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v1.0.0
ICD-10 Guide
ICD-10 CodesD73.5

D73.5

Billable

Infarction of spleen

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

Code Description

ICD-10 D73.5 is a billable code used to indicate a diagnosis of infarction of spleen.

Key Diagnostic Point:

Infarction of the spleen refers to the necrosis of splenic tissue due to inadequate blood supply, often resulting from vascular occlusion. This condition can arise from various etiologies, including embolism, thrombosis, or systemic diseases that affect blood flow. Patients may present with abdominal pain, particularly in the left upper quadrant, and may exhibit signs of splenic dysfunction. The spleen plays a crucial role in filtering blood and immune response; thus, infarction can lead to complications such as splenic rupture or increased susceptibility to infections due to impaired immune function. Diagnosis typically involves imaging studies, such as ultrasound or CT scans, which can reveal areas of necrosis. Management may include supportive care, monitoring, and in some cases, surgical intervention. Understanding the implications of splenic infarction is vital, especially in patients with underlying conditions like neutropenia or other white blood cell disorders, as these can exacerbate the risk of infections and complicate recovery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of splenic disorders
  • Understanding the underlying causes of infarction
  • Recognizing associated conditions like neutropenia
  • Interpreting imaging results accurately

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the cause of infarction
  • Misinterpretation of imaging results
  • Inconsistent coding of associated conditions

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed history of blood disorders, including neutropenia and other white blood cell disorders.

Common Clinical Scenarios

Patients with underlying hematological conditions presenting with splenic infarction.

Billing Considerations

Consideration of the patient's immune status and potential for infections.

Gastroenterology

Documentation Requirements

Comprehensive abdominal examination findings and imaging results.

Common Clinical Scenarios

Patients presenting with abdominal pain and suspected splenic issues.

Billing Considerations

Documentation of any gastrointestinal symptoms that may relate to splenic dysfunction.

Coding Guidelines

Inclusion Criteria

Use D73.5 When
  • According to ICD
  • 10 guidelines, D73
  • 5 should be used when there is clear documentation of splenic infarction
  • It is essential to include the cause of the infarction if known, and to document any associated conditions that may impact treatment and prognosis

Exclusion Criteria

Do NOT use D73.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

74176CPT Code

CT abdomen with contrast

Clinical Scenario

Used to confirm splenic infarction in patients presenting with abdominal pain.

Documentation Requirements

Document the indication for the CT scan and findings.

Specialty Considerations

Radiology must ensure clear communication of findings to referring physicians.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of splenic conditions, including infarction, which enhances the accuracy of clinical data and improves patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of splenic conditions, including infarction, which enhances the accuracy of clinical data and improves patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of splenic conditions, including infarction, which enhances the accuracy of clinical data and improves patient 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 infarction?

Common causes include embolism from cardiac sources, thrombosis, and systemic diseases that affect blood flow, such as vasculitis or sickle cell disease.