2017/18 ICD-10-CM Diagnosis Code O9A.4

Sexual abuse complicating pregnancy, childbirth and the puerperium

Applicable To
  • Conditions in
    ICD-10-CM Diagnosis Code T74.21

    Adult sexual abuse, confirmed

      2016 2017 2018 Non-Billable/Non-Specific Code
    T74.21
    or
    ICD-10-CM Diagnosis Code T76.21

    Adult sexual abuse, suspected

      2016 2017 2018 Non-Billable/Non-Specific Code
    T76.21
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 (if applicable):
  • to identify any associated current injury due to sexual abuse
  • to identify the perpetrator of abuse (
    ICD-10-CM Diagnosis Code Y07
    • Y07 Perpetrator of assault, maltreatment and negl...
      • Y07.0 Spouse or partner, perpetrator of maltreatmen...
        • Y07.01 Husband, perpetrator of maltreatment and negl...
        • Y07.02 Wife, perpetrator of maltreatment and neglect...
        • Y07.03 Male partner, perpetrator of maltreatment and...
        • Y07.04 Female partner, perpetrator of maltreatment a...
      • Y07.1 Parent (adoptive) (biological), perpetrator o...
        • Y07.11 Biological father, perpetrator of maltreatmen...
        • Y07.12 Biological mother, perpetrator of maltreatmen...
        • Y07.13 Adoptive father, perpetrator of maltreatment ...
        • Y07.14 Adoptive mother, perpetrator of maltreatment ...
      • Y07.4 Other family member, perpetrator of maltreatm...
        • Y07.41 Sibling, perpetrator of maltreatment and negl...
          • Y07.410 Brother, perpetrator of maltreatment and negl...
          • Y07.411 Sister, perpetrator of maltreatment and negle...
        • Y07.42 Foster parent, perpetrator of maltreatment an...
          • Y07.420 Foster father, perpetrator of maltreatment an...
          • Y07.421 Foster mother, perpetrator of maltreatment an...
        • Y07.43 Stepparent or stepsibling, perpetrator of mal...
          • Y07.430 Stepfather, perpetrator of maltreatment and n...
          • Y07.432 Male friend of parent (co-residing in househo...
          • Y07.433 Stepmother, perpetrator of maltreatment and n...
          • Y07.434 Female friend of parent (co-residing in house...
          • Y07.435 Stepbrother, perpetrator or maltreatment and ...
          • Y07.436 Stepsister, perpetrator of maltreatment and n...
        • Y07.49 Other family member, perpetrator of maltreatm...
          • Y07.490 Male cousin, perpetrator of maltreatment and ...
          • Y07.491 Female cousin, perpetrator of maltreatment an...
          • Y07.499 Other family member, perpetrator of maltreatm...
      • Y07.5 Non-family member, perpetrator of maltreatmen...
        • Y07.50 Unspecified non-family member, perpetrator of...
        • Y07.51 Daycare provider, perpetrator of maltreatment...
          • Y07.510 At-home childcare provider, perpetrator of ma...
          • Y07.511 Daycare center childcare provider, perpetrato...
          • Y07.512 At-home adultcare provider, perpetrator of ma...
          • Y07.513 Adultcare center provider, perpetrator of mal...
          • Y07.519 Unspecified daycare provider, perpetrator of ...
        • Y07.52 Healthcare provider, perpetrator of maltreatm...
          • Y07.521 Mental health provider, perpetrator of maltre...
          • Y07.528 Other therapist or healthcare provider, perpe...
          • Y07.529 Unspecified healthcare provider, perpetrator ...
        • Y07.53 Teacher or instructor, perpetrator of maltrea...
        • Y07.59 Other non-family member, perpetrator of maltr...
      • Y07.9 Unspecified perpetrator of maltreatment and n...
    Y07.-
    )
The following code(s) above O9A.4 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.4:
  • 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.4:
ICD-10-CM Codes Adjacent To O9A.4
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
O9A.312 …… second trimester
O9A.313 …… third trimester
O9A.319 …… unspecified trimester
O9A.32 Physical abuse complicating childbirth
O9A.33 Physical abuse complicating the puerperium
O9A.4 Sexual abuse complicating pregnancy, childbirth and the puerperium
O9A.41 Sexual abuse complicating pregnancy
O9A.411 …… first trimester
O9A.412 …… second trimester
O9A.413 …… third trimester
O9A.419 …… unspecified trimester
O9A.42 Sexual abuse complicating childbirth
O9A.43 Sexual abuse complicating the puerperium
O9A.5 Psychological abuse complicating pregnancy, childbirth and the puerperium
O9A.51 Psychological abuse complicating pregnancy
O9A.511 …… first trimester

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