2017/18 ICD-10-CM Diagnosis Code D77

Other disorders of blood and blood-forming organs in diseases classified elsewhere

ICD-10-CM Coding Rules
Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • underlying disease, such as:
  • amyloidosis (
    ICD-10-CM Diagnosis Code E85
    • E85 Amyloidosis
      • E85.0 Non-neuropathic heredofamilial amyloidosis
      • E85.1 Neuropathic heredofamilial amyloidosis
      • E85.2 Heredofamilial amyloidosis, unspecified
      • E85.3 Secondary systemic amyloidosis
      • E85.4 Organ-limited amyloidosis
      • E85.8 Other amyloidosis
        • E85.81 Light chain (AL) amyloidosis
        • E85.82 Wild-type transthyretin-related (ATTR) amyloi...
        • E85.89 Other amyloidosis
      • E85.9 Amyloidosis, unspecified
    E85.-
    )
  • congenital early syphilis (
    ICD-10-CM Diagnosis Code A50.0

    Early congenital syphilis, symptomatic

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    • Any congenital syphilitic condition specified as early or manifest less than two years after birth.
    A50.0
    )
  • echinococcosis (
    ICD-10-CM Diagnosis Code B67.0

    Echinococcus granulosus infection of liver

      2016 2017 2018 Billable/Specific Code
    B67.0-
    ICD-10-CM Diagnosis Code B67.9

    Echinococcosis, other and unspecified

      2016 2017 2018 Non-Billable/Non-Specific Code
    B67.9
    )
  • malaria (
    ICD-10-CM Diagnosis Code B50.0

    Plasmodium falciparum malaria with cerebral complications

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Cerebral malaria NOS
    B50.0-
    ICD-10-CM Diagnosis Code B54

    Unspecified malaria

      2016 2017 2018 Billable/Specific Code
    B54
    )
  • schistosomiasis [bilharziasis] (
    ICD-10-CM Diagnosis Code B65.0

    Schistosomiasis due to Schistosoma haematobium [urinary schistosomiasis]

      2016 2017 2018 Billable/Specific Code
    B65.0-
    ICD-10-CM Diagnosis Code B65.9

    Schistosomiasis, unspecified

      2016 2017 2018 Billable/Specific Code
    B65.9
    )
  • vitamin C deficiency (
    ICD-10-CM Diagnosis Code E54

    Ascorbic acid deficiency

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Deficiency of vitamin C
    • Scurvy
    Type 1 Excludes
    • scorbutic anemia (D53.2)
    • sequelae of vitamin C deficiency (E64.2)
    E54
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as D77. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • rupture of spleen due to Plasmodium vivax malaria (
    ICD-10-CM Diagnosis Code B51.0

    Plasmodium vivax malaria with rupture of spleen

      2016 2017 2018 Billable/Specific Code
    B51.0
    )
  • splenitis, splenomegaly in late syphilis (
    ICD-10-CM Diagnosis Code A52.79

    Other symptomatic late syphilis

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Late syphilitic leukoderma
    • Syphilis of adrenal gland
    • Syphilis of pituitary gland
    • Syphilis of thyroid gland
    • Syphilitic splenomegaly
    Type 1 Excludes
    • syphilitic leukoderma (secondary) (A51.39)
    A52.79
    )
  • splenitis, splenomegaly in tuberculosis (
    ICD-10-CM Diagnosis Code A18.85

    Tuberculosis of spleen

      2016 2017 2018 Billable/Specific Code
    A18.85
    )
The following code(s) above D77 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to D77:
  • D50-D89
    2018 ICD-10-CM Range D50-D89

    Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism

    Type 2 Excludes
    • 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)
    Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
ICD-10-CM D77 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):

Convert D77 to ICD-9-CM

Code History
ICD-10-CM Codes Adjacent To D77
D75.1 Secondary polycythemia
D75.8 Other specified diseases of blood and blood-forming organs
D75.81 Myelofibrosis
D75.82 Heparin induced thrombocytopenia (HIT)
D75.89 Other specified diseases of blood and blood-forming organs
D75.9 Disease of blood and blood-forming organs, unspecified
D76 Other specified diseases with participation of lymphoreticular and reticulohistiocytic tissue
D76.1 Hemophagocytic lymphohistiocytosis
D76.2 Hemophagocytic syndrome, infection-associated
D76.3 Other histiocytosis syndromes
D77 Other disorders of blood and blood-forming organs in diseases classified elsewhere
D78 Intraoperative and postprocedural complications of the spleen
D78.0 Intraoperative hemorrhage and hematoma of the spleen complicating a procedure
D78.01 …… on the spleen
D78.02 Intraoperative hemorrhage and hematoma of the spleen complicating other procedure
D78.1 Accidental puncture and laceration of the spleen during a procedure
D78.11 …… on the spleen
D78.12 Accidental puncture and laceration of the spleen during other procedure
D78.2 Postprocedural hemorrhage of the spleen following a procedure
D78.21 …… on the spleen
D78.22 Postprocedural hemorrhage of the spleen following other procedure

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.