D78.22Postprocedural hemorrhage of the spleen following other procedure

D78.22 is the ICD-10-CM diagnosis code for postprocedural hemorrhage of the spleen following other 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 billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within D78.2, choose D78.22 (other procedure) only when documentation doesn't support a more specific option: on the spleen (D78.21).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 919 (Complications of Treatment with MCC, relative weight 1.763), DRG 920 (Complications of Treatment with CC, relative weight 0.9975) and DRG 921 (Complications of Treatment without CC/MCC, relative weight 0.6722), in MDC 21 (Injuries, Poisonings and Toxic Effects of Drugs), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015, and changed in FY2017 (title revised).

Before ICD-10, this condition was coded in ICD-9-CM as 998.11 (hemorrhage complicating a procedure).