Hematoma ICD-10-CM Codes

A hematoma ICD-10 code should be used when a patient presents with a documented accumulation of blood outside of blood vessels, often due to trauma, surgery, or a medical condition. The code selected must reflect the hematoma’s location, cause (traumatic or nontraumatic), and encounter type (initial, subsequent, or sequela).

Yes, most hematoma ICD-10-CM codes, including M79.81 (Nontraumatic Hematoma of Soft Tissue), are valid and billable for insurance reimbursement. Accurate documentation of the hematoma’s characteristics ensures the correct code is used for billing and treatment purposes.

Treatment for hematomas depends on severity and location, ranging from rest, ice, and elevation to pain management and surgical drainage. In more complex or internal cases, especially involving the brain or post-surgical sites, medical intervention may include imaging, blood monitoring, or procedural correction.