ICD-10 Code D78.02 – Intraoperative hemorrhage and hematoma of the spleen complicating other procedure (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code D78.02 – Intraoperative hemorrhage and hematoma of the spleen complicating other procedure
What it is
This code identifies bleeding or a hematoma involving the spleen that occurs during another procedure. Use it when the complication is documented as intraoperative and linked to the spleen.
Clinical signs
Clinical features vary; refer to documentation. Typical findings may include unexpected splenic bleeding, a splenic hematoma noted during surgery, or operative report evidence of splenic injury.
When to use this code
Use D78.02 when the record clearly states that splenic hemorrhage or hematoma happened during a procedure and was a complication of that procedure. Code it from the operative note, surgeon’s diagnosis, or complication documentation. Check documentation if the timing or cause is unclear.
Do not use for
Do not use this code for postoperative splenic bleeding, traumatic splenic injury, or an incidental preexisting splenic hematoma. If the spleen complication is not tied to another procedure, check documentation.
Coding tip
Confirm the complication is documented as intraoperative and procedure-related before assigning D78.02.