Major laceration of right kidney, initial encounter

This code signifies a significant, deep tear or wound to the right kidney, extending beyond superficial layers. It indicates substantial renal parenchymal damage, potentially involving the collecting system or vasculature, requiring medical or surgical intervention.

Apply this code for patients presenting with an acute injury resulting in a severe laceration of the right kidney, such as from blunt force trauma (e.g., motor vehicle accident, fall) or penetrating trauma (e.g., stab wound, gunshot wound). This is specifically for the initial phase of treatment for the injury.

• Ensure documentation clearly specifies "major" laceration and laterality (right kidney).
• Confirm the encounter is the "initial encounter" for the injury; subsequent care will use different seventh characters.
• Look for associated injuries and code them separately, such as hemorrhage, hematoma, or damage to surrounding structures.