D78.11 — Accidental puncture and laceration of the spleen during a procedure on the spleen
Is D78.11 billable?
Yes — D78.11 is billable for FY2027. D78.11 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. D78.11 may be submitted for encounters from October 1, 2026 through September 30, 2027.
D78.11 at a glance
| Code | D78.11 |
|---|---|
| Description | Accidental puncture and laceration of the spleen during a procedure on the spleen |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does D78.11 group to?
D78.11 sits in MDC 15 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 791Prematurity with Major Problemsmedical
As a secondary diagnosis, D78.11 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is D78.11 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to D78.11. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Complication › intraoperative › puncture or laceration › spleen › during a procedure on the spleen (s) (from) (of)
Excludes2 — not included here — inherited from Chapter 3
The conditions below are not part of D78.11, but a patient may have both at the same time. When documentation supports it, D78.11 and the excluded code may both be reported.
- autoimmune disease (systemic) NOS (M35.9)
- certain conditions originating in the perinatal period (P00-P96)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- human immunodeficiency virus [HIV] disease (B20)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
How long has D78.11 existed?
D78.11 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.