Find information on perinephric hematoma diagnosis, including clinical documentation, ICD-10 codes (N28.89, S37.0), medical coding guidelines, and treatment options. Learn about symptoms, causes, radiological findings (CT scan, ultrasound), and best practices for healthcare professionals managing perirenal hematoma and renal hemorrhage. Explore resources for accurate and efficient medical record keeping related to kidney injuries and bleeding.
Also known as
Injury of kidney
This code specifies injuries to the kidney, including perinephric hematoma.
Injuries to the abdomen, lower back
This range encompasses various injuries to the abdomen and lower back, sometimes resulting in perinephric hematoma.
Hemorrhage and hematoma complicating a procedure
This code can be used if the hematoma is a complication of a medical procedure.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the perinephric hematoma traumatic?
When to use each related code
| Description |
|---|
| Blood collection around kidney |
| Kidney bleed within capsule |
| Kidney laceration |
Coding perinephric hematoma without documenting the cause (traumatic vs. spontaneous) leads to coding errors and claim denials.
Failing to document laterality (right, left, bilateral) for perinephric hematoma impacts coding specificity and reimbursement.
Distinguishing between iatrogenic (procedure-related) and non-iatrogenic hematomas is crucial for accurate coding and quality reporting.
Patient presents with complaints consistent with perinephric hematoma, including flank pain, abdominal pain, and hematuria. Symptoms onset was [timeframe] and associated with [precipitating event, if any, e.g., trauma, anticoagulant therapy, interventional procedure, spontaneous bleed]. Review of systems reveals [positive findings related to pain, bleeding, urinary symptoms, or systemic effects e.g., dizziness, lightheadedness, nausea, vomiting]. Physical examination reveals [positive and pertinent negative findings e.g., flank tenderness, ecchymosis, palpable mass, stable vital signs]. Differential diagnosis includes renal trauma, renal cell carcinoma, renal infarction, retroperitoneal hemorrhage, and aortic aneurysm. Imaging studies, including [mention specific imaging like CT scan abdomen and pelvis with IV contrast, ultrasound], were ordered to evaluate for perinephric bleeding and assess the extent of the hematoma. Laboratory tests, including [mention specific labs like CBC, coagulation panel, urinalysis, BUN, creatinine], were ordered to evaluate for active bleeding, assess renal function, and identify any coagulopathy. Impression: Perinephric hematoma, likely secondary to [cause, e.g., blunt trauma, anticoagulant therapy]. Management plan includes [specific management plan, e.g., monitoring vital signs, serial imaging, pain management, correction of coagulopathy if present, urology consultation, surgical intervention if indicated]. Patient education provided regarding the diagnosis, treatment plan, and potential complications. Follow-up scheduled for [timeframe] to re-evaluate and assess response to treatment. Patient advised to return to the emergency department if symptoms worsen or new symptoms develop. ICD-10 code S37.01XA (Traumatic subcapsular or perinephric hematoma of right kidney with active bleeding) or S37.02XA (Traumatic subcapsular or perinephric hematoma of left kidney with active bleeding) may be applicable depending on laterality and presence of active bleeding; other codes may be necessary depending on etiology and complications.