Codes S36. 031A, Moderate laceration of spleen, initial encounter, and S36. 029A, Unspecified contusion of spleen, initial encounter, were assigned to describe a grade 3 splenic laceration with contusion.
S36.032S36. 032 - Major laceration of spleen. ICD-10-CM.
Spleen trauma is graded from 1 to 5 in increasing order of severity. Grade 1 is less than 10% of surface area involved in hematoma or capsule laceration less than 1 cm. Grade 2 is hematoma 10 to 50% of surface or capsule laceration 1 to 3 cm in depth.
The grading is based on the CT scan, operative, or autopsy findings. There are five grades of splenic injury (Fig. 1; Table 1). Generally, grades I and II are considered as minor injuries, grade III as a moderate injury, and grades IV and V as severe injuries (Figs.
S36.039AUnspecified laceration of spleen, initial encounter S36. 039A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S36. 039A became effective on October 1, 2021.
A grade III laceration is characterized by a laceration that is > 3 cm of parenchymal depth, a subcapsular hematoma that is > 50% surface area of ruptured subcapsular or parenchymal hematoma, and an intraparenchymal hematoma that is > 10 cm or expanding. 13.
A ruptured spleen is a medical emergency that occurs as a result of a break in your spleen's surface. Your spleen, situated just under your rib cage on your left side, helps your body fight infection and filter old blood cells from your bloodstream.
Splenic rupture occurs when the spleen is placed under intense pressure/duress, strong enough to tear or separate the outer lining of the organ. A ruptured spleen accounts for 10% of all abdominal injuries.
Some people require immediate surgery. Others heal with rest and time. Many small or moderate-sized injuries to the spleen can heal without surgery. You're likely to stay in the hospital while doctors observe your condition and provide nonsurgical care, such as blood transfusions, if necessary.
Symptoms of a ruptured spleen can include left-side abdominal pain, referred left shoulder pain, lightheadedness, confusion, dizziness, and blurred vision. Some individuals may also experience hemorrhagic shock as a result of massive blood loss. A ruptured spleen can be life-threatening if not treated promptly.
Computed Tomography (CT) The CT scan is the diagnostic modality of choice for detecting solid organ injuries. CT scans may show disruption in the normal splenic parenchyma, surrounding hematoma, and free intra-abdominal blood. CT scan is also useful in identifying solid organ vascular injuries.
The Eastern Association for the Surgery of Trauma (EAST) recommends NOM in blunt splenic trauma in all hemodynamically stable children irrespective of the AAST injury grade [140, 141].
Savage et al indicated that splenic healing occurs within 2 to 2.5 months, regardless of the severity of initial injury, but they stressed the importance of clinical correlation. Within the pediatric surgical literature, multiple authors support 3 months for healing prior to return to activity.
The Eastern Association for the Surgery of Trauma (EAST) recommends NOM in blunt splenic trauma in all hemodynamically stable children irrespective of the AAST injury grade [140, 141].
The spleen is a fist-sized organ in the upper left side of your abdomen, next to your stomach and behind your left ribs. It's an important part of your immune system, but you can survive without it. This is because the liver can take over many of the spleen's functions.
Your spleen's main function is to act as a filter for your blood. It recognizes and removes old, malformed, or damaged red blood cells. When blood flows into your spleen, your spleen performs "quality control"; your red blood cells must pass through a maze of narrow passages.
A splenic injury, which includes a ruptured spleen, is any injury to the spleen. The rupture of a normal spleen can be caused by trauma, such as a traffic collision.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code S36.03. Click on any term below to browse the alphabetical index.
Unspecified laceration of spleen, initial encounter 1 S36.039A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM S36.039A became effective on October 1, 2020. 3 This is the American ICD-10-CM version of S36.039A - other international versions of ICD-10 S36.039A may differ.
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. Type 1 Excludes.
The 2022 edition of ICD-10-CM S36.039A became effective on October 1, 2021.
Moderate laceration of spleen 1 S36.031 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM S36.031 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of S36.031 - other international versions of ICD-10 S36.031 may differ.
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. code to identify any retained foreign body, if applicable ( Z18.-)
S36.031 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
ICD Code S36.031 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'moderate laceration of spleen' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:
The ICD code S360 is used to code Splenic injury. A splenic injury, which includes a ruptured spleen, is any injury to the spleen. The rupture of a normal spleen can be caused by trauma, such as a traffic collision. Specialty: Emergency Medicine.
The 2022 edition of ICD-10-CM S36.0 became effective on October 1, 2021.
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. code to identify any retained foreign body, if applicable ( Z18.-)
Unspecified laceration of spleen, initial encounter 1 S36.039A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM S36.039A became effective on October 1, 2020. 3 This is the American ICD-10-CM version of S36.039A - other international versions of ICD-10 S36.039A may differ.
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. Type 1 Excludes.
The 2022 edition of ICD-10-CM S36.039A became effective on October 1, 2021.