Understanding hemoperitoneum diagnosis, treatment, and prognosis is crucial for healthcare professionals. This resource provides information on hemoperitoneum symptoms, causes like abdominal trauma and ruptured ectopic pregnancy, and diagnostic procedures such as CT scans and paracentesis. Find details on ICD-10 codes for hemoperitoneum, clinical documentation best practices, and relevant medical coding guidelines. Explore differential diagnoses, management strategies, and complications associated with hemoperitoneum for comprehensive patient care.
Also known as
Other injury of abdomen
Includes hemoperitoneum as a specified injury within the abdomen.
Injuries to the abdomen
Encompasses various abdominal injuries, including those causing hemoperitoneum.
Other peritonitis
Hemoperitoneum can cause peritonitis, although not its primary classification.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the hemoperitoneum traumatic?
Yes
Is the injury site specified?
No
Is there a ruptured organ/vessel?
When to use each related code
| Description |
|---|
| Blood in the peritoneal cavity |
| Peritoneal inflammation |
| Retroperitoneal hematoma |
Coding hemoperitoneum without documenting the cause can lead to rejected claims and lower reimbursement. ICD-10-CM requires specificity.
Miscoding traumatic hemoperitoneum as non-traumatic or vice versa impacts injury severity scores and trauma registry data accuracy. Proper documentation is crucial.
Failing to code associated conditions like ruptured spleen or liver laceration with hemoperitoneum can affect risk adjustment and quality metrics.
Patient presents with signs and symptoms suggestive of hemoperitoneum. Clinical presentation includes abdominal pain, abdominal distension, and signs of hemorrhagic shock such as tachycardia, hypotension, and pallor. Depending on the etiology, the patient may also exhibit rebound tenderness, guarding, and rigidity on abdominal examination. Differential diagnoses considered include ruptured ectopic pregnancy, splenic rupture, hepatic laceration, and perforated viscus. Diagnostic workup may include a focused assessment with sonography for trauma FAST exam, abdominal CT scan with IV contrast, complete blood count CBC to assess for anemia, coagulation studies, and blood type and crossmatch in anticipation of potential transfusion. Treatment for hemoperitoneum focuses on stabilizing the patient and identifying and addressing the underlying cause of the bleeding. Resuscitative measures, including intravenous fluid administration and blood transfusion, are often necessary. Surgical intervention may be required to control the bleeding, depending on the source and severity. Intra-abdominal bleeding, free fluid in the abdomen, and peritoneal signs are key clinical findings. ICD-10 codes such as K66.0 Hemoperitoneum and related codes will be used for billing and coding purposes. This documentation is intended for electronic health record EHR use and reflects current medical best practices. The prognosis depends on the underlying cause of the hemoperitoneum, the severity of the blood loss, and the timeliness of intervention.