Hemorrhage or Bleeding in ICD10 When There is No Specific Code

This page contains an ICD10 Coding Guideline for ICD10 collection. See ICD10 coding guidelines for similar pages.

• While our adaptation of ICD10 has specific codes for many types of bleeds/hemorrhages, it does not have codes for every part of the body that might bleed.
• When a bleed/hemorrhage occurs in a body part that doesn't have a specific code for it, it is necessary to combine 2 codes to "make" that diagnosis.
• The first code is Hemorrhage, NOS
  • Most commonly, the 2nd code will be a code representing "Disorder of body part in question, NOS. Look for such a code first.
  • But there are some body regions that don't have such a code, and then instead look for/use a "radiologic abnormality" in the body part in question.

• Examples:
  • Vitreus hemorrhage of the eye: Our ICD10 adaption has a specific code for Hemorrhage, retinal', but not for vitreus hemorrhage. Furthermore, it does not have a specific code for "Disorder of vitreus", so to construct a code for vitreus hemorrhage, you combine Hemorrhage, NOS + Disorder of eye(s), NOS
  • For retroperitoneal hemorrhage: combine Hemorrhage, NOS + Retroperitoneal area, diagnostic imaging, abnormal
• For a soft tissue hematoma: combine Hemorrhage, NOS + Soft tissue, disorder NOS