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.
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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.
Additional codes that may be used with this diagnosis
Open wound of abdomen, initial encounter
Use when there is an open wound associated with the splenic injury.
Personal history of malignant neoplasm of lymphoid, hematopoietic and related tissue
Use to indicate a history of lymphoma or other hematologic malignancies.
Splenomegaly, not elsewhere classified
Use when splenomegaly is present with the hemangioma.
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.
Document the lesion's size, type (traumatic or neoplastic), and specific characteristics such as laceration depth or enhancement pattern for accurate coding.