Intraop hemor/hemtom of the spleen comp a proc on the spleen

This code signifies the occurrence of bleeding or a collection of blood within the splenic tissue or surrounding area that arises during a surgical procedure performed on the spleen. This complication can range from minor oozing to significant hemorrhage, potentially requiring intervention or transfusion. It specifically applies when the spleen itself is the operative site.

Use this code when documentation clearly indicates intraoperative hemorrhage or hematoma of the spleen as a complication during a splenectomy, partial splenectomy, or other direct splenic procedure. The operative report should detail the bleeding event, its management, and its direct association with the splenic surgery.

• Do not use this code for hemorrhage or hematoma occurring postoperatively; refer to codes in the T81 series for postoperative complications.
• Ensure the documentation specifies the spleen as the source of the hemorrhage/hematoma and that the procedure was performed on the spleen, not merely near it.
• Sequence this code as a secondary diagnosis following the code for the underlying condition or reason for the splenic procedure, unless the complication is the primary reason for the encounter.