ICD-10 Coding for Pelvic Hematoma(O71.7, S30.0XXA, N94.89)
Complete ICD-10-CM coding and documentation guide for Pelvic Hematoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pelvic Hematoma
O71-O75Primary Range
Complications of labor and delivery
This range includes codes for obstetric pelvic hematomas occurring during childbirth.
Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
This range includes codes for traumatic pelvic hematomas.
Noninflammatory disorders of female genital tract
This range includes codes for non-traumatic pelvic 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 |
|---|---|---|---|
| O71.7 | Obstetric hematoma of pelvis | Use for pelvic hematomas occurring during or after childbirth within the postpartum period. |
|
| S30.0XXA | Contusion of lower back and pelvis, initial encounter | Use for pelvic hematomas resulting from trauma. |
|
| N94.89 | Other specified conditions associated with female genital organs and menstrual cycle | Use for non-traumatic pelvic hematomas not related to childbirth. |
|
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 postpartum pelvic hematoma
Essential facts and insights about Pelvic Hematoma
Primary ICD-10-CM Codes for pelvic hematoma
Decision Criteria
clinical Criteria
- Hematoma occurs within 42 days postpartum
documentation Criteria
- Explicit mention of postpartum period
Applicable To
- Postpartum pelvic hematoma
Excludes
- Non-obstetric pelvic hematoma
- Traumatic pelvic hematoma
Clinical Validation Requirements
- Postpartum period within 42 days
- Imaging confirmation of hematoma
- Clinical symptoms of pelvic pain or pressure
Code-Specific Risks
- Misclassification if not clearly documented as postpartum
Coding Notes
- Ensure documentation specifies postpartum status and excludes trauma.
S30.0XXA - Contusion of lower back and pelvis, initial encounter
Use for pelvic hematomas resulting from trauma.
Applicable To
- Traumatic pelvic hematoma
Excludes
- Non-traumatic pelvic hematoma
- Obstetric pelvic hematoma
Clinical Validation Requirements
- Documented trauma event
- Imaging showing hematoma
- Symptoms of pain or bruising
Coding Notes
Ensure trauma is well-documented with an external cause code.
N94.89 - Other specified conditions associated with female genital organs and menstrual cycle
Use for non-traumatic pelvic hematomas not related to childbirth.
Applicable To
- Non-traumatic pelvic hematoma
Excludes
- Obstetric pelvic hematoma
- Traumatic pelvic hematoma
Clinical Validation Requirements
- Exclusion of trauma and obstetric causes
- Imaging confirmation of hematoma
- Symptoms of pelvic pain
Coding Notes
Ensure documentation excludes trauma and obstetric causes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Other specified conditions associated with female genital organs and menstrual cycle
N94.89Contusion of lower back and pelvis, initial encounter
S30.0XXAObstetric hematoma of pelvis
O71.7Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Pelvic Hematoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O71.7.
Impact
Clinical: Inaccurate clinical history, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always document the mechanism of injury, Include external cause codes
Impact
Reimbursement: Incorrect coding may lead to denied claims or incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data impacting patient records.
Mitigation Strategy
Ensure trauma is explicitly documented with an external cause code.
Impact
Inadequate documentation of traumatic events leading to incorrect coding.
Mitigation Strategy
Ensure detailed documentation of trauma and use of external cause codes.
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 Pelvic Hematoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pelvic Hematoma
Use these documentation templates to ensure complete and accurate documentation for Pelvic Hematoma. These templates include all required elements for proper coding and billing.
Postpartum Pelvic Hematoma
Specialty: ObstetricsRequired Elements
- Delivery type and date
- Hematoma size and location
- Intervention details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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