Intraoperative and postprocedural complications of the spleen
chapter 3: Diseases of the Blood and Blood-Forming Organs
12 billable codes under D78: all are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
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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.
All codes under D78
D78 can't be used on a claim. Pick a billable code below; grey headings group them.
- D78.0Intraoperative hemorrhage and hematoma of the spleen complicating a procedure
- D78.01Intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen
- D78.02Intraoperative hemorrhage and hematoma of the spleen complicating other procedure
- D78.1Accidental puncture and laceration of the spleen during a procedure
- D78.11Accidental puncture and laceration of the spleen during a procedure on the spleen
- D78.12Accidental puncture and laceration of the spleen during other procedure
- D78.2Postprocedural hemorrhage of the spleen following a procedure
- D78.21Postprocedural hemorrhage of the spleen following a procedure on the spleen
- D78.22Postprocedural hemorrhage of the spleen following other procedure
- D78.3Postprocedural hematoma and seroma of the spleen following a procedure
- D78.31Postprocedural hematoma of the spleen following a procedure on the spleen
- D78.32Postprocedural hematoma of the spleen following other procedure
- D78.33Postprocedural seroma of the spleen following a procedure on the spleen
- D78.34Postprocedural seroma of the spleen following other procedure
- D78.8Other intraoperative and postprocedural complications of the spleen
- D78.81Other intraoperative complications of the spleen
- D78.89Other postprocedural complications of the spleen
D78 MS-DRGs
As the principal diagnosis, the billable codes under D78 group to MS-DRG 919, 920, 921, 791, or 793 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 919 Complications of Treatment with MCC (12 of 12 codes)
- DRG 920 Complications of Treatment with CC (12 of 12 codes)
- DRG 921 Complications of Treatment without CC/MCC (12 of 12 codes)
- DRG 791 Prematurity with Major Problems (2 of 12 codes)
- DRG 793 Full Term Neonate with Major Problems (2 of 12 codes)
Other codes that refer to D78
Notes on these codes point to D78.
- T80-T88 Excludes2: intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)
- T81 Excludes2: intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Spleen Diseases
Your spleen is an organ above your stomach and under your ribs on your left side. It is about as big as your fist. The spleen is part of your lymphatic system, which fights infection and keeps your body fluids in balance. It contains white blood cells that fight germs. Your spleen also helps control the amount of blood in your body, and destroys old and damaged cells.
Read more about spleen diseases on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.