2025 ICD-10-CM code E36
Intraoperative complications of the endocrine system encompass various issues like hemorrhage, hematoma, puncture, and laceration of an endocrine organ or structure during a surgical procedure.
Medical necessity is established by the unexpected nature of the intraoperative complication and the need for intervention to address it. The documentation should clearly indicate the complication and its impact on the surgical procedure and the patient's overall condition.
The endocrine system comprises organs and structures that secrete hormones vital for bodily functions like metabolism and reproduction. This system includes glands like the pituitary, thyroid, parathyroid, adrenal, pancreas, pineal, and sex glands, along with hormone-secreting cells in the intestines and lungs. Intraoperative complications can lead to excessive bleeding, infection, and blood clots, diagnosed through patient history, physical examination, and observation during the procedure. Lab tests like CBC, coagulation tests, and platelet count may be necessary. Treatment usually involves surgical repair, blood transfusions if needed, and supportive care.
In simple words: This code describes complications that can happen during surgery to organs that produce hormones, like the thyroid or adrenal glands.These complications could include bleeding, bruising, accidental punctures, or cuts.
This code represents intraoperative complications involving the endocrine system, including hemorrhage, hematoma, puncture, or laceration of an endocrine organ or structure occurring during surgery. These complications may arise during a procedure directly related to the endocrine system or during other surgical interventions.
Example 1: A patient undergoing a thyroidectomy experiences excessive bleeding from the thyroid gland during the procedure., During adrenal gland surgery, the adjacent vena cava is accidentally punctured, leading to significant blood loss., While performing a pancreatic resection for a non-endocrine issue, the surgeon accidentally lacerates a portion of the pancreas responsible for insulin production, leading to post-procedural complications.
Documentation should include details of the intraoperative event, the specific organ or structure involved, the type of complication (hemorrhage, hematoma, puncture, laceration), the management of the complication, and any associated diagnoses or procedures.
** Post-procedural complications are excluded from this code and should be coded separately (E89.-).
- Specialties:Endocrinology, General Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center