icd 10 code for grade 1 splenic laceration

Full Answer

What is the ICD 10 code for Laceration of the spleen?

Unspecified laceration of spleen, initial encounter. 2016 2017 2018 2019 Billable/Specific Code. S36.039A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM S36.039A became effective on October 1, 2018.

What are the grades of splenic laceration?

This Splenic laceration grading calculator determines the degree of splenic injury caused by blunt trauma based on spleen hematoma and laceration. Discover more about spleen trauma and the AAST grades in the text below the form. ■ Capsular laceration <1 cm depth. ■ Laceration 1-3 cm depth not involving trabecular vessels.

What is the AAST splenic injury grading system?

It is according to the American Association for the Surgery of Trauma (AAST) splenic injury grading system and comprises of the five gradings as explained below: ■ Capsular laceration <1 cm depth.

What is the grading for a splenic hematoma?

The grading depends on the extent and depth of the splenic hematoma and the existence or not of a laceration and if yes, in what dimensions. The spleen is one of the most commonly injured organs in the abdomen alongside the liver, it is placed in the left upper quadrant under the 9th to 12th pairs of ribs.

What is a grade 1 spleen laceration?

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.

How are splenic lacerations graded?

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.

What is the ICD 10 code for grade 3 splenic laceration?

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.

What is a splenic laceration?

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.

What is the ICD 10 code for spleen laceration?

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.

Which grade of splenic injury is best managed with surgery?

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].

What is the ICD-10 code for Hemoperitoneum?

ICD-10 code K66. 1 for Hemoperitoneum is a medical classification as listed by WHO under the range - Diseases of the digestive system .

What is Splenorrhaphy?

[ splĭ-nôr′ə-fē ] n. Suture of a ruptured spleen.

What is the CPT code for splenectomy?

Study Case and Codes CPT® provides six codes for spleen procedures: 38100 — Splenectomy; total (separate procedure) 38101 — … partial (separate procedure) 38102 — … total, en bloc for extensive disease, in conjunction with other procedure (List in...

How is splenic laceration diagnosed?

Tests and procedures used to diagnose a ruptured spleen include:Physical exam. Your doctor will press on your abdomen to determine the size of your spleen and whether it's tender.Blood tests. ... Checking for blood in your abdominal cavity. ... Imaging tests of your abdomen.

What is splenic avulsion?

Splenic avulsion which is the failure of the complex “Pancreatico-Splenic Ligament” (PSL) can occur in the hilar zone or the segmental zone. It is caused in part by the spleen mobility, which is a solid organ [3, 20]. The PSL is anatomically complex, continuous and heterogeneous.

What would a splenic injury present as?

The presentation of splenic injury depends upon associated internal hemorrhage. Patients may present with hypovolemic shock manifesting tachycardia, and hypotension. Other findings include tenderness in the upper left quadrant, generalized peritonitis, or referred pain to the left shoulder (Kehr's sign).

What is the ICd 10 code for spleen laceration?

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.

What is the secondary code for Chapter 20?

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.

What is the ICd 10 code for spleen laceration?

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.

What is the secondary code for Chapter 20?

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.-)