EmailRectus sheath haematoma secondary to anticoagulation
Publication Date: December 2014
ICD 10 AM Edition: Eighth edition
Retired Date: 30/6/2020
Query Number: 2958
We note your advice to assign S30.1 as the principal diagnosis in this situation following the index entry Haematoma (see also Contusion).
Noting that a haematoma is an encapsulated haemorrhage and endeavouring to show the non-traumatic nature of the condition we have been assigning M62.88 as the PDx for this condition following the index entry
Haemorrhage
- muscle M62.8-
There is a DRG variance between S30.1 and M62.88 as the PDx. Your advice on the regarding choice of code is appreciated.
10. Search Details
VICC # 2896 Rectus sheath haematoma secondary to anticoagulation
Noting that a haematoma is an encapsulated haemorrhage and endeavouring to show the non-traumatic nature of the condition we have been assigning M62.88 as the PDx for this condition following the index entry
Haemorrhage
- muscle M62.8-
There is a DRG variance between S30.1 and M62.88 as the PDx. Your advice on the regarding choice of code is appreciated.
10. Search Details
VICC # 2896 Rectus sheath haematoma secondary to anticoagulation
Response
VICC advises that the terms haemorrhage and haematoma are not interchangeable in the classification. Also, the lead term Haematoma has a 'see also' note for contusion (not haemorrhage). Consequently the Index entry Haemorrhage/muscle M62.8- cannot be followed for documentation of rectus sheath haematoma. Therefore VICC maintains that the correct code is S30.1 Contusion of abdominal wall.
