Differential Diagnosis for Post-Procedural Hematoma at the Access Site of a Percutaneous Coronary Intervention

• Single Most Likely Diagnosis:
  • ICD-10 code T81.0 (Air embolism following a procedure) is not the best fit, but I97.1 (Postprocedural hemorrhage) or more specifically T81.3 (Hemorrhage following a procedure) could be considered for a post-procedural hematoma. However, the most accurate code would depend on the specifics of the procedure and the hematoma. For a hematoma at the access site of a percutaneous coronary intervention, I97.1 might be more appropriate as it directly addresses hemorrhage following a procedure.
• Other Likely Diagnoses:
  • I97.4 (Hematoma following a procedure): This could be considered if the focus is specifically on the hematoma rather than the hemorrhage.
  • T81.4 (Infection following a procedure): While not directly related to hematoma, infection can complicate a hematoma or be a differential diagnosis in the setting of access site complications.
• Do Not Miss Diagnoses:
  • I74.8 (Other specified peripheral vascular diseases): This includes conditions like pseudoaneurysm or arteriovenous fistula, which could present similarly to a hematoma and have significant implications for management.
  • I97.5 (Chronic postprocedural hemorrhage): Though less likely, chronic hemorrhage could be a complication of the initial hematoma and would significantly impact patient management.
• Rare Diagnoses:
  • D68.3 (Hemorrhagic disorder due to circulating anticoagulants): This would be a rare cause of a post-procedural hematoma but could be considered in patients with a history of anticoagulant use or autoimmune disorders.
  • I98.2 (Hemorrhage into other specified organs or tissues following a procedure): While not directly related to access site hematomas, this could be considered for unusual presentations of bleeding following a procedure.