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Home/Diagnosis/ICD-10 Coding for Hematoma Left Leg

ICD-10 Coding for Hematoma Left Leg

S80.12XA
M79.81

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

Also Known as:
Bruise Left Leg
Contusion Left Leg
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Key Information: ICD-10 Coding for Hematoma Left Leg

Essential facts and insights about ICD-10 Coding for Hematoma Left Leg

Use ICD-10 code S80.12XA for contusion of left lower leg, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Contusion of left lower leg, initial encounter

Billable Code
S80.12XA
Billable

Diagnostic Criteria

clinical:
  • • Presence of trauma history and ecchymosis
documentation:
  • • Documented fall or blunt force

Applicable To

  • • Traumatic hematoma of left lower leg

Important Notes

  • • Ensure laterality and trauma history are documented.

Nontraumatic hematoma

Billable Code
M79.81
Billable

Diagnostic Criteria

clinical:
  • • No trauma history
  • • Anticoagulant use
  • • Elevated INR

Applicable To

  • • Spontaneous hematoma of the left leg

Important Notes

  • • Ensure documentation of anticoagulant use or coagulopathy.
Ancillary Codes

Additional codes that may be used with this diagnosis

W00.0XXA

Fall from ladder, initial encounter

Use to specify the external cause of the traumatic hematoma.

Z79.01

Long-term (current) use of anticoagulants

Use to specify anticoagulant use in nontraumatic cases.

Frequently Asked Questions

What is the ICD-10 code for a hematoma on the left leg?

The ICD-10 code for a traumatic hematoma on the left leg is S80.12XA, while M79.81 is used for nontraumatic cases.

How do you document a hematoma on the left leg?

Document the size, laterality, cause (traumatic or nontraumatic), and any anticoagulant use to ensure accurate coding.

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