2025 ICD-10-CM code E36.12
(Valid) Effective Date: N/A Endocrine, Nutritional and Metabolic Diseases - Intraoperative complications of endocrine system 4 Feed
Accidental puncture and laceration of an endocrine system organ or structure during a procedure not related to the endocrine system.
Medical necessity for the treatment resulting from the accidental puncture or laceration is established by the nature of the injury and its potential complications.The documentation should support the need for the specific interventions performed, such as surgical repair or transfusions.
The endocrine system includes organs that produce hormones crucial for bodily functions. Accidental damage during unrelated procedures can lead to bleeding, infection, and blood clots. Diagnosis involves physical examination, observation, and sometimes lab tests like CBC, clotting tests, and platelet count. Treatment often includes surgical repair, possibly transfusions, and supportive care.
In simple words: Accidental puncture or tear of an organ or structure within the endocrine system (hormone-producing system) that happens during a medical procedure unrelated to the endocrine system.This includes organs like the thyroid, parathyroid, adrenal glands, pancreas, pituitary gland, and others.
Accidental puncture and laceration of an endocrine system organ or structure during other procedure refers to both a puncture (deep hole or piercing of the tissue by sharp object) and a laceration (deep cut or tear in the skin or tissue) that occurs during a procedure on an organ or structure other than the endocrine system.
Example 1: A patient undergoing a laparoscopic cholecystectomy (gallbladder removal) experiences an accidental puncture of the pancreas, an endocrine organ, during the procedure., During a central venous catheter insertion, the catheter accidentally punctures the thyroid gland located in the neck, leading to a laceration., In a nephrectomy (kidney removal) surgery, an accidental laceration occurs to the adrenal gland, situated on top of the kidney, during the process of dissecting the kidney.
Documentation should clearly indicate the accidental nature of the puncture or laceration, the specific endocrine organ involved, and the procedure during which the incident occurred. Details of the resulting injury and any subsequent treatment provided should also be documented.
- Specialties:Several surgical specialties might utilize this code depending on the primary procedure during which the endocrine system organ was damaged. Some examples include:* **General Surgery:** This specialty commonly performs procedures like cholecystectomies and appendectomies, where there's a risk of damaging nearby endocrine organs like the pancreas.* **Cardiothoracic Surgery:** Procedures involving the chest area could potentially involve the thyroid or parathyroid glands.* **Urology:** Procedures like nephrectomies carry a risk of damaging the adrenal glands.* **Vascular Surgery:** When operating near major blood vessels, there's a possibility of affecting nearby endocrine organs.
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center