ICD-10 Code D78.0 – Intraoperative hemorrhage and hematoma of the spleen complicating a procedure (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code D78.0 – Intraoperative hemorrhage and hematoma of the spleen complicating a procedure
What it is
D78.0 identifies bleeding or a hematoma involving the spleen that occurs during a procedure. Use it when the operative record shows the spleen was injured intraoperatively and the complication is documented.
Clinical signs
Clinical features vary; refer to documentation. Typical findings may include operative evidence of splenic bleeding, a splenic hematoma, or unexpected blood loss recognized during the procedure.
When to use this code
Use this code when the surgeon documents intraoperative hemorrhage or hematoma of the spleen as a complication of a procedure. It applies to the operative encounter, not to routine postoperative pain or unrelated splenic disease.
If the note only mentions possible injury, check documentation before assigning the code. Code the complication only when the provider clearly links the splenic bleeding or hematoma to the procedure.
Do not use for
Do not use this code for nonprocedural splenic hemorrhage, traumatic splenic injury, or postoperative bleeding without intraoperative involvement. Check documentation if the record does not specify the spleen or the procedure link.
Coding tip
Confirm that the operative report names the spleen and states the bleeding or hematoma occurred during the procedure.