ICD-10 code for pelvis hematoma

The ICD-10-CM code for pelvis hematoma is K6A.8 (Other diseases of the pelvis, not elsewhere classified). The official index lists 3 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on K6A.8.

Within K6A, choose K6A.8 (Other diseases of the pelvis, not elsewhere classified) only when documentation doesn't support a more specific option: pelvic abscess (K6A.0).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 371 (Major Gastrointestinal Disorders and Peritoneal Infections with MCC, relative weight 1.7089), DRG 372 (Major Gastrointestinal Disorders and Peritoneal Infections with CC, relative weight 0.9964), DRG 373 (Major Gastrointestinal Disorders and Peritoneal Infections without CC/MCC, relative weight 0.6941), DRG 791 (Prematurity with Major Problems, relative weight 4.1075) and DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), in MDC 06 (Diseases and Disorders of the Digestive System) and MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.