S36.123
Laceration of gallbladder
Clinical Classification Guidelines
Medical Intelligence & Overview
A laceration of the gallbladder is a tear or cut in the wall of this small organ located beneath the liver. This injury can occur due to trauma, such as accidents or surgical procedures, and requires prompt medical attention. Because the gallbladder plays a vital role in digesting fats by storing and releasing bile, any damage to it can lead to complications like bleeding, infection, or bile leakage. Recognizing the causes, symptoms, and treatments associated with this condition is important for understanding its impact on health.
Causes & Symptoms
Clinical Causes: Blunt abdominal trauma from accidents, falls, or car crashes Penetrating injuries such as stab or gunshot wounds Surgical complications during gallbladder removal or other abdominal surgeries Severe inflammation or infections leading to tissue weakening Injuries sustained during contact sports or physical altercations
Key Symptoms: Severe and sudden abdominal pain, especially on the right side or upper abdomen Tenderness or sensitivity when touching the abdomen Nausea and vomiting Signs of shock, such as rapid heartbeat, sweating, or dizziness in severe cases Possible fever if an infection develops Jaundice, though less common, if bile leaks affect liver function
Diagnostic & Treatment
Diagnosis Path: Ultrasound to visualize the gallbladder and check for fluid or structural damage Computed tomography (CT) scan to get detailed images of abdominal organs and detect injuries Magnetic resonance imaging (MRI) in certain cases for further assessment Blood tests to evaluate for signs of infection, internal bleeding, or organ function
Treatment Protocols: Surgical repair of the gallbladder, which may involve partial removal or suturing of the tear Cholecystectomy, or removal of the gallbladder, particularly if the damage is extensive Drainage of accumulated bile or blood if bleeding or leakage occurs Antibiotic therapy to prevent or treat infections Supportive care such as hydration, pain management, and monitoring for complications
Clinical Advice & FAQs
Billing Guidance
Is S36.123 a billable ICD-10 code?
Yes, S36.123 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S36.123?
Clinical documentation must specify the nature of Laceration of gallbladder and any associated comorbidities for accurate reporting.
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