bones, muscles, or tendons are also burned, this may be called a fourth-degree burn. Second-degree burns take 58 days to heal if the damage is deep. First-degree burns are usually healed completely within 35 days. Third-degree burns may also damage the underlying bones, muscles, and tendons. Healing Time for the Different Degrees of Burns. Third-degree (full thickness) burns. Third-degree burns destroy the epidermis and dermis. The burn site appears red, blistered, and may be swollen and painful. Second-degree (partial thickness) burns. Second-degree burns involve the epidermis and part of the dermis layer of skin. Long-term tissue damage is rare and usually involves an increase or decrease in the skin color. The burn site is red, painful, dry, and with no blisters. Burns are classified as first-, second-, or third-degree, depending on how deep and severely they penetrate the skin's surface.įirst-degree (superficial) burns. First-degree burns affect only the epidermis, or outer layer of skin. T20.00XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
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