Unspecified contusion of spleen, subsequent encounter

This code signifies a bruise to the spleen that is not further specified as to its exact location or severity. It indicates a splenic injury resulting from blunt trauma, without an open wound, and is being reported for an encounter following the initial treatment of the injury.

Use this code for follow-up visits, such as re-evaluation, imaging, or ongoing management of a previously diagnosed, unspecified splenic contusion. This applies when the patient is seen for care related to the healing or resolution of the splenic injury after the initial acute phase.

• Ensure the encounter is for follow-up care, not the initial diagnosis or active treatment.
• Verify that the documentation explicitly states "unspecified" and "contusion" of the spleen.
• Confirm the injury is not an open wound or a more specific type of splenic injury (e.g., laceration).