Is D78 a billable ICD-10-CM code?

No. D78 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does D78 sit in the tabular list?

Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89), in the block Intraoperative and postprocedural complications of the spleen (D78).

D78

D78 — Intraoperative and postprocedural complications of the spleen

Non-billable headerICD-10-CM

D78 is a non-billable header ICD-10-CM code for intraoperative and postprocedural complications of the spleen. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with D78

These codes carry an Excludes1 note pointing at D78. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D78 alone.

D78.0Intraoperative hemorrhage and hematoma of the spleen complicating a procedure

Risk adjustment

D78 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead D78

5 child codes. Green means billable.

Questions about D78

Is D78 a billable ICD-10-CM code?: No. D78 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does D78 sit in the tabular list?: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89), in the block Intraoperative and postprocedural complications of the spleen (D78).