D78
Intraoperative and postprocedural complications of the spleen
D78 is a non-billable ICD-10-CM code category for intraoperative and postprocedural complications of the spleen. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are D78.0 Intraoperative hemorrhage and hematoma of the spleen complicating a procedure, D78.1 Accidental puncture and laceration of the spleen during a procedure, D78.2 Postprocedural hemorrhage of the spleen following a procedure, D78.3 Postprocedural hematoma and seroma of the spleen following a procedure and 1 more. Its coding notes include 9 Excludes2 entries.
Guidelines tip
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
Intraoperative and postprocedural complications are coded from the body system chapters unless the complication is specifically indexed to a T code.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (9 notes)
- autoimmune disease (systemic) NOS (M35.9)
- certain conditions originating in the perinatal period (P00-P96)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- human immunodeficiency virus [HIV] disease (B20)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
More specific codes under D78 5
- D78.0Intraoperative hemorrhage and hematoma of the spleen complicating a procedureHeader
- D78.1Accidental puncture and laceration of the spleen during a procedureHeader
- D78.2Postprocedural hemorrhage of the spleen following a procedureHeader
- D78.3Postprocedural hematoma and seroma of the spleen following a procedureHeader
- D78.8Other intraoperative and postprocedural complications of the spleenHeader