ICD-10 Code D78 – Intraoperative and postprocedural complications of the spleen (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Intraoperative and postprocedural complications of the spleen is D78.
2026 ICD-10-CM Diagnosis Code D78 – Intraoperative and postprocedural complications of the spleen

What it is

D78 identifies complications involving the spleen that occur during surgery or after a procedure. Use it when the record documents a splenic problem clearly linked to an operative or postprocedural event.

Clinical signs

Clinical features vary; refer to documentation. Commonly documented findings may include bleeding, splenic injury, pain, or other postoperative complications attributed to the spleen.

When to use this code

Use D78 when the provider states that the splenic complication is intraoperative or postprocedural and there is no more specific code available. It may apply after abdominal surgery, interventional procedures, or follow-up care when the spleen is the affected organ. Check documentation for the exact timing and cause.

Do not use for

Do not use D78 for a preexisting splenic disease, trauma, or an unspecified abdominal complication. If the complication is described more specifically elsewhere, code that condition instead.

Coding tip

Link the splenic complication to the procedure only when the documentation clearly supports that relationship.

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