Chronic congestive splenomegaly
ICD-10 D73.2 is a billable code used to indicate a diagnosis of chronic congestive splenomegaly.
Chronic congestive splenomegaly is a condition characterized by the enlargement of the spleen due to prolonged venous congestion, often resulting from underlying conditions such as portal hypertension, liver cirrhosis, or heart failure. The spleen plays a crucial role in filtering blood and managing immune responses, and its enlargement can lead to various complications, including hypersplenism, which may cause neutropenia, thrombocytopenia, and anemia. Patients may present with symptoms such as abdominal discomfort, early satiety, and splenic pain. The condition can also be associated with white blood cell disorders, as the spleen is involved in the production and regulation of leukocytes. Chronic congestive splenomegaly may lead to immunodeficiencies due to the altered function of the spleen, impacting the body’s ability to fight infections. Accurate diagnosis often requires imaging studies and laboratory tests to assess spleen size and function, as well as to rule out other hematological disorders.
Detailed lab results showing white blood cell counts and any associated cytopenias.
Patients presenting with unexplained anemia or leukopenia.
Ensure that the relationship between splenomegaly and hematological findings is clearly documented.
Comprehensive liver function tests and imaging studies to assess portal hypertension.
Patients with chronic liver disease presenting with splenomegaly.
Document the correlation between liver disease and splenic enlargement.
Used to evaluate splenomegaly in patients with abdominal symptoms.
Document the reason for the ultrasound and findings related to splenomegaly.
Ensure that the ultrasound report is included in the patient's medical record.
Common causes include portal hypertension, liver cirrhosis, and congestive heart failure, which lead to increased pressure in the splenic vein and subsequent enlargement of the spleen.
