D78.21 — Postprocedural hemorrhage of the spleen following a procedure on the spleen
Is D78.21 billable?
Yes — D78.21 is billable for FY2027. D78.21 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. D78.21 may be submitted for encounters from October 1, 2026 through September 30, 2027.
D78.21 at a glance
| Code | D78.21 |
|---|---|
| Description | Postprocedural hemorrhage of the spleen following 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 D78.21 group to?
D78.21 sits in MDC 21 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 919Complications of Treatment with MCCmedical
- 920Complications of Treatment with CCmedical
- 921Complications of Treatment without CC/MCCmedical
As a secondary diagnosis, D78.21 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is D78.21 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to D78.21. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Complication › postprocedural › hemorrhage › spleen › following procedure on the spleen (s) (from) (of)
Excludes2 — not included here — inherited from Chapter 3
The conditions below are not part of D78.21, but a patient may have both at the same time. When documentation supports it, D78.21 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 D78.21 existed?
D78.21 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
- FY2018Postprocedural hemorrhage and hematoma of the spleen following a procedure on the spleenPostprocedural hemorrhage of the spleen following a procedure on the spleen
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.