October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

D78-D78 — Intraoperative and postprocedural complications of the spleen

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in range

12

No clinical group

0

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

12 of the 12 codes in D78-D78 group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases. Every code here is assigned a group.

Code families in D78-D78

One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.

Every code in D78-D78

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
D7801Intraop hemor/hemtom of the spleen comp a proc on the spleenKCan lead a claim
D7802Intraop hemor/hemtom of the spleen comp oth procedureKCan lead a claim
D7811Accidental pnctr & lac of the spleen dur proc on the spleenKCan lead a claim
D7812Accidental pnctr & lac of the spleen during oth procedureKCan lead a claim
D7821Postprocedural hemorrhage of the spleen fol proc on spleenKCan lead a claim
D7822Postproc hemorrhage of the spleen following other procedureKCan lead a claim
D7831Postprocedural hematoma of the spleen fol proc on spleenKCan lead a claim
D7832Postproc hematoma of the spleen following other procedureKCan lead a claim
D7833Postprocedural seroma of the spleen fol proc on spleenKCan lead a claim
D7834Postproc seroma of the spleen following other procedureKCan lead a claim
D7881Other intraoperative complications of the spleenKCan lead a claim
D7889Other postprocedural complications of the spleenKCan lead a claim

Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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