icd 10 code for spleen laceration

Unspecified 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 2019 edition of ICD-10-CM S36.039A became effective on October 1, 2018.

Full Answer

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

S36.031ACodes 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 Grade 3 laceration of the spleen?

Grade 3 is hematoma of more than 50% of the subcapsular surface area or if the hematoma is known to be expanding over time, if the hematoma has ruptured, intraparenchymal hematoma either more than 5 cm or known to be expanding, or capsule laceration more than 3 cm in depth and/or involving a trabecular blood vessel.

What is Grade 2 spleen laceration?

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. 2–6). Spleen Injury Grading. Figure 1.

How serious is a Grade 3 spleen laceration?

Grade 3: This mid-stage rupture is a tear more than 3 cm deep. It can also involve the splenic artery or a hematoma that covers over half of the surface area. A grade 3 rupture can also mean that a hematoma is present in the organ tissue that is greater than 5 cm or expanding.

What is a spleen laceration?

A ruptured spleen is typically caused by a blow to the left upper abdomen or the left lower chest, such as might happen during sporting accidents, fistfights and car crashes. An injured spleen can rupture soon after the abdominal trauma or, in some cases, days or weeks after the injury. An enlarged spleen.27 Apr 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.

What is a Grade 1 splenic laceration?

Spleen injury: Grade I. Subcapsular hematoma, <10% surface area capsular tear, < 1 cm in depth. Grade II. Subcapsular hematoma, nonexpanding, 10-50% surface area Intraparenchymal.

How do you assess splenic injury?

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.29 Jan 2022

What is lacerated wound?

A laceration or cut refers to a skin wound. Unlike an abrasion, none of the skin is missing. A cut is typically thought of as a wound caused by a sharp object, like a shard of glass. Lacerations tend to be caused by blunt trauma.

Can a person survive without a spleen?

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.

Which grade of splenic injury is best managed with surgery?

Blunt trauma. NOM is considered the gold standard for the treatment of patients with blunt splenic trauma (BST) who are hemodynamically stable after an initial resuscitation, in the absence of peritonitis and associated injuries requiring laparotomy [15, 25,26,27,28].18 Aug 2017

What is a grade 4 liver laceration?

Grade IV: laceration: parenchymal disruption involving 25-75% hepatic lobe or 1-3 Couinaud segments. Grade V: laceration: parenchymal disruption involving >75% of hepatic lobe or >3 Couinaud segments within a single lobe; vascular: juxtahepatic venous injuries (ie, retrohepatic vena cava/central major hepatic veins).8 Jun 2017

What is 7th Character Extension?

For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier.

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.

Coding Notes for S36.032 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 'S36.032 - Major laceration of spleen'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code S36.032. Click on any term below to browse the alphabetical index.

What is the spleen?

Your spleen is an organ above your stomach and under your ribs on your left side. It is about as big as your fist. The spleen is part of your lymphatic system, which fights infection and keeps your body fluids in balance. It contains white blood cells that fight germs. Your spleen also helps control the amount of blood in your body, and destroys old and damaged cells.

What is the S36.03 code?

S36.03 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of laceration of spleen. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Can you live without a spleen?

If your spleen is too damaged, you might need surgery to remove it. You can live without a spleen. Other organs , such as your liver, will take over some of the spleen's work. Without a spleen, however, your body will lose some of its ability to fight infections.