2027 ICD-10-CM Diagnosis Code D78Intraoperative and postprocedural complications of the spleen

ICD-10-CM Codes›D50–D89›D78›D78

ICD-10-CM D78
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

D78 is a non-billable ICD-10-CM category code for intraoperative and postprocedural complications of the spleen, so it cannot be submitted on claims. Use a more specific code from this category instead, such as D78.01, D78.02, D78.11, and D78.12.

Code Identity

ICD-10-CM Code
D78
Billable Status
No — Non-Billable Category
Code Describes
Intraoperative and postprocedural complications of the spleen
Short Description
Intraop and postprocedural complications of the spleen
Chapter
D78
Intraoperative and postprocedural complications of the spleen

Code Classification

ChapterD50–D89Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
SectionD78Intraoperative and postprocedural complications of the spleen
CategoryD78Intraoperative and postprocedural complications of the spleen
This CodeD78Intraoperative and postprocedural complications of the spleen

Specific Coding for Intraop and postprocedural complications of the spleenOverview

Non-specific codes like D78 require more characters. Use one of these billable codes instead:

  • D78.0 for Intraoperative hemorrhage and hematoma of the spleen complicating a procedure

  • Use D78.01 for Intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen

  • Use D78.02 for Intraoperative hemorrhage and hematoma of the spleen complicating other procedure

  • D78.1 for Accidental puncture and laceration of the spleen during a procedure

  • Use D78.11 for Accidental puncture and laceration of the spleen during a procedure on the spleen

  • Use D78.12 for Accidental puncture and laceration of the spleen during other procedure

  • D78.2 for Postprocedural hemorrhage of the spleen following a procedure

  • Use D78.21 for Postprocedural hemorrhage of the spleen following a procedure on the spleen

  • Use D78.22 for Postprocedural hemorrhage of the spleen following other procedure

  • D78.3 for Postprocedural hematoma and seroma of the spleen following a procedure

  • Use D78.31 for Postprocedural hematoma of the spleen following a procedure on the spleen

  • Use D78.32 for Postprocedural hematoma of the spleen following other procedure

  • Use D78.33 for Postprocedural seroma of the spleen following a procedure on the spleen

  • Use D78.34 for Postprocedural seroma of the spleen following other procedure

  • D78.8 for Other intraoperative and postprocedural complications of the spleen

  • Use D78.81 for Other intraoperative complications of the spleen

  • Use D78.89 for Other postprocedural complications of the spleen

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to D78: its own notes plus those printed at Chapter 3. A note printed at a category, block or chapter applies to every code under it.

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 3 (D50-D89) Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism applies to 324 codes
  • 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)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name D78, its category, or a range that includes it.

Excludes2 2

These codes carry an Excludes2 note naming D78: its condition is not part of those codes, and both may be reported when the patient has both.

  • Block T80-T88 Complications of surgical and medical care, not elsewhere classified
    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.-)
  • T81 Complications of procedures, not elsewhere classified
    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.-)

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.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About D78Overview

What is the ICD-10 code for intraoperative and postprocedural complications of the spleen?

D78 is the ICD-10-CM category for intraoperative and postprocedural complications of the spleen, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is D78 a billable code?

No. This is a category header that groups the codes for intraoperative and postprocedural complications of the spleen, and headers cannot be submitted on claims. Claims for intraoperative and postprocedural complications of the spleen need a more specific code from this category, such as D78.01, D78.02, and D78.11.