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

D78.0 is the ICD-10-CM diagnosis code for intraoperative hemorrhage and hematoma of the spleen complicating a procedure. It belongs to category D78 (intraoperative and postprocedural complications of the spleen), block D78 (intraoperative and postprocedural complications of the spleen) and chapter 3 (diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism). It is a header code, so it can't be reported by itself; one of its 2 subcodes must be used instead.

Within D78 (intraoperative and postprocedural complications of the spleen), D78.0 is specifically for intraoperative hemorrhage and hematoma of the spleen complicating a procedure. Related codes cover accidental puncture and laceration of the spleen during a procedure (D78.1), postprocedural hemorrhage of the spleen following a procedure (D78.2), postprocedural hematoma and seroma of the spleen following a procedure (D78.3) and other intraoperative and postprocedural complications of the spleen (D78.8).

To report this condition, pick the subcode that matches the documentation: D78.01 (on the spleen) and D78.02 (procedure).

Don't report D78.0 together with the conditions in its Excludes1 note: intraoperative hemorrhage and hematoma of the spleen due to accidental puncture or laceration during a procedure (D78.1-).

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.