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2025 ICD-10-CM code S37.0

Injury of kidney

Use secondary codes from Chapter 20 (External causes of morbidity) to specify the cause of injury, unless the T-code already includes the external cause.Use additional code Z18.- to identify any retained foreign body. Do not use S37.0 with codes for birth trauma (P10-P15) or obstetric trauma (O70-O71).

Medical necessity for S37.0 is established by the documented evidence of a kidney injury resulting from an external cause, along with the associated signs, symptoms, and diagnostic findings.

Clinicians diagnosing and treating kidney injuries consider patient history, physical examination, laboratory studies (blood coagulation factors, platelets, BUN, creatinine, urine analysis), and imaging (X-ray, ultrasound, urography, Doppler scan, MRI, CT). Treatment can range from observation and rest to medication (analgesics, corticosteroids, antibiotics), anticoagulants, and potentially surgery (stenting, repair, nephrectomy).

In simple words: Kidney injury refers to damage or tearing of the kidney, the organ located in the back of the abdomen that filters waste and produces urine. This can happen from various causes like accidents, sports injuries, wounds, or even during surgery.

Injury to the kidney, which can be due to blunt or penetrating trauma, such as a motor vehicle accident, sports injury, puncture wound, gunshot wound, external compression or force, certain disease conditions, or surgical complications.

Example 1: A patient presents to the ER after a car accident with flank pain and hematuria. Imaging reveals a kidney laceration, and S37.0 is assigned., During a football game, a player receives a direct blow to the abdomen. Subsequent examination reveals a kidney contusion, coded as S37.0., A patient undergoing a surgical procedure experiences an accidental injury to their kidney, requiring immediate repair. S37.0 is used to document the kidney injury.

Documentation should include details of the injury mechanism, presenting symptoms (pain, tenderness, bruising, hematuria), laboratory results, imaging findings, and treatment provided.

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