ICD-10 · PDGM grouping
D78 Intraoperative and postprocedural complications of the spleen
All 12 codes in the D78 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
12
Can lead a claim
12
Cannot lead a claim
0
What CMS assigns to D78
All 12 codes group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases. None of the 12 is assigned a comorbidity subgroup. Every code can lead a claim.
Every code in D78
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| D78.0 Intraoperative hemorrhage and hematoma of the spleen complicating a procedure | ||||
| D78.01 | Intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleenCMS: Intraop hemor/hemtom of the spleen comp a proc on the spleen | Can lead a claim | K | None |
| D78.02 | Intraoperative hemorrhage and hematoma of the spleen complicating other procedureCMS: Intraop hemor/hemtom of the spleen comp oth procedure | Can lead a claim | K | None |
| D78.1 Accidental puncture and laceration of the spleen during a procedure | ||||
| D78.11 | Accidental puncture and laceration of the spleen during a procedure on the spleenCMS: Accidental pnctr & lac of the spleen dur proc on the spleen | Can lead a claim | K | None |
| D78.12 | Accidental puncture and laceration of the spleen during other procedureCMS: Accidental pnctr & lac of the spleen during oth procedure | Can lead a claim | K | None |
| D78.2 Postprocedural hemorrhage of the spleen following a procedure | ||||
| D78.21 | Postprocedural hemorrhage of the spleen following a procedure on the spleenCMS: Postprocedural hemorrhage of the spleen fol proc on spleen | Can lead a claim | K | None |
| D78.22 | Postprocedural hemorrhage of the spleen following other procedureCMS: Postproc hemorrhage of the spleen following other procedure | Can lead a claim | K | None |
| D78.3 Postprocedural hematoma and seroma of the spleen following a procedure | ||||
| D78.31 | Postprocedural hematoma of the spleen following a procedure on the spleenCMS: Postprocedural hematoma of the spleen fol proc on spleen | Can lead a claim | K | None |
| D78.32 | Postprocedural hematoma of the spleen following other procedureCMS: Postproc hematoma of the spleen following other procedure | Can lead a claim | K | None |
| D78.33 | Postprocedural seroma of the spleen following a procedure on the spleenCMS: Postprocedural seroma of the spleen fol proc on spleen | Can lead a claim | K | None |
| D78.34 | Postprocedural seroma of the spleen following other procedureCMS: Postproc seroma of the spleen following other procedure | Can lead a claim | K | None |
| D78.8 Other intraoperative and postprocedural complications of the spleen | ||||
| D78.81 | Other intraoperative complications of the spleen | Can lead a claim | K | None |
| D78.89 | Other postprocedural complications of the spleen | Can lead a claim | K | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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