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D78 vs T80.29XD

D78 (Intraoperative and postprocedural complications of the spleen) compared with T80.29XD (Infection following other infusion, transfusion and therapeutic injection, subsequent encounter), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. T80.29XD carries an Excludes2 note covering D78: “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.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

D78Intraoperative and postprocedural complications of the spleenT80.29XDInfection following other infusion, transfusion and therapeutic injection, subsequent encounter
Billing statusNon-billable header

Report instead: D78.01, D78.02, D78.11, D78.12, D78.21

Billable
ClassificationD50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionIntraoperative and postprocedural complications of the spleen is a non-billable ICD-10-CM category code (D78).Infection following other infusion, transfusion and therapeutic injection, subsequent encounter is a billable ICD-10-CM diagnosis code (T80.29D).
7th characterThe appropriate 7th character is to be added to each code from category T80
Includes
complications following perfusion
Use additional code
code to identify the specific infection, such as:
sepsis (A41.9)
code (R65.2-) to identify severe sepsis, if applicable

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources