2017/18 ICD-10-CM Diagnosis Code O9A.2

Injury, poisoning and certain other consequences of external causes complicating pregnancy, childbirth and the puerperium

Applicable To
  • Conditions in S00-T88
    ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    • S00-S09 Injuries to the head
    • S10-S19 Injuries to the neck
    • S20-S29 Injuries to the thorax
    • S30-S39 Injuries to the abdomen, lower back, lum...
    • S40-S49 Injuries to the shoulder and upper arm
    • S50-S59 Injuries to the elbow and forearm
    • S60-S69 Injuries to the wrist, hand and fingers
    • S70-S79 Injuries to the hip and thigh
    • S80-S89 Injuries to the knee and lower leg
    • S90-S99 Injuries to the ankle and foot
    • T07-T07 Injuries involving multiple body regions
    • T14-T14 Injury of unspecified body region
    • T15-T19 Effects of foreign body entering through...
    • T20-T25 Burns and corrosions of external body su...
    • T26-T28 Burns and corrosions confined to eye and...
    • T30-T32 Burns and corrosions of multiple and uns...
    • T33-T34 Frostbite
    • T36-T50 Poisoning by, adverse effect of and unde...
    • T51-T65 Toxic effects of substances chiefly nonm...
    • T66-T78 Other and unspecified effects of externa...
    • T79-T79 Certain early complications of trauma
    • T80-T88 Complications of surgical and medical ca...
    , except
    ICD-10-CM Diagnosis Code T74

    Adult and child abuse, neglect and other maltreatment, confirmed

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Use Additional
    • code, if applicable, to identify any associated current injury
    T74
    and
    ICD-10-CM Diagnosis Code T76

    Adult and child abuse, neglect and other maltreatment, suspected

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • adult and child maltreatment, confirmed (T74.-)
    • suspected abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-)
    • suspected adult physical abuse, ruled out (Z04.71)
    • suspected adult sexual abuse, ruled out (Z04.41)
    • suspected child physical abuse, ruled out (Z04.72)
    • suspected child sexual abuse, ruled out (Z04.42)
    Use Additional
    • code, if applicable, to identify any associated current injury
    T76
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the 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.
  • code(s) to identify the injury or poisoning
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (O9A.2) and the excluded code together.
  • physical, sexual and psychological abuse complicating pregnancy, childbirth and the puerperium (
    ICD-10-CM Diagnosis Code O9A.3

    Physical abuse complicating pregnancy, childbirth and the puerperium

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    Type 2 Excludes
    • sexual abuse complicating pregnancy, childbirth and the puerperium (O9A.4)
    Use Additional
    • code (if applicable):
    • to identify any associated current injury due to physical abuse
    • to identify the perpetrator of abuse (Y07.-)
    O9A.3-
    ,
    ICD-10-CM Diagnosis Code O9A.4

    Sexual abuse complicating pregnancy, childbirth and the puerperium

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    Use Additional
    • code (if applicable):
    • to identify any associated current injury due to sexual abuse
    • to identify the perpetrator of abuse (Y07.-)
    O9A.4-
    ,
    ICD-10-CM Diagnosis Code O9A.5

    Psychological abuse complicating pregnancy, childbirth and the puerperium

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    Use Additional
    • code to identify the perpetrator of abuse (Y07.-)
    O9A.5-
    )
The following code(s) above O9A.2 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 O9A.2:
  • O00-O9A
    2018 ICD-10-CM Range O00-O9A

    Pregnancy, childbirth and the puerperium

    Note
    • CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
    • Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
    • Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
    • 1st trimester- less than 14 weeks 0 days
    • 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
    • 3rd trimester- 28 weeks 0 days until delivery
    Type 1 Excludes
    • supervision of normal pregnancy (Z34.-)
    Type 2 Excludes
    • mental and behavioral disorders associated with the puerperium (F53)
    • obstetrical tetanus (A34)
    • postpartum necrosis of pituitary gland (E23.0)
    • puerperal osteomalacia (M83.0)
    Use Additional
    • code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
    Pregnancy, childbirth and the puerperium
Code History
Code annotations containing back-references to O9A.2:
ICD-10-CM Codes Adjacent To O9A.2
O99.89 Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium
O9A Maternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
O9A.1 Malignant neoplasm complicating pregnancy, childbirth and the puerperium
O9A.11 Malignant neoplasm complicating pregnancy
O9A.111 …… first trimester
O9A.112 …… second trimester
O9A.113 …… third trimester
O9A.119 …… unspecified trimester
O9A.12 Malignant neoplasm complicating childbirth
O9A.13 Malignant neoplasm complicating the puerperium
O9A.2 Injury, poisoning and certain other consequences of external causes complicating pregnancy, childbirth and the puerperium
O9A.21 Injury, poisoning and certain other consequences of external causes complicating pregnancy
O9A.211 …… first trimester
O9A.212 …… second trimester
O9A.213 …… third trimester
O9A.219 …… unspecified trimester
O9A.22 Injury, poisoning and certain other consequences of external causes complicating childbirth
O9A.23 Injury, poisoning and certain other consequences of external causes complicating the puerperium
O9A.3 Physical abuse complicating pregnancy, childbirth and the puerperium
O9A.31 Physical abuse complicating pregnancy
O9A.311 …… first trimester

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