S37.06
Major laceration of kidney
Clinical Classification Guidelines
Inclusion Terms
- Avulsion of kidney
- Laceration of kidney greater than 3 cm
- Massive laceration of kidney
- Multiple moderate lacerations of kidney
- Stellate laceration of kidney
Medical Intelligence & Overview
Major lacerations of the kidney refer to significant injuries where the kidney tissue is torn or cut, often involving more than a minor crack. These injuries can be serious and require prompt medical attention due to potential complications like bleeding, damage to kidney function, or other internal injuries. Such injuries are classified under ICD-10 code S37.06 and include various types of severe lacerations, such as avulsions, massive cuts, and multiple moderate tears. Recognizing the severity and understanding the causes, symptoms, diagnosis, and treatment options helps in managing these injuries effectively.
Causes & Symptoms
Clinical Causes: Trauma from blunt force impacts, such as car accidents or falls Penetrating injuries from stabbing or gunshot wounds Sports-related injuries involving high-impact collisions Industrial accidents causing crushing or tearing injuries Other traumatic events causing forceful trauma to the side or back
Key Symptoms: Severe pain in the flank or side area Visible bleeding or bruising in the abdomen or back Signs of shock, including dizziness, weakness, or fainting Pain radiating to the groin or abdominal area Nausea or vomiting due to internal bleeding Decreased urine output or blood in the urine Tenderness when touching the affected side
Diagnostic & Treatment
Diagnosis Path: Physical assessment to check for tenderness, swelling, or signs of shock Blood tests to evaluate blood loss and kidney function Urinalysis to detect blood or other abnormalities in urine Imaging studies such as ultrasound, which can reveal kidney injuries Computed tomography (CT) scan, often with contrast, to precisely locate and assess the extent of the laceration and other internal injuries
Treatment Protocols: Stabilizing the patient through supportive care to control bleeding and ensuring adequate blood circulation Surgical intervention, which may involve repair of the laceration, removal of damaged tissue, or in severe cases, nephrectomy (removal of the kidney) Conservative management with bed rest and close monitoring in less severe cases where bleeding is controlled Administering fluids and blood transfusions if significant blood loss has occurred Follow-up assessments to monitor kidney function and detect any complications
Clinical Advice & FAQs
Billing Guidance
Is S37.06 a billable ICD-10 code?
Yes, S37.06 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S37.06?
Clinical documentation must specify the nature of Major laceration of kidney and any associated comorbidities for accurate reporting.
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