Plasmodium vivax malaria with rupture of spleen

This code signifies a diagnosis of malaria caused by the Plasmodium vivax parasite, complicated by a splenic rupture. Splenic rupture is a severe, life-threatening complication that can occur during a malarial infection.

Apply this code when documentation explicitly states Plasmodium vivax malaria and a concurrent rupture of the spleen. This typically arises in patients presenting with acute abdominal pain, hypovolemic shock, or other signs of internal bleeding in the context of a confirmed P. vivax infection.

• Always confirm the specific Plasmodium species (e.g., vivax, falciparum) from lab results or physician documentation.
• Code the splenic rupture as a manifestation of the malaria; do not code it separately unless it is clearly unrelated.
• Ensure documentation supports the causal link between the malaria and the splenic rupture.