2027 ICD-10-CM Diagnosis Code D78.01Intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen
ICD-10-CM Codes›D50–D89›D78›D78
- Billable — Valid for Submission
- CC — Complication or Comorbidity
- Not Chronic
D78.01 is a billable ICD-10-CM diagnosis code for intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 919 through 921. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 78 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Postprocedural or postoperative complications of the spleen.
Code Identity
Code Classification
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to D78.01: its own notes plus those printed at D78.0 and Chapter 3. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
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.
- 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 D78.01, its category, or a range that includes it.
Excludes2 2
These codes carry an Excludes2 note naming D78.01: 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 classifiedintraoperative 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.-) names D78.-, which includes this code
- T81 Complications of procedures, not elsewhere classifiedintraoperative 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.-) names D78.-, which includes this code
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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 D78.01 to ICD-9-CMHistory
Code HistoryHistory
Questions About D78.01Overview
Is D78.01 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does D78.01 group to?
When intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen is the principal diagnosis on an inpatient stay, it groups to MS-DRG 920, 919, 921, with relative weights from 0.6719 to 1.7624 depending on complications. Higher weights mean higher Medicare reimbursement.
Is D78.01 a CC or MCC?
CMS lists D78.01 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 78 closely related codes in its exclusion list.
Can D78.01 be reported with a code from D78.1?
Not as a rule. The Excludes1 note at D78.0, which applies to D78.01, lists "intraoperative hemorrhage and hematoma of the spleen due to accidental puncture or laceration during a procedure (D78.1-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
What is the ICD-9 equivalent of D78.01?
Under the General Equivalence Mappings, intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen converts to ICD-9-CM 998.11 (hemorrhage complic proc) and 998.12 (hematoma complic proc). The mapping is approximate, so confirm the match fits the documentation.
