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Thread: Coding Help

  1. #1

    Question Coding Help

    AAPC: Back to School
    My doc as given me a diagnosis of pleural hematoma. I'm guessing this is blood clots in both lungs but can't find a diagnosis code that fits.

    Can anyone help

  2. #2
    Join Date
    Apr 2007
    Minneapolis MN


    The best I can come up with is 786.3 Hemoptysis.

  3. #3
    Join Date
    Apr 2007
    Columbus GA


    Was this due to an injury? This may have a diagnosis like 861.21 as in contusion/hematoma.

  4. #4
    Join Date
    Apr 2007
    Bangor, Maine


    Hematoma means bruise or contusion, not clot. I agree with Jackie above

  5. #5

    Wink Hematoma

    According to Taber's Cyclopedic Medical Dictionary " Hematoma means-A swelling or mass of blood (usually clotted) confined to an organ, tissue, or space and caused by a break in a blood vessel".
    Having said that, I disagree that a hematoma is not a clot.

  6. #6

    Default Slg

    I believe I would querry the physician to find out exactly what he/she is referring to. It could be an injury or a post op complication. There will be a difference in the coding depending on the circumstances.

  7. #7


    I thought that Hemoptysis was vomiting blood ?

  8. #8


    Generally, in ICD-9 hematoma and contusion are interchangeable. It's one of the areas that really is limited. However, a blood "clot" would usually refer to a thrombosis. Hemoptysis means spitting up blood so that definitely is not correct. I would question the doctor to see exactly what he means.

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