D77Billable, valid for claims from October 1, 2026

Other disorders of blood and blood-forming organs in diseases classified elsewhere

In Other disorders of blood and blood-forming organs (D70-D77), chapter 3: Diseases of the Blood and Blood-Forming Organs

  • D77 is billable and valid on claims for FY 2027. If the record has more detail, check the other codes under D70-D77 below.
  • As a secondary diagnosis it is not a CC or MCC, so it doesn't raise the MS-DRG payment.
  • Doesn't count toward a Medicare Advantage risk score (no HCC in V28).
  • AHRQ's Chronic Condition Indicator classes it as not chronic (an acute or short-term condition).
  • Can't be the principal diagnosis: code the underlying condition first. (Manifestation list)

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Instructional notes

Excludes1: not coded here, use a different code

  • rupture of spleen due to Plasmodium vivax malaria (B51.0)
  • splenitis, splenomegaly in late syphilis (A52.79)
  • splenitis, splenomegaly in tuberculosis (A18.85)

Code first: code the underlying condition first, then this code

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

There are no chapter-specific rules for Chapter 3 yet, so the general rules in Section I.B apply.

Read Section I.C.3 (page 39)

D77 MS-DRGs

As the principal diagnosis, D77 groups to MS-DRG 814, 815, or 816 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Related conditions

Grouped by AHRQ's Clinical Classifications Software Refined (CCSR), which sorts every diagnosis code into clinically meaningful categories.

D77 is in Other specified and unspecified hematologic conditions (BLD010), with 21 codes. Others in it:

  • A18.85 Tuberculosis of spleen
  • B51.0 Plasmodium vivax malaria with rupture of spleen
  • D73.0 Hyposplenism
  • D73.1 Hypersplenism
  • D73.2 Chronic congestive splenomegaly
  • D73.3 Abscess of spleen
  • D73.4 Cyst of spleen
  • D73.5 Infarction of spleen

Medicare coverage articles listing D77

These 2 Medicare billing and coding articles list D77 as a diagnosis that supports medical necessity for the services they cover. From the CMS Medicare Coverage Database; check your own contractor's article before billing.

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Blood Disorders

Your blood is living tissue made up of liquid and solids. The liquid part, called plasma, is made of water, salts and protein. Over half of your blood is plasma. The solid part of your blood contains red blood cells, white blood cells and platelets.

Read more about blood disorders on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.

ICD-9-CM equivalent

Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).

  • 289.89 Other specified diseases of blood and blood-forming organs (approximate)
ICD-9 to ICD-10 converter