D78.0

Intraoperative hemorrhage and hematoma of the spleen complicating a procedure

FY2027Chapter 3: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism/D78 Intraoperative and postprocedural complications of the spleen

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

D78.0 is a non-billable ICD-10-CM code header for intraoperative hemorrhage and hematoma of the spleen complicating a procedure. 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 D78.01 Intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen and D78.02 Intraoperative hemorrhage and hematoma of the spleen complicating other procedure. Its coding notes include 1 Excludes1 entry and 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.

Guidelines I.C.19.g.5Postprocedural complications in the body system chaptersRead the official text

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
  • intraoperative hemorrhage and hematoma of the spleen due to accidental puncture or laceration during a procedure (D78.1-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (9 notes)
Inherited from Chapter 3 Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
  • 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 D78.0 2