icd 10 code for postsurgical hematoma of thyroid following neck surgery

by Vena Price Sr. 4 min read

Postprocedural hemorrhage of an endocrine system organ or structure following an endocrine system procedure. E89. 810 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 E89.

Full Answer

What is the ICD-10 code for Post op hematoma?

3 for Postprocedural hematoma and seroma of skin and subcutaneous tissue following a procedure is a medical classification as listed by WHO under the range - Diseases of the skin and subcutaneous tissue .

What is the ICD-10 code for neck hematoma?

ICD-10-CM Code for Contusion of unspecified part of neck, initial encounter S10. 93XA.

How do you code a hematoma in ICD-10?

ICD-10 Code for Nontraumatic hematoma of soft tissue- M79. 81- Codify by AAPC.

What is the ICD-10 code for postsurgical hypothyroidism?

ICD-10 code E89. 0 for Postprocedural hypothyroidism is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .

What's the difference between a Contusion and a hematoma?

A bruise, also known as a contusion, typically appears on the skin after trauma such as a blow to the body. It occurs when the small veins and capillaries under the skin break. A hematoma is a collection (or pooling) of blood outside the blood vessel.

How do I code F07 81?

ICD-10 code F07. 81 for Postconcussional syndrome is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .Postcontusional syndrome (encephalopathy) ... Use additional code to identify associated post-traumatic headache, if applicable (G44.3-)More items...

What is nontraumatic hematoma of soft tissue?

Abstract. Soft-tissue hematomas are a common clinical entity often associated with trauma, surgery, and bleeding disorders. In the majority of cases, soft-tissue hematomas acutely appear and spontaneously resolve, but sometimes, they present as swellings that slowly expand and progressively increase with time.

What is an organized hematoma?

Organized hematoma is characterized pathologically by a mixture of bleeding, dilated vessels, hemorrhage, fibrin exudation, fibrosis, hyalinization, and neovascularization. CT and MRI show heterogeneous findings reflecting a mixture of these pathological entities.

What is a traumatic hematoma?

What is a hematoma? A hematoma is the result of a traumatic injury to your skin or the tissues underneath your skin. When blood vessels under your skin are damaged and leak, the blood pools and results in a bruise. A hematoma forms as your blood clots, resulting in swelling and pain.

What is postoperative hypothyroidism?

Postoperative hypothyroidism is secondary to thyroidectomy, and the incidence varies, with a reported range between 14% and 75%. This may be related to the amount of thyroid removed, the experience of the surgeon, age of patient, the function of remaining thyroid, and duration of postoperative observation.

How long after surgery is radioactive iodine?

Radioactive iodine therapy is usually planned for a few weeks (14 days or so) after thyroid surgery. The swelling that occurs after surgery can affect how well blood flows to that part of your neck, and good blood circulation is necessary to get as much radioactive iodine as possible to any remaining thyroid cells.

What is C73 diagnosis?

C73: Malignant neoplasm of thyroid gland.

Coding Notes for Z48.81 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.

ICD-10-CM Alphabetical Index References for 'Z48.81 - Encounter for surgical aftercare following surgery on specified body systems'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Z48.81. Click on any term below to browse the alphabetical index.

Is a return trip to the OR part of the global surgical package?

If they are doing it in the office and it does not require a return trip to the OR, then it's part of CMS's global surgical package.

Is it a good idea to check all of your payors' surgical package guidelines?

Also, it's a good idea to check all of your payors' surgical package guidelines. Most of them are published on their website .... and most ARE following CMS guidelines.

Is a hematoma part of normal recovery?

But then there is this following statement, in the manual, and according to the doctor and his wife, the hematoma is not part of normal recovery from surgery.

How long after thyroidectomy can you get a hematoma?

It is of note that nearly 20% of wound hematomas occurred ≥3 days post-thyroidectomy. Most previous studies reported only early-phase wound hematomas that developed within 24 h following thyroidectomy, with few studies discussing longer times. 4,7,9,13,14 Our results indicated that clinicians should be aware of the probability of late-phase wound hematoma occurring ≥3 days post-thyroidectomy.

What causes a hematoma after thyroidectomy?

According to a previous study, known causes of post-thyroidectomy hematoma include slipping of ligatures on major vessels, reopening of cauterized veins, retching and vomiting, Valsalva maneuver, increased blood pressure, and continuous exudation from the original thyroid location, in the postoperative period. 17.

What is the first choice for a hematoma?

When severe hematoma with rapid mucosal edema and upper airway swelling is detected, tracheotomy or intubation would generally be the first-choice emergency treatment, rather than surgery. In fact, the present study showed that only 399 of 920 patients with wound hematoma received surgery for the hematoma.

What is the primary outcome of a thyroidectomy?

The primary outcome was wound hematoma requiring tracheotomy, intubation, or surgical removal during the initial hospitalization or at readmission. The interval (days) between thyroidectomy and these procedures was calculated.

Can thyroid surgery cause hematoma?

Previous studies revealed that surgery for large lesions, 5,8,16 bilateral thyroidectomy, 5 inflammatory thyroid conditions, 1 and surgery for Graves disease 8,15 had a negative impact on postsurgical hematoma formation. Our study identified that surgery for Graves disease, total thyroidectomy (benign or malignant), thyroidectomy for malignant tumor, and thyroidectomy with neck dissection were independent risk factors for wound hematoma requiring early intervention. These results are biologically plausible for 2 reasons. First, compared with unilateral or partial thyroidectomy, total thyroidectomy usually leaves a large dead space after surgery. Thyroidectomy with neck dissection requires more complex procedures and a wider surgical area. These conditions may promote postsurgical exudation and hematoma formation. Second, thyroid parenchyma in patients with Graves disease is known to have increased vascularity, which is considered a risk factor for postprocedural bleeding. According to a previous study, known causes of post-thyroidectomy hematoma include slipping of ligatures on major vessels, reopening of cauterized veins, retching and vomiting, Valsalva maneuver, increased blood pressure, and continuous exudation from the original thyroid location, in the postoperative period. 17

Is tracheotomy the first choice for hematoma?

When severe hematoma with rapid mucosal edema and upper airway swelling is detected, tracheotomy or intubation would generally be the first-choice emergency treatment , rather than surgery. In fact, the present study showed that only 399 of 920 patients with wound hematoma received surgery for the hematoma.

Is thyroidectomy safe?

Thyroidectomy is generally safe and commonly performed for benign or malignant tumors and Graves disease and in the United States, short-stay thyroidectomy on an outpatient basis is increasingly common. 1–3 A potentially devastating early complication after thyroidectomy is the formation of a neck hematoma resulting in airway obstruction. Acute airway distress such as this deserves special attention because it is unpredictable and potentially lethal unless promptly evaluated and relieved emergently with surgical procedures. However, concern remains regarding the time interval from initial thyroidectomy to the onset of hematoma in light of the safety of short-stay thyroidectomy.

The ICD code K912 is used to code Short bowel syndrome

Short bowel syndrome (SBS, also short gut syndrome or simply short gut) is a malabsorption disorder caused by the surgical removal of the small intestine, or rarely due to the complete dysfunction of a large segment of bowel. Most cases are acquired, although some children are born with a congenital short bowel.

Coding Notes for K91.2 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.

MS-DRG Mapping

DRG Group #391-392 - Esophagitis, gastroent and misc digest disorders with MCC.

ICD-10-CM Alphabetical Index References for 'K91.2 - Postsurgical malabsorption, not elsewhere classified'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code K91.2. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 579.3 was previously used, K91.2 is the appropriate modern ICD10 code.