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ICD-10 Coding for Hemoperitoneum(K66.1, T81.0)

Complete ICD-10-CM coding and documentation guide for Hemoperitoneum. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Intraperitoneal hemorrhageAbdominal bleeding

Related ICD-10 Code Ranges

Complete code families applicable to Hemoperitoneum

K66-K66.1Primary Range

Other disorders of peritoneum

This range includes non-traumatic hemoperitoneum, which is the primary focus for coding this condition.

Complications of surgical and medical care, not elsewhere classified

This range is relevant for iatrogenic hemoperitoneum, which occurs as a complication of medical procedures.

Injury of intra-abdominal organs

This range is used for traumatic hemoperitoneum, which is excluded from K66.1 coding.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
K66.1HemoperitoneumUse for non-traumatic hemoperitoneum confirmed by imaging and clinical findings.
  • CT scan showing free fluid in the peritoneal cavity
  • Drop in hemoglobin levels
  • Absence of trauma history
T81.0Hemorrhage and hematoma complicating a procedureUse when hemoperitoneum is a complication of a medical procedure.
  • Post-procedural imaging showing hematoma
  • Drop in hemoglobin post-procedure

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 hemoperitoneum

Essential facts and insights about Hemoperitoneum

The ICD-10 code for non-traumatic hemoperitoneum is K66.1, used when confirmed by imaging and clinical findings.

Primary ICD-10-CM Codes for hemoperitoneum

Hemoperitoneum
Billable Code

Decision Criteria

clinical Criteria

  • CT scan confirms hemoperitoneum without trauma history.

coding Criteria

  • Exclude traumatic causes by verifying patient history.

Applicable To

  • Non-traumatic hemoperitoneum

Excludes

  • Traumatic hemoperitoneum (S36.8)

Clinical Validation Requirements

  • CT scan showing free fluid in the peritoneal cavity
  • Drop in hemoglobin levels
  • Absence of trauma history

Code-Specific Risks

  • Confusion with traumatic hemoperitoneum
  • Misclassification as iatrogenic without proper documentation

Coding Notes

  • Ensure documentation specifies non-traumatic origin to avoid coding errors.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Iatrogenic hemorrhage

T81.0
Use alongside K66.1 if hemoperitoneum is due to a medical procedure.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Injury of intra-abdominal organs

S36.8
Used when hemoperitoneum results from trauma.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Hemoperitoneum to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K66.1.

Impact

Clinical: Misinterpretation of the cause of hemoperitoneum., Regulatory: Potential audit issues., Financial: Denied claims due to incorrect coding.

Mitigation Strategy

Ensure procedure notes are complete, Link hemoperitoneum to specific procedures

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data reporting.

Mitigation Strategy

Use S36.8 for traumatic cases.

Impact

Failure to document linkage to procedures can lead to audit findings.

Mitigation Strategy

Thorough documentation of procedures and complications.

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 Hemoperitoneum, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Hemoperitoneum

Use these documentation templates to ensure complete and accurate documentation for Hemoperitoneum. These templates include all required elements for proper coding and billing.

Non-traumatic hemoperitoneum in the emergency department

Specialty: Emergency Medicine

Required Elements

  • Onset and duration of symptoms
  • Imaging results
  • Hemoglobin levels
  • Absence of trauma

Example Documentation

Patient presents with sudden abdominal pain. CT shows free fluid. Hb dropped from 12.4 to 7.2 g/dL. No trauma history. Diagnosis: Non-traumatic hemoperitoneum.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Abdominal pain with blood in belly.
Good Documentation Example
Sudden abdominal pain, CT shows hemoperitoneum, Hb 7.2 g/dL, no trauma history.
Explanation
The good example provides specific clinical findings and rules out trauma, supporting accurate coding.

Need help with ICD-10 coding for Hemoperitoneum? Ask your questions below.

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