ICD-10 Coding for Splenectomy(D73.0, D73.1)
Complete ICD-10-CM coding and documentation guide for Splenectomy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Splenectomy
D73.0-D73.9Primary Range
Diseases of spleen
This range includes conditions that may necessitate a splenectomy, such as hypersplenism or splenic rupture.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D73.0 | Hypertrophy of spleen | Use when imaging confirms splenomegaly and clinical symptoms are present. |
|
| D73.1 | Chronic congestive splenomegaly | Use for chronic cases with imaging confirmation. |
|
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 splenectomy
Essential facts and insights about Splenectomy
Primary ICD-10-CM Codes for splenectomy
Decision Criteria
clinical Criteria
- Confirmed splenomegaly on imaging
Applicable To
- Splenomegaly
Excludes
- Congenital splenomegaly (Q89.03)
Clinical Validation Requirements
- Ultrasound or CT showing enlarged spleen
- Clinical symptoms of hypersplenism
Code-Specific Risks
- Misclassification if imaging is not confirmed
Coding Notes
- Ensure imaging supports diagnosis.
D73.1 - Chronic congestive splenomegaly
Use for chronic cases with imaging confirmation.
Applicable To
- Chronic splenic congestion
Excludes
- Acute splenic congestion (D73.2)
Clinical Validation Requirements
- Chronic symptoms and imaging showing splenic congestion
Coding Notes
Differentiate between acute and chronic presentations.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Splenectomy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D73.0.
Impact
Clinical: Inaccurate surgical records, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Standardize operative note templates, Educate surgical staff
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data for surgical statistics.
Mitigation Strategy
Verify the surgical approach in the operative report.
Impact
Risk of miscoding surgical approach
Mitigation Strategy
Regular audits and staff training
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 Splenectomy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Splenectomy
Use these documentation templates to ensure complete and accurate documentation for Splenectomy. These templates include all required elements for proper coding and billing.
Trauma Splenectomy
Specialty: General SurgeryRequired Elements
- Pre-op and post-op diagnosis
- Procedure details
- Findings
- Specimen details
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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