K68.3 — Retroperitoneal hematoma
K68.3 is a billable, specific ICD-10-CM code for retroperitoneal hematoma. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Retroperitoneal hemorrhage
Risk adjustment
K68.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
K68.3 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55336Billing and Coding: Retroperitoneal Ultrasound
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56625Billing and Coding: Echocardiography
- A56766Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
How K68.3 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to K68.3.
- Hematoma›retroperitoneal(nontraumatic)
- Hemorrhage, hemorrhagic›retroperitoneal
Related codes at this level
Codes that share K68. If K68.3 is not quite right, the correct code is usually one of these.
Questions about K68.3
- Is K68.3 a billable ICD-10-CM code?
- Yes. K68.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does K68.3 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Diseases of peritoneum and retroperitoneum (K65-K68).