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v1.0.0
ICD-10 Guide
DiagnosesAbdominal Wall Hematoma

Abdominal Wall Hematoma

ICD-10 Coding for Abdominal Wall Hematoma(S30.1XXA, D68.3, T81.0)

PRIMARY SPECIALTYEmergency Medicine
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Abdominal Wall Hematoma?
Essential facts and insights about Abdominal Wall Hematoma

Key Clinical Considerations:

  • Presence of a palpable mass or swelling in the abdominal wall
  • Pain or discomfort in the abdominal region
  • Bruising or discoloration of the skin over the abdominal wall
  • History of trauma or injury to the abdominal area
  • Findings from imaging studies such as ultrasound or CT scan confirming the presence of a hematoma

Clinical Information

Clinical Criteria & Documentation Requirements

  • Detailed description of the patient's symptoms and clinical findings
  • Specific location of the hematoma on the abdominal wall
  • Size and extent of the hematoma
  • Cause or suspected cause of the hematoma, if known
  • Results of any diagnostic imaging or laboratory tests

Coding Guidelines

Usage Guidelines & Examples

  • S30.1XXA is used for initial encounter of an abdominal wall hematoma due to trauma
  • D68.3 is used for a hematoma due to a clotting disorder
  • T81.0 is used for a hematoma following a surgical procedure

Code Exclusions

Important Exclusions

  • Hematomas located in other parts of the body
  • Abdominal wall abscess or infection
  • Abdominal wall hernia

Related ICD-10 Codes

Primary Codes
S30.1XXA
Superficial injury of abdomen, initial encounter
D68.3
Hemorrhagic disorder due to circulating anticoagulants
T81.0
Hematoma complicating a procedure, not elsewhere classified
Ancillary Codes
D68.3
Differential Codes
S39.0
S39.0
for injuries involving internal organs or muscle tears.
D68.4
D68.4
for acquired deficiencies not related to anticoagulants.
S30.1XXA
S30.1XX
A for non-procedural hematomas.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Emergency Medicine

Specialty Applications

  • Abdominal wall hematoma caused by blunt trauma or injury
  • Hematoma resulting from a surgical procedure
  • Hematoma due to a clotting disorder

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Template 1

Patient presents with a palpable mass in the abdominal wall, consistent with a hematoma.

Template 2

Imaging studies confirm the presence of a hematoma in the abdominal wall.

Template 3

Patient has a history of recent abdominal surgery, and now presents with a suspected post-operative hematoma.

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What is an abdominal wall hematoma?

An abdominal wall hematoma is a collection of blood within the muscles and tissues of the abdominal wall. It can be caused by trauma, surgery, or a clotting disorder.

When should code S30.1XXA be used?

Code S30.1XXA should be used for the initial encounter of an abdominal wall hematoma due to trauma.