ICD-10 Coding for Groin Hematoma(T81.0, T82.8, S30.1XXA, M79.81)
Complete ICD-10-CM coding and documentation guide for Groin Hematoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Groin Hematoma
T81-T82Primary Range
Complications of surgical and medical care, not elsewhere classified
Covers post-procedural hematomas and device-related complications.
Injuries to the abdomen, lower back, lumbar spine, pelvis, and external genitals
Includes traumatic contusions of the groin.
Other and unspecified soft tissue disorders, not elsewhere classified
Includes nontraumatic 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 |
|---|---|---|---|
| T81.0 | Postprocedural hematoma of skin and subcutaneous tissue | Use when hematoma occurs post-procedure without any device involvement. |
|
| T82.8 | Other complications of cardiac and vascular prosthetic devices, implants and grafts | Use when hematoma is associated with a vascular device. |
|
| S30.1XXA | Contusion of abdominal wall | Use for traumatic hematomas with a clear mechanism of injury. |
|
| M79.81 | Nontraumatic hematoma of soft tissue | Use for nontraumatic hematomas, often related to anticoagulant use. |
|
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 groin hematoma
Essential facts and insights about Groin Hematoma
Primary ICD-10-CM Codes for groin hematoma
Decision Criteria
clinical Criteria
- No device involved in the procedure.
Applicable To
- Hematoma after surgical procedure without device involvement
Excludes
- Hematoma with device involvement (T82.8)
Clinical Validation Requirements
- Operative note confirming no device use
- Post-procedure timing (<30 days)
Code-Specific Risks
- Incorrectly coding when a device is involved.
Coding Notes
- Ensure documentation specifies no device involvement.
T82.8 - Other complications of cardiac and vascular prosthetic devices, implants and grafts
Use when hematoma is associated with a vascular device.
Applicable To
- Hematoma with vascular device involvement
Excludes
- Hematoma without device involvement (T81.0)
Clinical Validation Requirements
- Device inventory documentation
- Imaging showing device-adjacent hematoma
Coding Notes
Ensure device involvement is clearly documented.
S30.1XXA - Contusion of abdominal wall
Use for traumatic hematomas with a clear mechanism of injury.
Applicable To
- Traumatic contusion of the groin
Clinical Validation Requirements
- Documented mechanism of injury
Coding Notes
Ensure trauma is documented with mechanism.
M79.81 - Nontraumatic hematoma of soft tissue
Use for nontraumatic hematomas, often related to anticoagulant use.
Applicable To
- Spontaneous hematoma
Clinical Validation Requirements
- Absence of trauma
- Coagulation studies indicating coagulopathy
Coding Notes
Ensure absence of trauma is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Presence of other cardiac and vascular implants and grafts
Z95.8Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Groin Hematoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T81.0.
Impact
Clinical: Inaccurate clinical records., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Always specify laterality in clinical notes., Use templates that prompt for laterality.
Impact
Reimbursement: Incorrect coding can lead to DRG changes., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate data on procedural complications.
Mitigation Strategy
Use T82.8 when a device is involved in the hematoma.
Impact
Incorrect coding of device-related hematomas.
Mitigation Strategy
Ensure thorough documentation of device involvement.
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 Groin Hematoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Groin Hematoma
Use these documentation templates to ensure complete and accurate documentation for Groin Hematoma. These templates include all required elements for proper coding and billing.
Post-Catheterization Hematoma
Specialty: Interventional RadiologyRequired Elements
- Size and location of hematoma
- Device involvement
- Procedure details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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