Results 1 to 8 of 8

Thread: Rectus sheath hematoma

  1. #1
    Join Date
    Apr 2007
    Location
    Alexandria, LA
    Posts
    517

    Default Rectus sheath hematoma

    Has anybody found a better diagnosis for rectus sheath hematoma than 729.92?

  2. #2
    Join Date
    Apr 2007
    Location
    Fayetteville, NC
    Posts
    300

    Default

    How about 569.3 Hemorrhage of rectum and anus?
    A. McCormick, CPC, CGSC
    Walters Surgical Associates

  3. #3
    Join Date
    Apr 2007
    Location
    Alexandria, LA
    Posts
    517

    Default Rectus Sheath

    Rectus sheath hematoma is not the same thing as rectal bleeding. It's not in the rectum at all.

  4. #4
    Join Date
    Apr 2007
    Location
    Stuart, Florida
    Posts
    331

    Default

    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.
    Last edited by ohn0disaster; 11-03-2010 at 09:48 AM. Reason: additional thoughts.
    Vanessa Mier, CPC

  5. #5
    Join Date
    Apr 2007
    Location
    Alexandria, LA
    Posts
    517

    Default 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!

  6. #6
    Join Date
    Apr 2007
    Location
    Alexandria, LA
    Posts
    517

    Default 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!

  7. #7
    Join Date
    Apr 2007
    Location
    Stuart, Florida
    Posts
    331

    Default

    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.
    Vanessa Mier, CPC

  8. #8

    Default

    Non traumatic hematoma of soft tissues , nontraumatic hematoma of MUSCLE- 729.92

Similar Threads

  1. Abdominal Rectus Hematoma
    By Miller913 in forum Diagnosis Coding
    Replies: 4
    Last Post: 07-30-2013, 06:46 AM
  2. Rectus sheath hematoma
    By molisa in forum General Surgery
    Replies: 5
    Last Post: 04-11-2013, 01:12 PM
  3. rectal sheath hematoma
    By lindacoder in forum Diagnosis Coding
    Replies: 1
    Last Post: 05-19-2011, 01:35 PM
  4. CPT code for rectus sheath marking????
    By sudip.rai in forum General Surgery
    Replies: 0
    Last Post: 06-09-2010, 03:44 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.