ICD-10 Code D78.01 – Intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code D78.01 – Intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen
What it is
D78.01 identifies bleeding or a hematoma in the spleen that occurs during a procedure on the spleen. Use it when the record shows the complication happened intraoperatively and is linked to the splenic procedure.
Clinical signs
Documentation may note unexpected splenic bleeding, hematoma formation, or the need for additional hemostasis during surgery. Clinical features vary; refer to documentation.
When to use this code
Use this code when the operative report states that hemorrhage or hematoma of the spleen occurred during a splenic procedure. It fits cases where the complication is clearly described as intraoperative and attributable to the operation. If the note does not specify the spleen or timing, check documentation.
Do not use for
Do not use it for postoperative bleeding, delayed hematoma, or splenic injury unrelated to a procedure on the spleen. Do not assign it when the complication site or timing is unclear.
Coding tip
Link the complication to the operative note; if the surgeon does not state intraoperative splenic bleeding or hematoma, verify the documentation before coding.