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v1.0.0
ICD-10 Guide
ICD-10 CodesD73.8

D73.8

Billable

Other diseases of spleen

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D73.8 is a billable code used to indicate a diagnosis of other diseases of spleen.

Key Diagnostic Point:

D73.8 encompasses a variety of conditions affecting the spleen that do not fall under more specific categories. This includes disorders such as splenic sequestration, hypersplenism, and other non-specific splenic diseases. The spleen plays a crucial role in the immune system, filtering blood and managing white blood cell populations. Conditions leading to neutropenia, or low white blood cell counts, can be associated with splenic dysfunction. Disorders of the spleen can also impact the body's ability to fight infections, leading to immunodeficiencies. Patients may present with symptoms such as splenomegaly, recurrent infections, or hematological abnormalities. Accurate diagnosis often requires imaging studies, blood tests, and sometimes biopsy to determine the underlying cause of splenic disease. Treatment may involve addressing the underlying condition, managing symptoms, or in severe cases, splenectomy. Understanding the complexities of these conditions is essential for proper coding and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions that can lead to splenic disease.
  • Overlap with other hematological disorders and immunodeficiencies.
  • Need for comprehensive documentation to support diagnosis.
  • Potential for misclassification with more specific codes.

Audit Risk Factors

  • Insufficient documentation to support the diagnosis.
  • Inconsistent use of related codes.
  • Failure to document the underlying cause of splenic disease.
  • Misinterpretation of laboratory results.

Specialty Focus

Medical Specialties

Hematology

Documentation Requirements

Detailed blood work results, including white blood cell counts and differential.

Common Clinical Scenarios

Patients presenting with unexplained neutropenia or splenomegaly.

Billing Considerations

Ensure that all laboratory findings are clearly documented to support the diagnosis.

Immunology

Documentation Requirements

Immunological assessments and history of recurrent infections.

Common Clinical Scenarios

Patients with a history of infections and suspected immunodeficiency.

Billing Considerations

Document any immunological tests performed to substantiate the diagnosis.

Coding Guidelines

Inclusion Criteria

Use D73.8 When
  • According to ICD
  • 10 guidelines, D73
  • 8 should be used when the specific disease of the spleen is not classified elsewhere
  • Coders should ensure that the documentation supports the diagnosis and that any underlying conditions are also coded appropriately

Exclusion Criteria

Do NOT use D73.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

85025CPT Code

Complete blood count (CBC) with differential

Clinical Scenario

Used to assess white blood cell counts in patients suspected of having splenic disease.

Documentation Requirements

Document the reason for the CBC and any relevant clinical findings.

Specialty Considerations

Hematologists should ensure that all relevant lab results are included in the patient's record.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of splenic diseases, but D73.8 remains a catch-all for conditions that do not fit neatly into other categories. Coders must be diligent in ensuring that documentation supports the use of this code.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of splenic diseases, but D73.8 remains a catch-all for conditions that do not fit neatly into other categories. Coders must be diligent in ensuring that documentation supports the use of this code.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What conditions are included under D73.8?

D73.8 includes various unspecified diseases of the spleen, such as splenic sequestration and hypersplenism, as well as other non-specific splenic disorders.