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v1.0.0
ICD-10 Guide
ICD-10 CodesD73.3

D73.3

Billable

Abscess of spleen

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D73.3 is a billable code used to indicate a diagnosis of abscess of spleen.

Key Diagnostic Point:

An abscess of the spleen is a localized collection of pus within the splenic tissue, often resulting from infections, trauma, or hematogenous spread of pathogens. Patients with neutropenia or other white blood cell disorders are at increased risk for developing splenic abscesses due to their compromised immune systems, which hinder the body’s ability to fight infections. Common pathogens include bacteria such as Staphylococcus aureus and Streptococcus species, as well as fungi in immunocompromised individuals. Symptoms may include fever, left upper quadrant pain, and splenomegaly. Diagnosis typically involves imaging studies such as ultrasound or CT scans, which can reveal the presence of an abscess. Treatment often requires antibiotics and may necessitate surgical intervention, particularly if the abscess is large or not responding to medical management. Understanding the underlying conditions, such as immunodeficiencies or disorders affecting white blood cell function, is crucial for effective management and coding of this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between abscess and other splenic conditions
  • Understanding the underlying causes related to neutropenia
  • Identifying appropriate imaging studies for diagnosis
  • Documenting the severity and treatment options accurately

Audit Risk Factors

  • Inadequate documentation of the abscess's size and location
  • Failure to document underlying conditions like neutropenia
  • Misclassification of abscess type (e.g., primary vs. secondary)
  • Lack of clarity on treatment provided

Specialty Focus

Medical Specialties

Hematology/Oncology

Documentation Requirements

Detailed history of the patient’s blood disorders, including neutropenia and any treatments received.

Common Clinical Scenarios

Patients with a history of chemotherapy presenting with fever and abdominal pain.

Billing Considerations

Ensure documentation reflects the relationship between the hematologic disorder and the abscess.

General Surgery

Documentation Requirements

Operative reports detailing the surgical approach and findings during abscess drainage.

Common Clinical Scenarios

Emergency cases requiring splenectomy due to large abscesses.

Billing Considerations

Accurate coding of surgical procedures performed in conjunction with abscess management.

Coding Guidelines

Inclusion Criteria

Use D73.3 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the abscess's characteristics and any underlying conditions
  • Include relevant clinical findings and treatment details

Exclusion Criteria

Do NOT use D73.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

49002CPT Code

Drainage of abdominal abscess

Clinical Scenario

Used when a splenic abscess requires drainage.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

General surgery documentation must include indications for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like splenic abscesses, improving the accuracy of patient records and facilitating better healthcare management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like splenic abscesses, improving the accuracy of patient records and facilitating better healthcare management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like splenic abscesses, improving the accuracy of patient records and facilitating better healthcare management.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of splenic abscess?

Common causes include bacterial infections, trauma, and hematogenous spread from other infections, particularly in immunocompromised patients.