ICD-10-CM Billable Code

S35.411

Laceration of right renal artery

Clinical Classification Guidelines

Medical Intelligence & Overview

A laceration of the right renal artery refers to a tear or cut in the artery supplying blood to the right kidney. This type of injury can result from trauma or accidents and requires prompt medical evaluation and treatment. The renal artery is a vital blood vessel that ensures the kidney receives enough blood flow to perform its functions, including filtering waste from the blood and regulating blood pressure. Damage to this artery can have serious health implications if not treated quickly and effectively.

Causes & Symptoms

Clinical Causes: Traumatic injury from car accidents, falls, or sports injuries Penetrating wounds such as stab or gunshot wounds Surgical complications involving the kidney or nearby structures Blunt force trauma during physical assault

Key Symptoms: Sudden and severe flank or abdominal pain Blood in the urine (hematuria) Signs of shock such as rapid heartbeat, low blood pressure, and sweating Swelling or tenderness near the affected area Possible nausea or vomiting

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a combination of medical history review, physical examination, and imaging tests. Imaging procedures such as computed tomography (CT) scans with contrast, magnetic resonance imaging (MRI), or angiography are used to visualize the renal artery and identify the extent of injury. Blood tests may also be conducted to assess kidney function and look for signs of blood loss or organ damage.

Treatment Protocols: Management of a laceration of the right renal artery depends on the severity of the injury. Treatment options may include: - **Conservative management:** Observation and supportive care if bleeding is minimal and the patient remains stable. - **Endovascular procedures:** Minimally invasive techniques such as embolization to control bleeding. - **Surgical intervention:** Open surgery to repair or remove damaged portions of the artery or the kidney itself, especially in severe cases. Early diagnosis and appropriate treatment are crucial to prevent complications such as kidney loss, ongoing bleeding, or shock. Follow-up care may involve monitoring kidney function and blood pressure to ensure proper recovery.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is S35.411 a billable ICD-10 code?
Yes, S35.411 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S35.411?
Clinical documentation must specify the nature of Laceration of right renal artery and any associated comorbidities for accurate reporting.

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