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D78 vs T86.8489

D78 (Intraoperative and postprocedural complications of the spleen) compared with T86.8489 (Other complications of corneal transplant, unspecified eye), 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. T86.8489 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 spleenT86.8489Other complications of corneal transplant, unspecified eye
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).Other complications of corneal transplant, unspecified eye is a billable ICD-10-CM diagnosis code (T86.8489).
Use additional code
code to identify other transplant complications, such as:
graft-versus-host disease (D89.81-)
malignancy associated with organ transplant (C80.2)

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