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ICD-10 Code D73.5 | Infarction of spleen Symptoms, Diagnosis, Billing

Infarction of the spleen refers to the necrosis of splenic tissue due to inadequate blood supply, often resulting from vascular obstruction. This condition is clinically significant as it can lead to splenic rupture, hemorrhage, and systemic complications. Accurate coding with ICD-10 Code D73.5 ensures proper diagnosis, documentation, and billing, facilitating effective public health reporting and resource allocation.

What is ICD-10 Code D73.5 for Infarction of spleen?

ICD-10 Code D73.5 represents the medical condition known as infarction of the spleen, which occurs when blood flow to the spleen is compromised, leading to tissue death. This code should be used in clinical documentation and billing when diagnosing patients with this condition, particularly in cases related to underlying diseases such as thrombosis or embolism.

ICD-10 Code D73.5 – Clinical Definition and Explanation of Infarction of spleen

Infarction of the spleen is primarily caused by vascular obstruction, which can arise from emboli, thrombosis, or trauma. The condition can progress rapidly, necessitating prompt medical intervention to prevent severe complications such as splenic rupture or sepsis.

Key Clinical Features:

  • Acute abdominal pain, often localized to the left upper quadrant.
  • Signs of splenic enlargement or tenderness on physical examination.
  • Possible fever and leukocytosis indicating inflammation or infection.
  • History of underlying conditions such as hematologic disorders or recent trauma.

ICD-10 Code D73.5 for Infarction of spleen – SOAP Notes & Clinical Use

ICD-10 Code D73.5 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. It is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and guiding clinical decision-making.

What Does ICD-10 Code D73.5 for Infarction of spleen Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D73.5 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of infarction of the spleen. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D73.5 – Infarction of spleen

Infarction of the spleen often requires urgent medical attention, and hospitalization may be necessary for management. Treatment may include surgical intervention or supportive care depending on the severity of the condition.

Antibiotic Therapy:

  • First-line: Ceftriaxone 1-2 g IV every 24 hours.
  • Alternative: Piperacillin-tazobactam 3.375 g IV every 6 hours.
  • Duration: Typically 7-14 days, depending on clinical response.

Supportive Care:

  • Pain management with analgesics.
  • Fluid resuscitation if indicated.
  • Monitoring for signs of splenic rupture or hemorrhage.

Infection Control:

  • Implement standard precautions to prevent infection spread.
  • Isolate patients with suspected infectious causes.
  • Educate staff on proper handling of potentially infectious materials.

How to Document Symptoms of Infarction of spleen (ICD-10 D73.5) in SOAP Notes

Subjective:

  • Patient reports sudden onset of left upper quadrant pain.
  • History of recent trauma or hematologic disorder.
  • Complaints of fever and chills.
  • Nausea and vomiting noted by the patient.

Objective:

  • Vital signs: Elevated heart rate and temperature.
  • Physical exam: Tenderness in the left upper quadrant.
  • Laboratory findings: Elevated white blood cell count.
  • Imaging: Ultrasound shows splenic enlargement.
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SOAP Note Guidelines for Diagnosing Infarction of spleen (ICD-10 Code D73.5)

Assessment:

  • Diagnosis: Infarction of spleen, acute.
  • ICD-10 Code: D73.5.
  • Contributing factors: Recent trauma and underlying hematologic condition.
  • Severity: Moderate to severe based on clinical presentation.

Plan:

  • Initiate IV antibiotics as per protocol.
  • Consult surgery for potential splenectomy.
  • Provide patient education on signs of complications.
  • Schedule follow-up imaging to assess splenic status.

Treatment & Plan Section for ICD-10 Code D73.5 – Infarction of spleen

  • Administer appropriate antibiotics based on culture results.
  • Consider surgical intervention if indicated by imaging.
  • Monitor vital signs and laboratory parameters closely.
  • Educate the patient on potential complications and follow-up care.

Using ICD-10 Code D73.5 for Infarction of spleen in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings.
  • Use D73.5 in conjunction with relevant procedure codes for billing.
  • Maintain compliance with coding guidelines to support reimbursement.
  • Document all treatment plans and patient education efforts clearly.

ICD-10 Code D73.5 in Medical Billing and Insurance for Infarction of spleen

ICD-10 Code D73.5 is essential for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

  • Document all relevant clinical findings to support the diagnosis.
  • Use D73.5 in conjunction with procedure codes for comprehensive billing.
  • Ensure that all documentation aligns with payer requirements for reimbursement.

Common CPT Pairings:

CPT CodeDescription
99223Initial hospital care, typically 70 minutes or more.
74176CT abdomen with contrast, including the spleen.
49000Exploratory laparotomy, for suspected splenic rupture.

Frequently Asked Questions

Common Questions About Using ICD-10 Code D73.5 for Infarction of spleen

What are the common causes of infarction of the spleen?

Common causes include embolism, thrombosis, trauma, and certain hematologic disorders. These factors can lead to compromised blood flow, resulting in tissue necrosis.

How is infarction of the spleen diagnosed?

Diagnosis typically involves clinical evaluation, imaging studies such as ultrasound or CT scans, and laboratory tests to assess for inflammation and infection.

What are the treatment options for infarction of the spleen?

Treatment may include antibiotics, pain management, and surgical intervention if necessary. Supportive care is also crucial to monitor for complications.

Is hospitalization required for infarction of the spleen?

Yes, hospitalization is often required for monitoring and treatment, especially in cases with severe symptoms or complications.

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