To code a diagnosis of this type, you must use one of the four child codes of S36.0 that describes the diagnosis 'injury of spleen' in more detail. 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.
Disease of spleen, unspecified 1 D73.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2020 edition of ICD-10-CM D73.9 became effective on October 1, 2019. 3 This is the American ICD-10-CM version of D73.9 - other international versions of ICD-10 D73.9 may differ.
Splenic cyst ICD-10-CM D73.4 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 814 Reticuloendothelial and immunity disorders with mcc 815 Reticuloendothelial and immunity disorders with cc
The rupture of a normal spleen can be caused by trauma, such as a traffic collision. Side of thorax, showing surface markings for bones, lungs (purple), pleura (blue), and spleen (green).
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.
A ruptured spleen is an emergency medical condition that occurs when the capsule-like covering of the spleen breaks open, pouring blood into your abdominal area. Depending on the size of the rupture, a large amount of internal bleeding can occur. Your doctor may refer to a ruptured spleen as a "splenic rupture."
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. 2–6).
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.
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.
Common causes of non traumatic splenic rupture include myeloproliferative diseases, vasculitis and infections (such as malaria or infectious mononucleosis). However, diffuse large B-cell lymphoma (DLBCL) remains an obscure cause of splenic rupture that requires unique attention [4, 5].
Spleen is commonly injured in blunt abdominal trauma. Each year, an average of 25% (800 to 1200) of admissions are for blunt trauma.
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].
Other injury of spleen 1 S36.09 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 S36.09 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of S36.09 - other international versions of ICD-10 S36.09 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.-)
The 2021 edition of ICD-10-CM S36.09 became effective on October 1, 2020.
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.
ICD Code S36.0 is a non-billable code. To code a diagnosis of this type, you must use one of the four child codes of S36.0 that describes the diagnosis 'injury of spleen' in more detail.
S36.0. Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail. ICD Code S36.0 is a non-billable code. To code a diagnosis of this type, you must use one of the four child codes of S36.0 that describes the diagnosis 'injury ...
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.-)
The 2022 edition of ICD-10-CM S36.0 became effective on October 1, 2021.
The 2022 edition of ICD-10-CM P15.1 became effective on October 1, 2021.
P15.1 should be used on the newborn record - not on the maternal record.
Spleen disease. Clinical Information. A disorder of the spleen. A non-neoplastic or neoplastic disorder affecting the spleen. Examples include infection, hemangioma, lymphoma, leukemia and angiosarcoma. Condition in which there is a deviation from or interruption of the normal structure or function of the spleen.
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. Certain diseases might cause your spleen to swell. You can also damage or rupture your spleen in an injury, especially if it is already swollen.
The 2022 edition of ICD-10-CM D73.9 became effective on October 1, 2021.
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. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.