ICD-10 Coding for Abdominal Hematoma(S30.1, T81.0, D68.3)
Complete ICD-10-CM coding and documentation guide for Abdominal Hematoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Abdominal Hematoma
S30-S39Primary Range
Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
This range includes codes for traumatic injuries to the abdominal area, including hematomas.
Complications of procedures, not elsewhere classified
This range includes codes for postprocedural complications such as hematomas.
Other disorders of peritoneum
This range includes codes for hemoperitoneum, which may be confused with localized hematomas.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S30.1 | Contusion of abdominal wall | Use for traumatic hematomas of the abdominal wall confirmed by imaging. |
|
| T81.0 | Hemorrhage and hematoma complicating a procedure, not elsewhere classified | Use for hematomas developing as a complication of a procedure. |
|
| D68.3 | Hemorrhagic disorder due to extrinsic circulating anticoagulants | Use when a hematoma is related to anticoagulant therapy. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for abdominal hematoma
Essential facts and insights about Abdominal Hematoma
Primary ICD-10-CM Codes for hematoma abdomen
Decision Criteria
clinical Criteria
- Presence of a palpable mass and ecchymosis with a history of trauma
Applicable To
- Traumatic hematoma of abdominal wall
Excludes
- Injury of internal organs
Clinical Validation Requirements
- CT or MRI showing hematoma confined to abdominal wall layers
- History of trauma
Code-Specific Risks
- Misclassification as unspecified abdominal injury
Coding Notes
- Ensure documentation specifies the traumatic nature and location of the hematoma.
T81.0 - Hemorrhage and hematoma complicating a procedure, not elsewhere classified
Use for hematomas developing as a complication of a procedure.
Applicable To
- Postprocedural hematoma
Excludes
- Intraoperative hemorrhage
Clinical Validation Requirements
- Operative report confirming hematoma at surgical site
- Temporal relationship to procedure
Coding Notes
Ensure the hematoma is linked to a specific procedure in documentation.
D68.3 - Hemorrhagic disorder due to extrinsic circulating anticoagulants
Use when a hematoma is related to anticoagulant therapy.
Applicable To
- Bleeding due to anticoagulant therapy
Excludes
- Coagulation defects
Clinical Validation Requirements
- Documentation of anticoagulant use
- INR or other coagulation test results
Coding Notes
Ensure anticoagulant use is clearly documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Abdominal Hematoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S30.1.
Impact
Clinical: Mismanagement of anticoagulation therapy., Regulatory: Non-compliance with coding standards., Financial: Potential denial of claims.
Mitigation Strategy
Review medication history, Document INR levels
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audit failures., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Use specific codes like S30.1 or T81.0 based on the context.
Impact
Use of unspecified codes for abdominal hematomas.
Mitigation Strategy
Educate staff on specific code selection.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Abdominal Hematoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Abdominal Hematoma
Use these documentation templates to ensure complete and accurate documentation for Abdominal Hematoma. These templates include all required elements for proper coding and billing.
Post-surgical hematoma
Specialty: SurgeryRequired Elements
- Procedure details
- Hematoma size and location
- Imaging findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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