ICD-10 Code D78.31 – Postprocedural hematoma of the spleen following a procedure on the spleen (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code D78.31 – Postprocedural hematoma of the spleen following a procedure on the spleen
What it is
This code identifies a hematoma that develops in the spleen after a procedure performed on the spleen. It indicates a postprocedural complication, not an injury from outside trauma.
Clinical signs
Clinical features vary; refer to documentation. Commonly, the record may describe splenic pain, abdominal tenderness, or imaging evidence of a localized blood collection after the procedure.
When to use this code
Use D78.31 when the provider documents a hematoma of the spleen caused by a procedure on the spleen. It fits postoperative or postprocedural complications where the spleen is the affected site. If the note only says bleeding or complication without specifying hematoma, check documentation.
Do not use for
Do not use this code for traumatic splenic hematoma, which is coded as an injury. Also avoid it when the complication is in another organ or when the chart does not confirm a splenic hematoma.
Coding tip
Link the hematoma to the spleen procedure in the documentation before assigning D78.31.