donnajrichmond
Guest
Has anybody found a better diagnosis for rectus sheath hematoma than 729.92?
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Rectus sheath hematoma - Has anybody found a better
- Thread starter donnajrichmond
- Start date
Grintwig
Expert
How about 569.3 Hemorrhage of rectum and anus?
donnajrichmond
Guest
Rectus Sheath
Rectus sheath hematoma is not the same thing as rectal bleeding. It's not in the rectum at all.
Rectus sheath hematoma is not the same thing as rectal bleeding. It's not in the rectum at all.
ohn0disaster
Guest
Rectus sheath is not your rectum/anus. It is formed by the aponeuroses of the Obliqui and Transversus. It contains the Rectus abdominis and Pyramidalis muscles.
A rectus sheath hematoma is an accumulation of blood in the sheath of the rectus abdominis muscle. It causes abdominal pain with or without a mass.
How about 922.2? I did not open my book to the tabular list but in the index, hematoma indicates "see also Contusion". Contusion of the abdominal wall = 922.2. However, if this code does not fit the documented discription, I would also go with the nonspecific code for hematoma of a muscle.
A rectus sheath hematoma is an accumulation of blood in the sheath of the rectus abdominis muscle. It causes abdominal pain with or without a mass.
How about 922.2? I did not open my book to the tabular list but in the index, hematoma indicates "see also Contusion". Contusion of the abdominal wall = 922.2. However, if this code does not fit the documented discription, I would also go with the nonspecific code for hematoma of a muscle.
Last edited:
donnajrichmond
Guest
Rectus Sheath hematoma
thanks Vanessa. If it said "rectus sheath hematoma caused by blunt trauma to abdomen" then I'd use 922.2. But when it doesn't give me that cause indicating trauma, and because it can be caused by violent coughing or vomiting I'm uncomfortable with 922.2. I was just hoping for something better!
thanks Vanessa. If it said "rectus sheath hematoma caused by blunt trauma to abdomen" then I'd use 922.2. But when it doesn't give me that cause indicating trauma, and because it can be caused by violent coughing or vomiting I'm uncomfortable with 922.2. I was just hoping for something better!
donnajrichmond
Guest
Rectus Sheath hematoma
thanks Vanessa. If it said "rectus sheath hematoma caused by blunt trauma to abdomen" then I'd use 922.2. But when it doesn't give me that cause indicating trauma, and because it can be caused by violent coughing or vomiting I'm uncomfortable with 922.2. I was just hoping for something better!
thanks Vanessa. If it said "rectus sheath hematoma caused by blunt trauma to abdomen" then I'd use 922.2. But when it doesn't give me that cause indicating trauma, and because it can be caused by violent coughing or vomiting I'm uncomfortable with 922.2. I was just hoping for something better!
ohn0disaster
Guest
So it doesn't mention trauma in this case? Or it does? Does it mention nothing at all? If you have a chance to have the doctor clarify, I would do so. If nothing is written explaining the hematoma, the doc can add an addendum to further specify.