2025 ICD-10-CM code E36.0
Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating a procedure.
The medical necessity for managing the intraoperative hemorrhage and hematoma is inherent in the situation. The documentation should support the need for any interventions performed to address the complication, such as the need for blood transfusions or additional surgical procedures.
The physician is responsible for identifying, documenting, and managing the intraoperative hemorrhage and/or hematoma. This includes stopping the bleeding, evacuating the hematoma if necessary, and providing any necessary supportive care, such as transfusions or medications.
- 4, Endocrine, Nutritional and Metabolic Diseases
- E36-E36.8, Intraoperative complications of endocrine system
In simple words: This code indicates a complication during surgery where there is bleeding or a blood clot in a gland or organ related to hormones. This can happen during surgery on the gland itself or another organ.
This code describes a complication that occurs during a surgical procedure where there is bleeding (hemorrhage) and/or a localized collection of blood outside of blood vessels (hematoma) within an organ or structure belonging to the endocrine system. This complication can arise during a procedure directly involving the endocrine system or during a procedure on a different organ system where the endocrine system is incidentally affected.
Example 1: A patient undergoing a thyroidectomy (removal of the thyroid gland) experiences excessive bleeding during the procedure, resulting in a hematoma formation., During a nephrectomy (removal of a kidney), the adjacent adrenal gland is inadvertently injured, leading to intraoperative hemorrhage., A patient undergoing a pancreaticoduodenectomy (Whipple procedure) experiences bleeding from the pancreas, which is part of both the digestive and endocrine systems, resulting in a hematoma.
Documentation should clearly indicate the occurrence of hemorrhage and/or hematoma, the specific endocrine organ or structure involved, and the relationship to the surgical procedure.The amount of blood loss should be estimated and documented.Any interventions taken to control bleeding and/or evacuate the hematoma should also be noted.
- Specialties:Endocrine Surgery, General Surgery, and any surgical specialty performing procedures near endocrine organs.
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center