D78 ICD-10-CM Code: Intraoperative and postprocedural complications of the spleen
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Billing Status: NO. This is a non-billable ICD-10-CM code: report a more specific billable code beneath it.
Category · FY2027A non-billable heading in the tabular list: report a more specific code beneath it.
What you need to know
Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too; the Instructions section marks which is which.
The tabular list publishes no instructional note for this code itself.
Most relevant related codes MedCoder-derived
- D78.0Intraoperative hemorrhage and hematoma of the spleen complicating a procedureMore specific code
- D78.01Intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleenMore specific code
- D78.02Intraoperative hemorrhage and hematoma of the spleen complicating other procedureMore specific code
- D78.1Accidental puncture and laceration of the spleen during a procedureMore specific code
- D78.11Accidental puncture and laceration of the spleen during a procedure on the spleenMore specific code
- D78.12Accidental puncture and laceration of the spleen during other procedureMore specific code
Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.
Coder workflow for D78
MedCoder structured workflow — derived from this code’s own official record
Before you code D78
- D78 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewD78.0, D78.1, D78.2, D78.3, D78.8
See the relationships section · Guide: How to choose an ICD-10-CM code →
Choose the right path
- Does the documentation support one of the more specific codes beneath D78?
Yes → Select that code and continue the checks below on its own page.
No → D78 cannot be reported as written; query for the specificity its subcategory needs.
Consider D78. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder-derived relationships — computed from published CMS and AHRQ datasets
Other codes that name D78 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 10 Excludes2 notes: T80 — Complications following infusion, transfusion and therapeutic injection, T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88), T81 — Complications of procedures, not elsewhere classified, T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts, T83 — Complications of genitourinary prosthetic devices, implants and grafts, T84 — Complications of internal orthopedic prosthetic devices, implants and grafts, T85 — Complications of other internal prosthetic devices, implants and grafts, T86 — Complications of transplanted organs and tissue, T87 — Complications peculiar to reattachment and amputation, T88 — Other complications of surgical and medical care, not elsewhere classified.
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Contextual Map
Every relationship of D78 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run D78 with these 8 related codes in Claim Check
Hierarchy
- D50-D89 — Chapter 3: Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89) (D50-D89)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- D78-D78 — Intraoperative and postprocedural complications of the spleen[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
Referenced by Excludes2 notes (10)
- T80 — Complications following infusion, transfusion and therapeutic injection[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.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T80-T88 — Complications of surgical and medical care, not elsewhere classified (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.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T81 — Complications of procedures, not elsewhere classified[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.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts[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.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T83 — Complications of genitourinary prosthetic devices, implants and grafts[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.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T84 — Complications of internal orthopedic prosthetic devices, implants and grafts[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.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T85 — Complications of other internal prosthetic devices, implants and grafts[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.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- T86 — Complications of transplanted organs and tissue[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.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- and 2 more
Nearest codes (17)
- D78.0 — Intraoperative hemorrhage and hematoma of the spleen complicating a procedure[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- D78.01 — Intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- D78.02 — Intraoperative hemorrhage and hematoma of the spleen complicating other procedure[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- D78.1 — Accidental puncture and laceration of the spleen during a procedure[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- D78.11 — Accidental puncture and laceration of the spleen during a procedure on the spleen[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- D78.12 — Accidental puncture and laceration of the spleen during other procedure[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- D78.2 — Postprocedural hemorrhage of the spleen following a procedure[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- D78.21 — Postprocedural hemorrhage of the spleen following a procedure on the spleen[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- and 9 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Common coding questions
MedCoder editorial
Can D78 be billed directly?
No. D78 (Intraoperative and postprocedural complications of the spleen) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder-derived relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder editorial explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "D78 — Intraoperative and postprocedural complications of the spleen." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/d78-intraoperative-and-postprocedural-complications-of-the-spleen
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionIntraoperative and postprocedural complications of the spleen
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to D78 in its code family, with their registry titles.
- D78.0 — Intraoperative hemorrhage and hematoma of the spleen complicating a procedure
- D78.01 — Intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen
- D78.02 — Intraoperative hemorrhage and hematoma of the spleen complicating other procedure
- D78.1 — Accidental puncture and laceration of the spleen during a procedure
- D78.11 — Accidental puncture and laceration of the spleen during a procedure on the spleen
- D78.12 — Accidental puncture and laceration of the spleen during other procedure
- D78.2 — Postprocedural hemorrhage of the spleen following a procedure
- D78.21 — Postprocedural hemorrhage of the spleen following a procedure on the spleen
- D78.22 — Postprocedural hemorrhage of the spleen following other procedure
- D78.3 — Postprocedural hematoma and seroma of the spleen following a procedure
- D78.31 — Postprocedural hematoma of the spleen following a procedure on the spleen
- D78.32 — Postprocedural hematoma of the spleen following other procedure
- D78.33 — Postprocedural seroma of the spleen following a procedure on the spleen
- D78.34 — Postprocedural seroma of the spleen following other procedure
- D78.8 — Other intraoperative and postprocedural complications of the spleen
- D78.81 — Other intraoperative complications of the spleen
- D78.89 — Other postprocedural complications of the spleen