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D78 vs T84.84XA

D78 (Intraoperative and postprocedural complications of the spleen) compared with T84.84XA (Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Relationship

Informational

Excludes2 relationship

T84.84XA
Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter
↔
D78
Intraoperative and postprocedural complications of the spleen

Distinct conditions — both may be reported.

“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.-)”

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source: CMS ICD-10-CM tabular instructional notes

Can these codes be reported together?

Yes, when both are documented. T84.84XA 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 spleenT84.84XAPain due to internal orthopedic prosthetic devices, implants and grafts, initial 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).Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter is a billable ICD-10-CM diagnosis code (T84.84A).
7th character—The appropriate 7th character is to be added to each code from category T84
Use additional code—
code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code(s) to identify the specified condition resulting from the complication
code to identify devices involved and details of circumstances (Y62-Y82)
Edit this comparisonCheck a whole claim

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