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Dx

ICD-10-CM 2027

ICD-10 code for postsurgical asplenia

Z90.81

Acquired absence of spleen

✓ Billable / specificNot a principal dx

From the official ICD-10-CM alphabetic index entry “Asplenia (congenital) › postsurgical”. Page updated September 29, 2026.

About coding postsurgical asplenia

The ICD-10-CM code for postsurgical asplenia is Z90.81 (Acquired absence of spleen).

Within Z90.8 (acquired absence of other organs), Z90.81 is specifically for acquired absence of spleen. Related codes cover other organs (Z90.89).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 951 (Other Factors Influencing Health Status, relative weight 0.5577), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

Common questions about postsurgical asplenia ICD-10 codes

What is the ICD-10 code for postsurgical asplenia?

Z90.81 — Acquired absence of spleen.

Is Z90.81 billable?

Yes. Z90.81 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Z90.81 be used as a principal diagnosis?

No. It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

Is Z90.81 a CC or MCC?

No. Z90.81 is neither a CC nor an MCC under MS-DRG v44.0.