Diseases of spleen
Chapter 3:Diseases of the blood and blood-forming organs
ICD-10 D73 is a billable code used to indicate a diagnosis of diseases of spleen.
Diseases of the spleen encompass a variety of conditions that can affect the organ's structure and function, leading to significant clinical implications. The spleen plays a crucial role in the immune system, filtering blood, and recycling iron from red blood cells. Disorders of the spleen can result in neutropenia, which is a decrease in neutrophils, a type of white blood cell essential for fighting infections. Conditions such as hypersplenism can lead to splenic enlargement and increased destruction of blood cells, resulting in anemia and thrombocytopenia. Additionally, splenic disorders can be associated with various immunodeficiencies, where the body's ability to fight infections is compromised. These disorders may arise from infections, malignancies, or autoimmune diseases. Accurate coding of spleen diseases requires a thorough understanding of the underlying conditions, as they can significantly impact patient management and treatment outcomes. Clinicians must document the specific nature of the splenic disorder, any associated hematological abnormalities, and the patient's overall clinical picture to ensure appropriate coding and billing.
Detailed lab results, patient history, and treatment plans.
Patients presenting with anemia, thrombocytopenia, or recurrent infections.
Need for comprehensive blood work and possible bone marrow biopsy results.
Immunological assessments, history of infections, and response to treatments.
Patients with recurrent infections or autoimmune disorders affecting the spleen.
Documentation of immunodeficiency status and any related therapies.
Used to evaluate blood cell counts in patients with suspected splenic disease.
Document the reason for the CBC and any relevant clinical findings.
Hematology specialists may require additional tests based on CBC results.
Performed when splenic disease is suspected based on imaging or lab results.
Document the indication for biopsy and findings from imaging studies.
Immunologists may need to correlate biopsy results with clinical history.
Common causes include infections (like mononucleosis), hematological malignancies (such as lymphoma), autoimmune diseases (like lupus), and congenital conditions affecting splenic function.
Hypersplenism refers to the overactivity of the spleen leading to excessive destruction of blood cells, while splenomegaly is simply the enlargement of the spleen, which may or may not be associated with hypersplenism.
