T23.26 Burn of second degree of back of hand

Name of the Condition

• Burn of second degree of back of hand

Summary

A second-degree burn, also known as a partial-thickness burn, affects both the outer layer of skin (epidermis) and part of the dermis. When such a burn occurs on the back of the hand, it can cause pain, blistering, and swelling. The severity and treatment depend on the extent of tissue involvement and the specific circumstances of the injury.

Causes

Second-degree burns can result from exposure to hot liquids (scalds), direct contact with flames, touching hot surfaces, or extended sun exposure. Chemical burns or electrical injuries may also lead to similar damage in this region.

Risk Factors

• Occupational hazards for individuals working with hot materials or chemicals.
• Age (children and older adults may have more sensitive skin).
• Engaging in activities near open flames or heat sources without protective measures.

Symptoms

• Redness, blistering, swelling, and pain at the site of the burn.
• The area may appear wet or shiny and is typically sensitive to touch.

Diagnosis

Diagnosis is usually made through physical examination by a healthcare professional, assessing the extent and depth of the burn. In some cases, additional assessments may include evaluating for signs of infection or complications.

Treatment Options

• Cool the burn with running water and cover with a sterile, non-adhesive dressing.
• Pain management may involve over-the-counter or prescription medications.
• Topical antibiotics or burn creams may be applied to prevent infection.
• Severe cases may require professional wound care or referral to a specialist.

Prognosis and Follow-Up

Most second-degree burns on the back of the hand heal within 2–3 weeks with proper care. Follow-up may be needed to monitor healing, especially if blisters are present or if infection signs develop. Scarring is possible, and physical therapy might be recommended for functional recovery if mobility is affected.

Complications

• Infection, which can delay healing or worsen tissue damage.
• Scarring or changes in skin texture.
• Reduced mobility or stiffness in the hand if the burn affects underlying tissues.
• Hypersensitivity to temperature or touch in the affected area.

Lifestyle & Prevention

• Use protective gloves when handling hot objects or chemicals.
• Avoid prolonged sun exposure and use sunscreen on exposed skin.
• Keep hot liquids and appliances out of reach of children.
• Follow safety protocols in workplaces with burn risks.

When to Seek Professional Help

Seek medical attention if the burn is larger than 3 inches, shows signs of infection (pus, increased redness, fever), or affects a joint. Immediate care is needed for burns caused by chemicals, electricity, or if blisters are large or widespread.

Tips for Medical Coders

Document the specific location (back of hand) and degree of burn (second degree) clearly in the medical record. Ensure the code T23.26 is used when the burn is confined to the back of the hand and not other hand regions. Verify that the burn depth is confirmed as partial-thickness (second degree) to support accurate coding.