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ICD-10 Guide
ICD-10 CodesN83.7

N83.7

Billable

Hematoma of broad ligament

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N83.7 is a billable code used to indicate a diagnosis of hematoma of broad ligament.

Key Diagnostic Point:

Hematoma of the broad ligament is a localized collection of blood within the broad ligament of the uterus, typically resulting from trauma, surgical procedures, or complications associated with gynecological conditions. This condition can occur in the context of various gynecological disorders, including endometriosis, where ectopic endometrial tissue can lead to bleeding and hematoma formation. It may also be associated with female genital prolapse, where structural changes in the pelvic floor can contribute to vascular compromise and subsequent hematoma development. In cases of ovarian disorders, such as ovarian cyst rupture, bleeding can extend into the broad ligament, forming a hematoma. Additionally, the presence of fistulas or polyps in the female genital tract may complicate the clinical picture, leading to increased risk of hematoma formation due to altered blood flow dynamics. Clinically, patients may present with pelvic pain, abdominal swelling, or signs of internal bleeding, necessitating careful evaluation and management. Diagnosis typically involves imaging studies, such as ultrasound or MRI, to confirm the presence of a hematoma and assess its size and impact on surrounding structures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between hematoma and other pelvic masses
  • Understanding the relationship with other gynecological conditions
  • Need for precise documentation of the cause and extent of the hematoma
  • Variability in presentation and symptoms among patients

Audit Risk Factors

  • Inadequate documentation of the hematoma's size and location
  • Failure to specify the underlying cause of the hematoma
  • Misclassification of hematoma as a neoplasm or other condition
  • Lack of imaging studies to support the diagnosis

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed clinical notes including patient history, physical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Management of pelvic pain, evaluation of abnormal uterine bleeding, and post-operative complications.

Billing Considerations

Accurate documentation of the relationship between the hematoma and any underlying gynecological conditions is crucial for proper coding.

Radiology

Documentation Requirements

Clear imaging reports that specify the presence, size, and characteristics of the hematoma.

Common Clinical Scenarios

Ultrasound or MRI evaluations for suspected hematomas in the pelvic region.

Billing Considerations

Radiologists should ensure that their reports include relevant clinical history to support the diagnosis.

Coding Guidelines

Inclusion Criteria

Use N83.7 When
  • According to ICD
  • 10 coding guidelines, N83
  • 7 should be used when a hematoma is confirmed in the broad ligament, with documentation supporting the diagnosis
  • It is important to include any relevant underlying conditions that may have contributed to the hematoma's formation

Exclusion Criteria

Do NOT use N83.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58661CPT Code

Laparoscopy, surgical, with drainage of pelvic hematoma

Clinical Scenario

Used when a patient with a broad ligament hematoma requires surgical intervention.

Documentation Requirements

Operative reports must detail the findings and procedures performed.

Specialty Considerations

Gynecologists should ensure that the diagnosis is clearly linked to the procedure performed.

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 hematoma of the broad ligament, improving the accuracy of data collection and reimbursement processes. This specificity aids in better understanding the epidemiology of such conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like hematoma of the broad ligament, improving the accuracy of data collection and reimbursement processes. This specificity aids in better understanding the epidemiology of such conditions.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better understanding the epidemiology of such conditions.

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 hematoma in the broad ligament?

Common causes include trauma, surgical complications, and bleeding associated with gynecological conditions such as endometriosis or ovarian cysts.