Complete ICD-10-CM coding and documentation guide for icd-10 coding for splenic laceration includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Splenic Laceration
Use ICD-10 code S36.030A for minor laceration of spleen, initial encounter, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Other complications of procedures, not elsewhere classified, initial encounter
Use when there is active bleeding or other complications.
The ICD-10 code for a major splenic laceration is S36.032A, used for lacerations greater than 3cm or with vascular involvement.
Document the laceration depth, hematoma size, and AAST grade to ensure accurate coding and treatment planning.