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Home/Diagnosis/ICD-10 Coding for Splenic Lesion

ICD-10 Coding for Splenic Lesion

S36.031A
C26.1
D18.09

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

Also Known as:
Spleen Injury
Splenic Mass
Splenic Tumor
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Key Information: ICD-10 Coding for Splenic Lesion

Essential facts and insights about ICD-10 Coding for Splenic Lesion

Use ICD-10 code S36.031A for moderate laceration of spleen, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Moderate laceration of spleen, initial encounter

Billable Code
S36.031A
Billable

Diagnostic Criteria

  • • CT scan confirms moderate laceration with no active bleeding.

Applicable To

  • • Moderate splenic laceration

Important Notes

  • • Ensure documentation specifies the depth and extent of the laceration.

Malignant neoplasm of spleen

Billable Code
C26.1
Billable

Diagnostic Criteria

  • • Biopsy confirming malignancy
  • • Imaging showing heterogeneous mass with necrosis

Applicable To

  • • Primary splenic cancer

Important Notes

  • • Ensure histological confirmation of malignancy is documented.

Hemangioma of spleen

Billable Code
D18.09
Billable

Diagnostic Criteria

  • • Imaging showing peripheral nodular enhancement
  • • Biopsy confirming benign nature

Applicable To

  • • Benign vascular tumor of spleen

Important Notes

  • • Document imaging findings clearly to differentiate from malignant lesions.
Ancillary Codes

Additional codes that may be used with this diagnosis

S31.83XA

Open wound of abdomen, initial encounter

Use when there is an open wound associated with the splenic injury.

Z85.06

Personal history of malignant neoplasm of lymphoid, hematopoietic and related tissue

Use to indicate a history of lymphoma or other hematologic malignancies.

R16.1

Splenomegaly, not elsewhere classified

Use when splenomegaly is present with the hemangioma.

Frequently Asked Questions

What is the ICD-10 code for a splenic lesion?

The ICD-10 code for a splenic lesion depends on the type: S36.031A for moderate traumatic laceration, C26.1 for malignant neoplasm, and D18.09 for hemangioma.

How do you document a splenic lesion?

Document the lesion's size, type (traumatic or neoplastic), and specific characteristics such as laceration depth or enhancement pattern for accurate coding.

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