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Home/Diagnosis/ICD-10 Coding for Hematoma

ICD-10 Coding for Hematoma

T81.0
M79.81

Complete ICD-10-CM coding and documentation guide for icd-10 coding for hematoma includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Bruise
Blood Clot
Contusion
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Key Information: ICD-10 Coding for Hematoma

Essential facts and insights about ICD-10 Coding for Hematoma

Use ICD-10 code T81.0 for postprocedural hematoma, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Postprocedural hematoma

Non-Billable
T81.0
Non-Billable

Diagnostic Criteria

  • • Hematoma occurs at the site of a recent procedure.

Applicable To

  • • Post-surgical hematoma

Important Notes

  • • Ensure documentation specifies the procedure and hematoma linkage.

Nontraumatic hematoma of soft tissue

Billable Code
M79.81
Billable

Diagnostic Criteria

  • • Documentation of nontraumatic etiology
  • • INR >3.0 if anticoagulant-related

Applicable To

  • • Spontaneous hematoma

Important Notes

  • • Ensure documentation clearly states nontraumatic nature.
Ancillary Codes

Additional codes that may be used with this diagnosis

T81.4

Infection following a procedure

Use when infection complicates the hematoma.

D68.3

Hemorrhagic disorder due to anticoagulants

Use when anticoagulants contribute to the hematoma.

Frequently Asked Questions

How is a postprocedural hematoma coded?

A postprocedural hematoma is coded as T81.0, provided there is documentation linking it to a recent procedure.

What ICD-10 code is used for a nontraumatic hematoma?

For a nontraumatic hematoma, use ICD-10 code M79.81, ensuring documentation specifies the nontraumatic nature.

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