ICD-10 Coding for Perinephric Hematoma(K66.1, S37.009A, N28.89)
Complete ICD-10-CM coding and documentation guide for Perinephric Hematoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Perinephric Hematoma
K66-K67Primary Range
Disorders of peritoneum
Includes hemoperitoneum which can be used for perinephric hematoma coding.
Injury of abdomen, lower back, lumbar spine, pelvis and external genitals
Includes traumatic injuries to the kidney, relevant for traumatic perinephric hematomas.
Other disorders of kidney and ureter
Includes non-traumatic renal hematomas, such as those caused by anticoagulants.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K66.1 | Hemoperitoneum | Use when the hematoma is non-traumatic and primarily involves the peritoneal space. |
|
| S37.009A | Unspecified injury of kidney | Use for traumatic perinephric hematomas where laterality is not specified. |
|
| N28.89 | Other specified disorders of kidney and ureter | Use for spontaneous or anticoagulant-induced hematomas. |
|
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 perinephric hematoma
Essential facts and insights about Perinephric Hematoma
Primary ICD-10-CM Codes for perinephric hematoma
Decision Criteria
clinical Criteria
- Non-traumatic etiology confirmed by imaging
Applicable To
- Perinephric hematoma
Excludes
- Traumatic hemoperitoneum (S36.0)
Clinical Validation Requirements
- Imaging confirmation of hematoma
- Clinical documentation of non-traumatic etiology
Code-Specific Risks
- Misclassification if trauma is present
Coding Notes
- Ensure documentation specifies non-traumatic origin.
S37.009A - Unspecified injury of kidney
Use for traumatic perinephric hematomas where laterality is not specified.
Excludes
- Non-traumatic renal hematoma (N28.89)
Clinical Validation Requirements
- Trauma history
- Imaging showing kidney injury
Coding Notes
Ensure trauma is documented.
N28.89 - Other specified disorders of kidney and ureter
Use for spontaneous or anticoagulant-induced hematomas.
Applicable To
- Non-traumatic renal hematoma
Clinical Validation Requirements
- Imaging confirmation of hematoma
- Documentation of non-traumatic cause
Coding Notes
Ensure non-traumatic etiology is 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 Perinephric Hematoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K66.1.
Impact
Clinical: May affect treatment decisions., Regulatory: Inaccurate coding for anticoagulant-related conditions., Financial: Potential for denied claims if coding does not match documentation.
Mitigation Strategy
Review medication history, Document all relevant medications
Impact
Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Potential for audit if documentation does not support coding., Data Quality: Inaccurate data on trauma-related injuries.
Mitigation Strategy
Ensure documentation clearly specifies the cause of the hematoma.
Impact
Risk of misclassification leading to incorrect coding.
Mitigation Strategy
Thorough documentation of etiology and imaging findings.
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 Perinephric Hematoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Perinephric Hematoma
Use these documentation templates to ensure complete and accurate documentation for Perinephric Hematoma. These templates include all required elements for proper coding and billing.
Emergency Department Admission
Specialty: Emergency MedicineRequired Elements
- Patient history
- Imaging results
- Hematoma size and location
- Etiology
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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