ICD-10 Coding for Splenic Infarct(D73.5)
Complete ICD-10-CM coding and documentation guide for Splenic Infarct. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Splenic Infarct
D73.0-D73.9Primary Range
Diseases of spleen
This range includes codes for various splenic conditions, with D73.5 specifically for splenic infarction.
Key Information: ICD-10 code for splenic infarct
Essential facts and insights about Splenic Infarct
Primary ICD-10-CM Code for splenic infarct
Decision Criteria
clinical Criteria
- Presence of wedge-shaped hypodensity on imaging
documentation Criteria
- Explicit mention of splenic infarction in medical records
Applicable To
- Splenic infarction
Excludes
- Splenic rupture (D73.4)
Clinical Validation Requirements
- CT or MRI confirmation showing wedge-shaped hypodensity
- Clinical correlation with symptoms like LUQ pain
Code-Specific Risks
- Misidentification without imaging confirmation
- Omitting underlying cause codes
Coding Notes
- Ensure imaging confirms the diagnosis and document any underlying conditions.
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.
Splenic rupture
D73.4Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Splenic Infarct to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D73.5.
Impact
Clinical: Incomplete clinical picture, Regulatory: Non-compliance with coding standards, Financial: Potential for reduced reimbursement
Mitigation Strategy
Review patient history for underlying conditions, Ensure all relevant codes are included
Impact
Reimbursement: May lead to denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure imaging and clinical documentation support the specific diagnosis of splenic infarction.
Impact
Lack of imaging confirmation can lead to audit issues.
Mitigation Strategy
Ensure all diagnoses are supported by imaging reports.
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 Splenic Infarct, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Splenic Infarct
Use these documentation templates to ensure complete and accurate documentation for Splenic Infarct. These templates include all required elements for proper coding and billing.
Emergency Department Presentation
Specialty: Emergency MedicineRequired Elements
- Presenting symptoms
- Imaging results
- Underlying conditions
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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