icd 10 code for grade 2 spleen laceration

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

Major laceration of spleen, initial encounter 2016 2017 2018 2019 2020 2021 Billable/Specific Code S36.032A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM S36.032A became effective on October 1, 2020.

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 ICD-10 grading for liver lacerations?

According to all the educational materials I can find, however, liver lacerations are on a grading scale (grades 1-5). How does your institution code the liver laceration if they only give measurements of the lacerations? A: To start, the ICD-10-CM Tabular List gives the measurements for each of the three definitions.

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 Grade 2 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.

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.

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.

How are spleen 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 for a ruptured spleen not due to an injury?

S36. 032A 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. 032A became effective on October 1, 2021.

What is a Grade 3 laceration?

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.

What is the ICD-10-CM code for multiple moderate lacerations of the spleen initial encounter?

S36.031AICD-10 code S36. 031A for Moderate laceration of spleen, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .

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 splenic injury?

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 a Grade 2 liver laceration?

Grade II: hematoma: subcapsular 10-50% surface area; intraparenchymal <10 cm diameter; laceration: capsular tear 1-3 cm parenchymal depth, <10 cm in length.

How is a lacerated spleen treated?

Some people require immediate surgery. Others heal with rest and time. Many small or moderate-sized injuries to the spleen can heal without surgery....Surgery for a ruptured spleen can include:Repairing the spleen. ... Removing the spleen (splenectomy). ... Removing part of the spleen.

How long does it take a lacerated spleen to heal?

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.

What is the ICD-10-CM code for multiple moderate lacerations of the spleen initial encounter?

S36.031AICD-10 code S36. 031A for Moderate laceration of spleen, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .

What is splenic injury?

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 causes a hematoma on the spleen?

Splenic hematomas usually result from abdominal trauma or clotting disorders, or they occur in association with splenic neoplasia, such as hemangiosarcoma or lymphosarcoma. Their location varies from intraparenchymal to subcapsular, and hemorrhage may be seen adjacent to the spleen.

Is ruptured spleen fatal?

If you have an enlarged spleen, a less forceful trauma might cause rupture. Without emergency treatment, the internal bleeding caused by a ruptured spleen can be life-threatening.

What is the ICd 10 code for spleen laceration?

Major laceration of spleen, initial encounter 1 S36.032A 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 S36.032A became effective on October 1, 2020. 3 This is the American ICD-10-CM version of S36.032A - other international versions of ICD-10 S36.032A 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.

How does this Splenic laceration grading calculator work?

This is a health tool that aims to provide clinicians with a quick mean to assess the splenic injury presentation, whether it is caused by blunt or penetrative trauma. 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:

What are the risk factors for spleen trauma?

A new risk factor in spleen trauma is colonoscopy as there have been increasing reports of damage to the spleen following such a procedure. Another risk factor includes a preexisting injury or illness such as hematologic abnormalities leading to acute enlargement of the spleen with a thinning of the capsule.

What is the most used non-invasive exploratory mean to observe the spleen and any trauma?

Computed tomography is the most used non invasive exploratory mean to observe the spleen and any trauma. The most frequent findings include:

Where is the spleen located in the abdomen?

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 9 th to 12 th pairs of ribs.

Is splenic trauma a blunt trauma?

Splenic injury is most observed in blunt trauma. Blunt splenic trauma management is similar to other types of organ trauma, starting with ensuring the airway is clear as well as circulation not impaired. Patients are then checked for vitals and seen whether they are hemodynamically stable or not and whether there is any profuse bleeding and if so, which is the cause. In the last case, exploratory abdominal surgery might be required.

What is a minor laceration?

Minor: Laceration involving capsule only or without significant involvement of hepatic parenchyma (less than one centimeter deep)

How deep is a laceration?

If you are in a situation where the laceration is less than 10 centimeters long but more than 3 centimeters deep, you should query the provider on internal organ injuries if they were documented using the American Association for the Surgery of Trauma (AAST) grading scale.

Can you code liver lacerations as minor?

Q: According to our software vendor, you can only code liver lacerations as minor, moderate, or major. According to all the educational materials I can find, however, liver lacerations are on a grading scale (grades 1-5). How does your institution code the liver laceration if they only give measurements of the lacerations?