Major contusion of spleen, initial encounter

This code signifies a significant bruise or blunt injury to the spleen, indicating damage to the splenic tissue without a complete rupture. It suggests a substantial impact causing internal bleeding and swelling within the spleen itself.

This code is appropriate for patients presenting with a confirmed diagnosis of a major splenic contusion following trauma, such as from a motor vehicle accident, fall, or direct blow to the abdomen. It should be used for the initial treatment of this injury.

• Ensure documentation specifies "major" contusion to differentiate from minor contusions.
• Confirm the encounter is the initial treatment for this specific injury.
• Do not use if there is evidence of splenic laceration or rupture; use the appropriate code for those conditions.