icd code for splenectomy

by Lucile Ullrich 9 min read

Acquired absence of spleen
Z90. 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the code for total splenectomy?

38100 (Splenectomy; total (separate procedure))

What is the PCS code for laparoscopic partial splenectomy?

CPT code 38101 should be reported if performed a partial splenectomy; and CPT code 38102 is assigned if performed a total splenectomy in conjunction with another procedure.

What is the ICD-10 code for splenomegaly?

ICD-10 code: R16. 1 Splenomegaly, not elsewhere classified.

What diagnosis Z71 89?

ICD-10 code Z71. 89 for Other specified counseling is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is partial splenectomy?

If only part of the spleen is removed, the procedure is called a partial splenectomy. Unlike some other organs, like the liver, the spleen does not grow back (regenerate) after it is removed. Up to 30% of people have a second spleen (called an accessory spleen).

What is the difference between excision and resection?

Resection is similar to excision except it involves cutting out or off, without replacement, all of a body part. Resection includes all of a body part or any subdivision of a body part having its own body part value in ICD-10-PCS, while excision includes only a portion of a body part.

Is splenomegaly a diagnosis?

Splenomegaly can usually be diagnosed through palpation during a physical exam. In rare occasions a normal-sized, healthy spleen can also be felt during a physical exam.

What is the diagnosis for ICD-10 code R50 9?

ICD-10 | Fever, unspecified (R50. 9)

What is the ICD-10 code for splenic infarct?

ICD-10-CM Code for Infarction of spleen D73. 5.

Can Z76 89 be a primary diagnosis?

The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is Z76. 89, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first.

What is diagnosis code Z79 899?

ICD-10 Codes for Long-term TherapiesCodeLong-term (current) use ofZ79.84oral hypoglycemic drugsZ79.891opiate analgesicZ79.899other drug therapy21 more rows•Aug 15, 2017

What is R53 83?

ICD-9 Code Transition: 780.79 Code R53. 83 is the diagnosis code used for Other Fatigue. It is a condition marked by drowsiness and an unusual lack of energy and mental alertness. It can be caused by many things, including illness, injury, or drugs.

Overview

A splenectomy is the surgical procedure that partially or completely removes the spleen. The spleen is an important organ in regard to immunological function due to its ability to efficiently destroy encapsulated bacteria. Therefore removal of the spleen runs the risk of overwhelming post-splenectomy infection, a medical emergency and rapidly fatal disease caused by the inability of the bod…

Indications

The spleen is an organ located in the abdomen next to the stomach. It is composed of red pulp which filters the blood, removing foreign material, damaged and worn out red blood cells. It also functions as a storage site for iron, red blood cells and platelets. The rest (~25%) of the spleen is known as the white pulp and functions like a large lymph node being the largest secondary lymphoid organ in the body. Apart from regular lymphatic function the white pulp contains splenic macroph…

Procedure

Laparoscopy is the preferred procedure in cases where the spleen is not too large and when the procedure is elective. Open surgery is performed in trauma cases or if the spleen is enlarged. Either method is major surgery and is performed under general anesthesia. Vaccination for S. pneumoniae, H. influenza and N. meningitidis should be given pre-operatively if possible to minimize the chance of overwhelming post-splenectomy infection (OPSI), a rapid-developing and …

Side effects

Splenectomy causes an increased risk of sepsis, particularly overwhelming post-splenectomy sepsis due to encapsulated organisms such as S. pneumoniae and Haemophilus influenzae which are no longer able to be destroyed. It has been found that the risk of acquiring sepsis is 10 to 20 times higher in a splenectomized patient compared to a non-splenectomized patient, which can result in death, especially in young children. Therefore, patients are administered the pneumococ…

Subtotal splenectomy

Much of the spleen's protective roles can be maintained if a small amount of spleen can be left behind. Where clinically appropriate, attempts are now often made to perform either surgical subtotal (partial) splenectomy, or partial splenic embolization. In particular, whilst vaccination and antibiotics provide good protection against the risks of asplenia, this is not always available in poorer countries. However, as it may take some time for the preserved splenic tissue to provide …

See also

• Asplenia
• Autosplenectomy
• Overwhelming post-splenectomy infection
• Lymphatic system
• Infectious mononucleosis