2026 ICD-10-CM Diagnosis Code D73.1Hypersplenism

ICD-10-CM Codes›D50–D89›D70-D77›D73

ICD-10-CM D73.1
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

D73.1 is a billable ICD-10-CM diagnosis code for hypersplenism. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 814 through 816. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified hematologic conditions.

Code Identity

ICD-10-CM Code
D73.1
Billable Status
Yes — Valid for Submission
Code Describes
Hypersplenism
Short Description
Hypersplenism
Same as the full description in the CMS dataset.
Parent Code
D73
Diseases of spleen

Code Classification

ChapterD50–D89Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
SectionD70-D77Other disorders of blood and blood-forming organs
CategoryD73Diseases of spleen
This CodeD73.1Hypersplenism

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Hypersplenism
  • Myeloid metaplasia
  • Thrombocytopenia due to hypersplenism

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Type 1 Excludes

  • neutropenic splenomegaly D73.81
  • primary splenic neutropenia D73.81
  • splenitis, splenomegaly in late syphilis A52.79
  • splenitis, splenomegaly in tuberculosis A18.85
  • splenomegaly NOS R16.1
  • splenomegaly congenital Q89.0

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Aleukia
      • splenica
    • Big spleen syndrome
    • Gamna's disease(siderotic splenomegaly)
    • Gandy-Nanta disease(siderotic splenomegaly)
    • Hypersplenia, hypersplenism
    • Increase, increased
      • splenic activity
    • Metaplasia
      • myelogenous
    • Metaplasia
      • myeloid (agnogenic) (megakaryocytic)
    • Metaplasia
      • spleen
    • Panhematopenia
      • splenic, primary
    • Syndrome
      • big spleen
    • Syndrome
      • hypersplenic

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR BLD010
Other specified and unspecified hematologic conditions
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Hypersplenism

    condition characterized by splenomegaly, some reduction in the number of circulating blood cells in the presence of a normal or hyperactive bone marrow, and the potential for reversal by splenectomy.

  • Hypersplenism

    overactive functioning of the spleen, resulting in excessive destruction of blood cells.

Patient EducationClinical

Spleen Diseases

Your spleen is an organ above your stomach and under your ribs on your left side. It is about as big as your fist. The spleen is part of your lymphatic system, which fights infection and keeps your body fluids in balance. It contains white blood cells that fight germs.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert D73.1 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
289.4 Hypersplenism
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About D73.1Overview

Is D73.1 (Diseases of spleen) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report hypersplenism on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does D73.1 group to?

When hypersplenism is the principal diagnosis on an inpatient stay, it groups to MS-DRG 814, 815, 816, with relative weights from 0.6320 to 2.1267 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of D73.1?

Under the General Equivalence Mappings, hypersplenism converts to ICD-9-CM 289.4 (hypersplenism). The mapping is a direct match.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.