Other specified injury of portal vein, initial encounter

This code signifies a traumatic injury to the portal vein, excluding lacerations, punctures, or hematomas, that is being treated for the first time. This could involve a contusion, avulsion, or other specified damage to the main portal vein or its major branches. The injury is acute and requires initial medical attention.

Apply this code when documentation specifies a non-laceration, non-puncture, non-hematoma injury to the portal vein, such as a crush injury or tear, in a patient presenting for initial treatment. This is appropriate for cases like blunt abdominal trauma resulting in a portal vein contusion or a surgical complication leading to a specified injury other than a simple cut or bruise.

• Ensure the documentation clearly specifies the type of portal vein injury is other than a laceration, puncture, or hematoma.
• Confirm this is the patient's initial encounter for this specific injury. Subsequent care would use a different seventh character.
• Always code the underlying cause of the injury (e.g., motor vehicle accident, fall) in addition to this code.