DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

D78 Intraoperative and postprocedural complications of the spleen

  • Header · not billable

D78 is not billable. The category heads 12 billable codes in FY2027, grouped under 5 subdivisions.

Index → code

  • Complication(s) (from) (of)surgical procedure (on)spleen (postoperative) → D78.89
  • Complication(s) (from) (of)postproceduralspecified NECspleen → D78.89
  • Complication(s) (from) (of)intraoperative (intraprocedural)specified NECspleen → D78.81

Where it sits

  1. Chapter 3 Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)
  2. D78 Intraoperative and postprocedural complications of the spleen (D78)
  3. D78 Intraoperative and postprocedural complications of the spleen
Billable codes
12
Subdivisions
5
CC / MCC codes
12 / 0
HCC V28 codes
0
New FY2027
0
Index entries
14

Codes in D78

  1. D78.0
    Intraoperative hemorrhage and hematoma of the spleen complicating a procedure
    Header
    Excludes1 1

    Excludes1

    • intraoperative hemorrhage and hematoma of the spleen due to accidental puncture or laceration during a procedure (D78.1-) D78.1
  2. D78.01
    Intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen
    BillableCC
  3. D78.02
    Intraoperative hemorrhage and hematoma of the spleen complicating other procedure
    BillableCC
  4. D78.1
    Accidental puncture and laceration of the spleen during a procedure
    Header
  5. D78.11
    Accidental puncture and laceration of the spleen during a procedure on the spleen
    BillableCC
  6. D78.12
    Accidental puncture and laceration of the spleen during other procedure
    BillableCC
  7. D78.2
    Postprocedural hemorrhage of the spleen following a procedure
    Header
  8. D78.21
    Postprocedural hemorrhage of the spleen following a procedure on the spleen
    BillableCC
  9. D78.22
    Postprocedural hemorrhage of the spleen following other procedure
    BillableCC
  10. D78.3
    Postprocedural hematoma and seroma of the spleen following a procedure
    Header
  11. D78.31
    Postprocedural hematoma of the spleen following a procedure on the spleen
    BillableCC
  12. D78.32
    Postprocedural hematoma of the spleen following other procedure
    BillableCC
  13. D78.33
    Postprocedural seroma of the spleen following a procedure on the spleen
    BillableCC
  14. D78.34
    Postprocedural seroma of the spleen following other procedure
    BillableCC
  15. D78.8
    Other intraoperative and postprocedural complications of the spleen
    Header
    Use additional code 1

    Use additional code

    • code, if applicable, to further specify disorder
  16. D78.81
    Other intraoperative complications of the spleen
    BillableCC
  17. D78.89
    Other postprocedural complications of the spleen
    BillableCC

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column.

Instructions

Notes that also apply

Chapter 3 instructions (Excludes2 9): printed on the chapter 3 page.

Index entries

  • Complication(s) (from) (of)surgical procedure (on)spleen (postoperative) → D78.89
  • Complication(s) (from) (of)intraoperative (intraprocedural)specified NECspleen → D78.81
  • Complication(s) (from) (of)surgical procedure (on)spleen (postoperative)intraoperative → D78.81
  • Complication(s) (from) (of)postproceduralspecified NECspleen → D78.89
  • Complication(s) (from) (of)intraoperative (intraprocedural)hemorrhage (hematoma) (of)spleenduring a procedure on the spleen → D78.01
  • Complication(s) (from) (of)intraoperative (intraprocedural)hemorrhage (hematoma) (of)spleenduring a procedure on other organ → D78.02
  • Complication(s) (from) (of)intraoperative (intraprocedural)puncture or laceration (accidental) (unintentional) (of)spleenduring a procedure on the spleen → D78.11
  • Complication(s) (from) (of)intraoperative (intraprocedural)puncture or laceration (accidental) (unintentional) (of)spleenduring a procedure on other organ → D78.12
  • Complication(s) (from) (of)postproceduralhemorrhage (of)spleenfollowing procedure on the spleen → D78.21
  • Complication(s) (from) (of)postproceduralhemorrhage (of)spleenfollowing procedure on other organ → D78.22
  • Complication(s) (from) (of)postproceduralhematoma (of)spleenfollowing procedure on the spleen → D78.31
  • Complication(s) (from) (of)postproceduralhematoma (of)spleenfollowing procedure on other organ → D78.32
  • Complication(s) (from) (of)postproceduralseroma (of)spleenfollowing procedure on the spleen → D78.33
  • Complication(s) (from) (of)postproceduralseroma (of)spleenfollowing procedure on other organ → D78.34

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