Laceration of portal vein, subsequent encounter

📋Clinical Description

This code signifies a tear or cut in the portal vein, a major blood vessel that carries blood from the gastrointestinal tract, gallbladder, pancreas, and spleen to the liver. This specific code is used when the patient is receiving follow-up care for the initial injury, such as during a readmission for complications or ongoing treatment.

🎯When to Use

This code is appropriate for encounters where a patient is being treated for complications arising from a previously diagnosed portal vein laceration, or for continued management of the injury after the initial acute phase. Examples include follow-up for infection, thrombosis, or persistent bleeding related to the original laceration. It should not be used for the initial acute treatment of the injury.

💡Coding Tips

Ensure documentation clearly indicates that this is a subsequent encounter for the portal vein laceration, not the initial treatment.
Always code the underlying cause of the laceration (e.g., trauma, iatrogenic) if known and documented.
Consider additional codes for any associated complications, such as portal vein thrombosis (I81) or hemorrhage.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S35.311Laceration of portal vein

S35.311D(current)

Crosswalks

V58.89ApproxICD-9

Same Category

S35Inj blood vessels at abdomen, low back and pelvis level S35.0Injury of abdominal aorta S35.00Unspecified injury of abdominal aorta S35.00XAUnspecified injury of abdominal aorta, initial encounter S35.00XDUnspecified injury of abdominal aorta, subsequent encounter