D78 vs T85.79XS
D78 (Intraoperative and postprocedural complications of the spleen) compared with T85.79XS (Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, sequela), 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. T85.79XS 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 spleen | T85.79XSInfection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, sequela | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | D50-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) |
| Definition | Intraoperative and postprocedural complications of the spleen is a non-billable ICD-10-CM category code (D78). | Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, sequela is a billable ICD-10-CM diagnosis code (T85.79S). |
| 7th character | — | The appropriate 7th character is to be added to each code from category T85 |
| Use additional code | — | code to identify infection 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 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources