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.
S36.032AMajor laceration of spleen, initial encounter The 2022 edition of ICD-10-CM S36. 032A became effective on October 1, 2021.
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.
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.
Spleen Injury GradingGradeTypeDescriptionLacerationCapsular tear, <1 cm parenchymal depthIIHematomaSubcapsular, 10–50%, SA; intraparenchymal <5 cm diameterLaceration1–3 cm parenchymal; no trabecular vessel involvementIIIHematomaSubcapsular, >50% SA or expanding; ruptured subcapsular or parenchymal hematoma5 more rows
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).Jun 8, 2017
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.
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.
Splenic (artery) embolization is an endovascular technique for treatment of splenic and splenic artery pathology as an alternative to splenic artery ligation or splenectomy. It often results in successfully treating the underlying pathology, while maintaining at least partial splenic function.Jul 22, 2021
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.Apr 27, 2021
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.Apr 27, 2021
The typical presentation includes left upper quadrant pain, abdominal distension, and hypotension. Left shoulder pain may occur due to diaphragmatic irritation.Jan 29, 2022