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Type 1 Excludes Crosswalk

The following 3,420 ICD-10-CM codes contain 'Type 1 Excludes' annotation references within one-to-many other ICD-10-CM codes.

Displaying codes 3,401-3,420 of 3,420:

• O62.2: O72.1
  , O72.1
  2019 ICD-10-CM Diagnosis Code O72.1

  Other immediate postpartum hemorrhage

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Hemorrhage following delivery of placenta
  • Postpartum hemorrhage (atonic) NOS
  • Uterine atony with hemorrhage

  Type 1 Excludes

  • uterine atony NOS (O62.2)
  • uterine atony without hemorrhage (O62.2)
  • postpartum atony of uterus without hemorrhage (O75.89)
  2019 ICD-10-CM Diagnosis Code O72.1

  Other immediate postpartum hemorrhage

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Hemorrhage following delivery of placenta
  • Postpartum hemorrhage (atonic) NOS
  • Uterine atony with hemorrhage

  Type 1 Excludes

  • uterine atony NOS (O62.2)
  • uterine atony without hemorrhage (O62.2)
  • postpartum atony of uterus without hemorrhage (O75.89)
• O64: O32
  2019 ICD-10-CM Diagnosis Code O32

  Maternal care for malpresentation of fetus

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Includes

  • the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for cesarean delivery before onset of labor

  Type 1 Excludes

  • malpresentation of fetus with obstructed labor (O64.-)
• O65.5: N85.4
  , N88.2
  2019 ICD-10-CM Diagnosis Code N85.4

  Malposition of uterus

  2016 2017 2018 2019 Billable/Specific Code Female Dx

  Applicable To

  • Anteversion of uterus
  • Retroflexion of uterus
  • Retroversion of uterus

  Type 1 Excludes

  • malposition of uterus complicating pregnancy, labor or delivery (O34.5-, O65.5)
  2019 ICD-10-CM Diagnosis Code N88.2

  Stricture and stenosis of cervix uteri

  2016 2017 2018 2019 Billable/Specific Code Female Dx

  Type 1 Excludes

  • stricture and stenosis of cervix uteri complicating labor (O65.5)
• O66.0: O64.4
  , O64.4
  2019 ICD-10-CM Diagnosis Code O64.4

  Obstructed labor due to shoulder presentation

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Applicable To

  • Prolapsed arm

  Type 1 Excludes

  • impacted shoulders (O66.0)
  • shoulder dystocia (O66.0)
  2019 ICD-10-CM Diagnosis Code O64.4

  Obstructed labor due to shoulder presentation

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Applicable To

  • Prolapsed arm

  Type 1 Excludes

  • impacted shoulders (O66.0)
  • shoulder dystocia (O66.0)
• O66.2: O65.4
  2019 ICD-10-CM Diagnosis Code O65.4

  Obstructed labor due to fetopelvic disproportion, unspecified

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Type 1 Excludes

  • dystocia due to abnormality of fetus (O66.2-O66.3)
• O66.3: O33.7
  , O65.4
  2019 ICD-10-CM Diagnosis Code O65.4

  Obstructed labor due to fetopelvic disproportion, unspecified

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Type 1 Excludes

  • dystocia due to abnormality of fetus (O66.2-O66.3)
  2019 ICD-10-CM Diagnosis Code O33.7

  Maternal care for disproportion due to other fetal deformities

  2016 2017 - Deleted Code 2017 - New Code 2018 2019 Non-Billable/Non-Specific Code

  Applicable To

  • Maternal care for disproportion due to fetal ascites
  • Maternal care for disproportion due to fetal hydrops
  • Maternal care for disproportion due to fetal meningomyelocele
  • Maternal care for disproportion due to fetal sacral teratoma
  • Maternal care for disproportion due to fetal tumor

  Type 1 Excludes

  • obstructed labor due to other fetal deformities (O66.3)
• O66.9: O62.4
  2019 ICD-10-CM Diagnosis Code O62.4

  Hypertonic, incoordinate, and prolonged uterine contractions

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Cervical spasm
  • Contraction ring dystocia
  • Dyscoordinate labor
  • Hour-glass contraction of uterus
  • Hypertonic uterine dysfunction
  • Incoordinate uterine action
  • Tetanic contractions
  • Uterine dystocia NOS
  • Uterine spasm

  Type 1 Excludes

  • dystocia (fetal) (maternal) NOS (O66.9)
• O67: O46
  2019 ICD-10-CM Diagnosis Code O46

  Antepartum hemorrhage, not elsewhere classified

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • hemorrhage in early pregnancy (O20.-)
  • intrapartum hemorrhage NEC (O67.-)
  • placenta previa (O44.-)
  • premature separation of placenta [abruptio placentae] (O45.-)
• O67.0: D65
  , D68
  , O99.1
  2019 ICD-10-CM Diagnosis Code O99.1

  Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Applicable To

  • Conditions in D65-D89

  Type 1 Excludes

  • hemorrhage with coagulation defects (O45.-, O46.0-, O67.0, O72.3)
  2019 ICD-10-CM Diagnosis Code D65

  Disseminated intravascular coagulation [defibrination syndrome]

  2016 2017 2018 2019 Billable/Specific Code

  Applicable To

  • Afibrinogenemia, acquired
  • Consumption coagulopathy
  • Diffuse or disseminated intravascular coagulation [DIC]
  • Fibrinolytic hemorrhage, acquired
  • Fibrinolytic purpura
  • Purpura fulminans

  Type 1 Excludes

  • disseminated intravascular coagulation (complicating):
  • abortion or ectopic or molar pregnancy (O00-O07, O08.1)
  • in newborn (P60)
  • pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)
  2019 ICD-10-CM Diagnosis Code D68

  Other coagulation defects

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • abnormal coagulation profile (R79.1)
  • coagulation defects complicating abortion or ectopic or molar pregnancy (O00-O07, O08.1)
  • coagulation defects complicating pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)
• O68: O77.8
  , O77.8
  , O77.9
  , O77.9
  2019 ICD-10-CM Diagnosis Code O77.9

  Labor and delivery complicated by fetal stress, unspecified

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Type 1 Excludes

  • abnormality of fetal acid-base balance (O68)
  • abnormality in fetal heart rate or rhythm (O76)
  • fetal metabolic acidemia (O68)
  2019 ICD-10-CM Diagnosis Code O77.9

  Labor and delivery complicated by fetal stress, unspecified

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Type 1 Excludes

  • abnormality of fetal acid-base balance (O68)
  • abnormality in fetal heart rate or rhythm (O76)
  • fetal metabolic acidemia (O68)
  2019 ICD-10-CM Diagnosis Code O77.8

  Labor and delivery complicated by other evidence of fetal stress

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Labor and delivery complicated by electrocardiographic evidence of fetal stress
  • Labor and delivery complicated by ultrasonic evidence of fetal stress

  Type 1 Excludes

  • abnormality of fetal acid-base balance (O68)
  • abnormality in fetal heart rate or rhythm (O76)
  • fetal metabolic acidemia (O68)
  2019 ICD-10-CM Diagnosis Code O77.8

  Labor and delivery complicated by other evidence of fetal stress

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Labor and delivery complicated by electrocardiographic evidence of fetal stress
  • Labor and delivery complicated by ultrasonic evidence of fetal stress

  Type 1 Excludes

  • abnormality of fetal acid-base balance (O68)
  • abnormality in fetal heart rate or rhythm (O76)
  • fetal metabolic acidemia (O68)
• O69.4: O44.1
  2019 ICD-10-CM Diagnosis Code O44.1

  Complete placenta previa with hemorrhage

  2016 2017 - Revised Code 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • labor and delivery complicated by hemorrhage from vasa previa (O69.4)
• O69.81: O69.1
  2019 ICD-10-CM Diagnosis Code O69.1

  Labor and delivery complicated by cord around neck, with compression

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • labor and delivery complicated by cord around neck, without compression (O69.81)
• O69.82: O69.2
  2019 ICD-10-CM Diagnosis Code O69.2

  Labor and delivery complicated by other cord entanglement, with compression

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Applicable To

  • Labor and delivery complicated by compression of cord NOS
  • Labor and delivery complicated by entanglement of cords of twins in monoamniotic sac
  • Labor and delivery complicated by knot in cord

  Type 1 Excludes

  • labor and delivery complicated by other cord entanglement, without compression (O69.82)
• O70: N89.8
  , N90
  , O71.4
  , S31.4
  2019 ICD-10-CM Diagnosis Code O71.4

  Obstetric high vaginal laceration alone

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Laceration of vaginal wall without perineal laceration

  Type 1 Excludes

  • obstetric high vaginal laceration with perineal laceration (O70.-)
  2019 ICD-10-CM Diagnosis Code N89.8

  Other specified noninflammatory disorders of vagina

  2016 2017 2018 2019 Billable/Specific Code Female Dx

  Applicable To

  • Leukorrhea NOS
  • Old vaginal laceration
  • Pessary ulcer of vagina

  Type 1 Excludes

  • current obstetric trauma (O70.-, O71.4, O71.7-O71.8)
  • old laceration involving muscles of pelvic floor (N81.8)
  2019 ICD-10-CM Diagnosis Code N90

  Other noninflammatory disorders of vulva and perineum

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • anogenital (venereal) warts (A63.0)
  • carcinoma in situ of vulva (D07.1)
  • condyloma acuminatum (A63.0)
  • current obstetric trauma (O70.-, O71.7-O71.8)
  • inflammation of vulva (N76.-)
  • severe dysplasia of vulva (D07.1)
  • vulvar intraepithelial neoplasm III [VIN III] (D07.1)
  2019 ICD-10-CM Diagnosis Code S31.4

  Open wound of vagina and vulva

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • injury to vagina and vulva during delivery (O70.-, O71.4)
• O70.2: O70.1
  , O70.4
  2019 ICD-10-CM Diagnosis Code O70.4

  Anal sphincter tear complicating delivery, not associated with third degree laceration

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Type 1 Excludes

  • anal sphincter tear with third degree perineal laceration (O70.2)
  2019 ICD-10-CM Diagnosis Code O70.1

  Second degree perineal laceration during delivery

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Perineal laceration, rupture or tear during delivery as in O70.0, also involving pelvic floor
  • Perineal laceration, rupture or tear during delivery as in O70.0, also involving perineal muscles
  • Perineal laceration, rupture or tear during delivery as in O70.0, also involving vaginal muscles

  Type 1 Excludes

  • perineal laceration involving anal sphincter (O70.2)
• O70.3: O70.2
  2019 ICD-10-CM Diagnosis Code O70.2

  Third degree perineal laceration during delivery

  2016 2017 - Deleted Code 2017 - New Code 2018 2019 Non-Billable/Non-Specific Code

  Applicable To

  • Perineal laceration, rupture or tear during delivery as in O70.1, also involving anal sphincter
  • Perineal laceration, rupture or tear during delivery as in O70.1, also involving rectovaginal septum
  • Perineal laceration, rupture or tear during delivery as in O70.1, also involving sphincter NOS

  Type 1 Excludes

  • anal sphincter tear during delivery without third degree perineal laceration (O70.4)
  • perineal laceration involving anal or rectal mucosa (O70.3)
• O70.4: O70.2
  2019 ICD-10-CM Diagnosis Code O70.2

  Third degree perineal laceration during delivery

  2016 2017 - Deleted Code 2017 - New Code 2018 2019 Non-Billable/Non-Specific Code

  Applicable To

  • Perineal laceration, rupture or tear during delivery as in O70.1, also involving anal sphincter
  • Perineal laceration, rupture or tear during delivery as in O70.1, also involving rectovaginal septum
  • Perineal laceration, rupture or tear during delivery as in O70.1, also involving sphincter NOS

  Type 1 Excludes

  • anal sphincter tear during delivery without third degree perineal laceration (O70.4)
  • perineal laceration involving anal or rectal mucosa (O70.3)
• O71: S37
  , S37.6
  2019 ICD-10-CM Diagnosis Code S37.6

  Injury of uterus

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • injury to gravid uterus (O9A.2-)
  • injury to uterus during delivery (O71.-)
  2019 ICD-10-CM Diagnosis Code S37

  Injury of urinary and pelvic organs

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Code Also

  • any associated open wound (S31.-)

  Type 1 Excludes

  • obstetric trauma to pelvic organs (O71.-)

  Type 2 Excludes

  • injury of peritoneum (S36.81)
  • injury of retroperitoneum (S36.89-)
• O71.0: O90.0
  2019 ICD-10-CM Diagnosis Code O90.0

  Disruption of cesarean delivery wound

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Dehiscence of cesarean delivery wound

  Type 1 Excludes

  • rupture of uterus (spontaneous) before onset of labor (O71.0-)
  • rupture of uterus during labor (O71.1)
• O71.1: O90.0
  2019 ICD-10-CM Diagnosis Code O90.0

  Disruption of cesarean delivery wound

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Dehiscence of cesarean delivery wound

  Type 1 Excludes

  • rupture of uterus (spontaneous) before onset of labor (O71.0-)
  • rupture of uterus during labor (O71.1)
• O71.2: N85.5
  , N85.5
  2019 ICD-10-CM Diagnosis Code N85.5

  Inversion of uterus

  2016 2017 2018 2019 Billable/Specific Code Female Dx

  Type 1 Excludes

  • current obstetric trauma (O71.2)
  • postpartum inversion of uterus (O71.2)
  2019 ICD-10-CM Diagnosis Code N85.5

  Inversion of uterus

  2016 2017 2018 2019 Billable/Specific Code Female Dx

  Type 1 Excludes

  • current obstetric trauma (O71.2)
  • postpartum inversion of uterus (O71.2)
• O71.3: N88.1
  , N88.8
  2019 ICD-10-CM Diagnosis Code N88.8

  Other specified noninflammatory disorders of cervix uteri

  2016 2017 2018 2019 Billable/Specific Code Female Dx

  Type 1 Excludes

  • current obstetric trauma (O71.3)
  2019 ICD-10-CM Diagnosis Code N88.1

  Old laceration of cervix uteri

  2016 2017 2018 2019 Billable/Specific Code Female Dx

  Applicable To

  • Adhesions of cervix

  Type 1 Excludes

  • current obstetric trauma (O71.3)
• O71.4: N89.8
  , O70
  , S31.4
  2019 ICD-10-CM Diagnosis Code S31.4

  Open wound of vagina and vulva

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • injury to vagina and vulva during delivery (O70.-, O71.4)
  2019 ICD-10-CM Diagnosis Code N89.8

  Other specified noninflammatory disorders of vagina

  2016 2017 2018 2019 Billable/Specific Code Female Dx

  Applicable To

  • Leukorrhea NOS
  • Old vaginal laceration
  • Pessary ulcer of vagina

  Type 1 Excludes

  • current obstetric trauma (O70.-, O71.4, O71.7-O71.8)
  • old laceration involving muscles of pelvic floor (N81.8)
  2019 ICD-10-CM Diagnosis Code O70

  Perineal laceration during delivery

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Includes

  • episiotomy extended by laceration

  Type 1 Excludes

  • obstetric high vaginal laceration alone (O71.4)
• O71.6: O26.7
  , S33
  2019 ICD-10-CM Diagnosis Code S33

  Dislocation and sprain of joints and ligaments of lumbar spine and pelvis

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Code Also

  • any associated open wound

  Includes

  • avulsion of joint or ligament of lumbar spine and pelvis
  • laceration of cartilage, joint or ligament of lumbar spine and pelvis
  • sprain of cartilage, joint or ligament of lumbar spine and pelvis
  • traumatic hemarthrosis of joint or ligament of lumbar spine and pelvis
  • traumatic rupture of joint or ligament of lumbar spine and pelvis
  • traumatic subluxation of joint or ligament of lumbar spine and pelvis
  • traumatic tear of joint or ligament of lumbar spine and pelvis

  Type 1 Excludes

  • nontraumatic rupture or displacement of lumbar intervertebral disc NOS (M51.-)
  • obstetric damage to pelvic joints and ligaments (O71.6)

  Type 2 Excludes

  • dislocation and sprain of joints and ligaments of hip (S73.-)
  • strain of muscle of lower back and pelvis (S39.01-)
  2019 ICD-10-CM Diagnosis Code O26.7

  Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • traumatic separation of symphysis (pubis) during childbirth (O71.6)
• O71.7: N89.8
  , N90
  2019 ICD-10-CM Diagnosis Code N89.8

  Other specified noninflammatory disorders of vagina

  2016 2017 2018 2019 Billable/Specific Code Female Dx

  Applicable To

  • Leukorrhea NOS
  • Old vaginal laceration
  • Pessary ulcer of vagina

  Type 1 Excludes

  • current obstetric trauma (O70.-, O71.4, O71.7-O71.8)
  • old laceration involving muscles of pelvic floor (N81.8)
  2019 ICD-10-CM Diagnosis Code N90

  Other noninflammatory disorders of vulva and perineum

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • anogenital (venereal) warts (A63.0)
  • carcinoma in situ of vulva (D07.1)
  • condyloma acuminatum (A63.0)
  • current obstetric trauma (O70.-, O71.7-O71.8)
  • inflammation of vulva (N76.-)
  • severe dysplasia of vulva (D07.1)
  • vulvar intraepithelial neoplasm III [VIN III] (D07.1)
• O71.8: M62.0
  , N89.8
  , N90
  2019 ICD-10-CM Diagnosis Code N90

  Other noninflammatory disorders of vulva and perineum

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • anogenital (venereal) warts (A63.0)
  • carcinoma in situ of vulva (D07.1)
  • condyloma acuminatum (A63.0)
  • current obstetric trauma (O70.-, O71.7-O71.8)
  • inflammation of vulva (N76.-)
  • severe dysplasia of vulva (D07.1)
  • vulvar intraepithelial neoplasm III [VIN III] (D07.1)
  2019 ICD-10-CM Diagnosis Code N89.8

  Other specified noninflammatory disorders of vagina

  2016 2017 2018 2019 Billable/Specific Code Female Dx

  Applicable To

  • Leukorrhea NOS
  • Old vaginal laceration
  • Pessary ulcer of vagina

  Type 1 Excludes

  • current obstetric trauma (O70.-, O71.4, O71.7-O71.8)
  • old laceration involving muscles of pelvic floor (N81.8)
  2019 ICD-10-CM Diagnosis Code M62.0

  Separation of muscle (nontraumatic)

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Applicable To

  • Diastasis of muscle

  Type 1 Excludes

  • diastasis recti complicating pregnancy, labor and delivery (O71.8)
  • traumatic separation of muscle- see strain of muscle by body region
• O71.81: O71.0
  , O71.1
  2019 ICD-10-CM Diagnosis Code O71.0

  Rupture of uterus (spontaneous) before onset of labor

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • disruption of (current) cesarean delivery wound (O90.0)
  • laceration of uterus, NEC (O71.81)
  2019 ICD-10-CM Diagnosis Code O71.1

  Rupture of uterus during labor

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Rupture of uterus not stated as occurring before onset of labor

  Type 1 Excludes

  • disruption of cesarean delivery wound (O90.0)
  • laceration of uterus, NEC (O71.81)
• O72.1: O62.2
  2019 ICD-10-CM Diagnosis Code O62.2

  Other uterine inertia

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Atony of uterus without hemorrhage
  • Atony of uterus NOS
  • Desultory labor
  • Hypotonic uterine dysfunction NOS
  • Irregular labor
  • Poor contractions
  • Slow slope active phase of labor
  • Uterine inertia NOS

  Type 1 Excludes

  • atony of uterus with hemorrhage (postpartum) (O72.1)
  • postpartum atony of uterus without hemorrhage (O75.89)
• O72.3: D65
  , D68
  , O99.1
  2019 ICD-10-CM Diagnosis Code O99.1

  Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Applicable To

  • Conditions in D65-D89

  Type 1 Excludes

  • hemorrhage with coagulation defects (O45.-, O46.0-, O67.0, O72.3)
  2019 ICD-10-CM Diagnosis Code D68

  Other coagulation defects

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • abnormal coagulation profile (R79.1)
  • coagulation defects complicating abortion or ectopic or molar pregnancy (O00-O07, O08.1)
  • coagulation defects complicating pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)
  2019 ICD-10-CM Diagnosis Code D65

  Disseminated intravascular coagulation [defibrination syndrome]

  2016 2017 2018 2019 Billable/Specific Code

  Applicable To

  • Afibrinogenemia, acquired
  • Consumption coagulopathy
  • Diffuse or disseminated intravascular coagulation [DIC]
  • Fibrinolytic hemorrhage, acquired
  • Fibrinolytic purpura
  • Purpura fulminans

  Type 1 Excludes

  • disseminated intravascular coagulation (complicating):
  • abortion or ectopic or molar pregnancy (O00-O07, O08.1)
  • in newborn (P60)
  • pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)
• O73: O43.2
  2019 ICD-10-CM Diagnosis Code O43.2

  Morbidly adherent placenta

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Code Also

  • associated third stage postpartum hemorrhage, if applicable (O72.0)

  Type 1 Excludes

  • retained placenta (O73.-)
• O74: T41
  , T88.2
  2019 ICD-10-CM Diagnosis Code T41

  Poisoning by, adverse effect of and underdosing of anesthetics and therapeutic gases

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • benzodiazepines (T42.4-)
  • cocaine (T40.5-)
  • complications of anesthesia during pregnancy (O29.-)
  • complications of anesthesia during labor and delivery (O74.-)
  • complications of anesthesia during the puerperium (O89.-)
  • opioids (T40.0-T40.2-)
  2019 ICD-10-CM Diagnosis Code T88.2

  Shock due to anesthesia

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • complications of anesthesia (in):
  • labor and delivery (O74.-)
  • pregnancy (O29.-)
  • puerperium (O89.-)
  • postprocedural shock NOS (T81.1-)

  Use Additional

  • code for adverse effect, if applicable, to identify drug (T41.- with fifth or sixth character 5)
• O74.0: J12
  , J18
  , J69.0
  , J95.4
  2019 ICD-10-CM Diagnosis Code J12

  Viral pneumonia, not elsewhere classified

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Code First

  • associated influenza, if applicable (J09.X1, J10.0-, J11.0-)

  Code Also

  • associated abscess, if applicable (J85.1)

  Includes

  • bronchopneumonia due to viruses other than influenza viruses

  Type 1 Excludes

  • aspiration pneumonia due to anesthesia during labor and delivery (O74.0)
  • aspiration pneumonia due to anesthesia during pregnancy (O29)
  • aspiration pneumonia due to anesthesia during puerperium (O89.0)
  • aspiration pneumonia due to solids and liquids (J69.-)
  • aspiration pneumonia NOS (J69.0)
  • congenital pneumonia (P23.0)
  • congenital rubella pneumonitis (P35.0)
  • interstitial pneumonia NOS (J84.9)
  • lipid pneumonia (J69.1)
  • neonatal aspiration pneumonia (P24.-)
  2019 ICD-10-CM Diagnosis Code J18

  Pneumonia, unspecified organism

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Code First

  • associated influenza, if applicable (J09.X1, J10.0-, J11.0-)

  Type 1 Excludes

  • abscess of lung with pneumonia (J85.1)
  • aspiration pneumonia due to anesthesia during labor and delivery (O74.0)
  • aspiration pneumonia due to anesthesia during pregnancy (O29)
  • aspiration pneumonia due to anesthesia during puerperium (O89.0)
  • aspiration pneumonia due to solids and liquids (J69.-)
  • aspiration pneumonia NOS (J69.0)
  • congenital pneumonia (P23.0)
  • drug-induced interstitial lung disorder (J70.2-J70.4)
  • interstitial pneumonia NOS (J84.9)
  • lipid pneumonia (J69.1)
  • neonatal aspiration pneumonia (P24.-)
  • pneumonitis due to external agents (J67-J70)
  • pneumonitis due to fumes and vapors (J68.0)
  • usual interstitial pneumonia (J84.17)
  2019 ICD-10-CM Diagnosis Code J69.0

  Pneumonitis due to inhalation of food and vomit

  2016 2017 2018 2019 Billable/Specific Code

  Applicable To

  • Aspiration pneumonia NOS
  • Aspiration pneumonia (due to) food (regurgitated)
  • Aspiration pneumonia (due to) gastric secretions
  • Aspiration pneumonia (due to) milk
  • Aspiration pneumonia (due to) vomit

  Code Also

  • any associated foreign body in respiratory tract (T17.-)

  Type 1 Excludes

  • chemical pneumonitis due to anesthesia (J95.4)
  • obstetric aspiration pneumonitis (O74.0)
  2019 ICD-10-CM Diagnosis Code J95.4

  Chemical pneumonitis due to anesthesia

  2016 2017 2018 2019 Billable/Specific Code

  Applicable To

  • Mendelson's syndrome
  • Postprocedural aspiration pneumonia

  Type 1 Excludes

  • aspiration pneumonitis due to anesthesia complicating labor and delivery (O74.0)
  • aspiration pneumonitis due to anesthesia complicating pregnancy (O29)
  • aspiration pneumonitis due to anesthesia complicating the puerperium (O89.01)

  Use Additional

  • code for adverse effect, if applicable, to identify drug (T41.- with fifth or sixth character 5)
• O74.3: G93.1
  2019 ICD-10-CM Diagnosis Code G93.1

  Anoxic brain damage, not elsewhere classified

  2016 2017 2018 2019 Billable/Specific Code

  Type 1 Excludes

  • cerebral anoxia due to anesthesia during labor and delivery (O74.3)
  • cerebral anoxia due to anesthesia during the puerperium (O89.2)
  • neonatal anoxia (P84)
• O75.1: R55
  , R57
  , T79.4
  , T81.1
  2019 ICD-10-CM Diagnosis Code T79.4

  Traumatic shock

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Applicable To

  • Shock (immediate) (delayed) following injury

  Type 1 Excludes

  • anaphylactic shock due to adverse food reaction (T78.0-)
  • anaphylactic shock due to correct medicinal substance properly administered (T88.6)
  • anaphylactic shock due to serum (T80.5-)
  • anaphylactic shock NOS (T78.2)
  • anesthetic shock (T88.2)
  • electric shock (T75.4)
  • nontraumatic shock NEC (R57.-)
  • obstetric shock (O75.1)
  • postprocedural shock (T81.1-)
  • septic shock (R65.21)
  • shock complicating abortion or ectopic or molar pregnancy (O00-O07, O08.3)
  • shock due to lightning (T75.01)
  • shock NOS (R57.9)
  2019 ICD-10-CM Diagnosis Code R55

  Syncope and collapse

  2016 2017 2018 2019 Billable/Specific Code

  Applicable To

  • Blackout
  • Fainting
  • Vasovagal attack

  Type 1 Excludes

  • cardiogenic shock (R57.0)
  • carotid sinus syncope (G90.01)
  • heat syncope (T67.1)
  • neurocirculatory asthenia (F45.8)
  • neurogenic orthostatic hypotension (G90.3)
  • orthostatic hypotension (I95.1)
  • postprocedural shock (T81.1-)
  • psychogenic syncope (F48.8)
  • shock NOS (R57.9)
  • shock complicating or following abortion or ectopic or molar pregnancy (O00-O07, O08.3)
  • shock complicating or following labor and delivery (O75.1)
  • Stokes-Adams attack (I45.9)
  • unconsciousness NOS (R40.2-)
  2019 ICD-10-CM Diagnosis Code R57

  Shock, not elsewhere classified

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • anaphylactic shock NOS (T78.2)
  • anaphylactic reaction or shock due to adverse food reaction (T78.0-)
  • anaphylactic shock due to adverse effect of correct drug or medicament properly administered (T88.6)
  • anaphylactic shock due to serum (T80.5-)
  • anesthetic shock (T88.3)
  • electric shock (T75.4)
  • obstetric shock (O75.1)
  • postprocedural shock (T81.1-)
  • psychic shock (F43.0)
  • shock complicating or following ectopic or molar pregnancy (O00-O07, O08.3)
  • shock due to lightning (T75.01)
  • traumatic shock (T79.4)
  • toxic shock syndrome (A48.3)
  2019 ICD-10-CM Diagnosis Code T81.1

  Postprocedural shock

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Applicable To

  • Shock during or resulting from a procedure, not elsewhere classified

  Type 1 Excludes

  • anaphylactic shock NOS (T78.2)
  • anaphylactic shock due to correct substance properly administered (T88.6)
  • anaphylactic shock due to serum (T80.5-)
  • anesthetic shock (T88.2)
  • electric shock (T75.4)
  • obstetric shock (O75.1)
  • septic shock (R65.21)
  • shock following abortion or ectopic or molar pregnancy (O00-O07, O08.3)
  • traumatic shock (T79.4)
• O75.2: R50
  2019 ICD-10-CM Diagnosis Code R50

  Fever of other and unknown origin

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • chills without fever (R68.83)
  • febrile convulsions (R56.0-)
  • fever of unknown origin during labor (O75.2)
  • fever of unknown origin in newborn (P81.9)
  • hypothermia due to illness (R68.0)
  • malignant hyperthermia due to anesthesia (T88.3)
  • puerperal pyrexia NOS (O86.4)
• O75.89: O62.2
  , O72.1
  2019 ICD-10-CM Diagnosis Code O62.2

  Other uterine inertia

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Atony of uterus without hemorrhage
  • Atony of uterus NOS
  • Desultory labor
  • Hypotonic uterine dysfunction NOS
  • Irregular labor
  • Poor contractions
  • Slow slope active phase of labor
  • Uterine inertia NOS

  Type 1 Excludes

  • atony of uterus with hemorrhage (postpartum) (O72.1)
  • postpartum atony of uterus without hemorrhage (O75.89)
  2019 ICD-10-CM Diagnosis Code O72.1

  Other immediate postpartum hemorrhage

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Hemorrhage following delivery of placenta
  • Postpartum hemorrhage (atonic) NOS
  • Uterine atony with hemorrhage

  Type 1 Excludes

  • uterine atony NOS (O62.2)
  • uterine atony without hemorrhage (O62.2)
  • postpartum atony of uterus without hemorrhage (O75.89)
• O76: O77.8
  , O77.9
  2019 ICD-10-CM Diagnosis Code O77.8

  Labor and delivery complicated by other evidence of fetal stress

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Labor and delivery complicated by electrocardiographic evidence of fetal stress
  • Labor and delivery complicated by ultrasonic evidence of fetal stress

  Type 1 Excludes

  • abnormality of fetal acid-base balance (O68)
  • abnormality in fetal heart rate or rhythm (O76)
  • fetal metabolic acidemia (O68)
  2019 ICD-10-CM Diagnosis Code O77.9

  Labor and delivery complicated by fetal stress, unspecified

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Type 1 Excludes

  • abnormality of fetal acid-base balance (O68)
  • abnormality in fetal heart rate or rhythm (O76)
  • fetal metabolic acidemia (O68)
• O77.8: O68
  , O68
  , O76
  , O76
  2019 ICD-10-CM Diagnosis Code O76

  Abnormality in fetal heart rate and rhythm complicating labor and delivery

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Depressed fetal heart rate tones complicating labor and delivery
  • Fetal bradycardia complicating labor and delivery
  • Fetal heart rate decelerations complicating labor and delivery
  • Fetal heart rate irregularity complicating labor and delivery
  • Fetal heart rate abnormal variability complicating labor and delivery
  • Fetal tachycardia complicating labor and delivery
  • Non-reassuring fetal heart rate or rhythm complicating labor and delivery

  Type 1 Excludes

  • fetal stress NOS (O77.9)
  • labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
  • labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)

  Type 2 Excludes

  • fetal metabolic acidemia (O68)
  • other fetal stress (O77.0-O77.1)
  2019 ICD-10-CM Diagnosis Code O76

  Abnormality in fetal heart rate and rhythm complicating labor and delivery

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Depressed fetal heart rate tones complicating labor and delivery
  • Fetal bradycardia complicating labor and delivery
  • Fetal heart rate decelerations complicating labor and delivery
  • Fetal heart rate irregularity complicating labor and delivery
  • Fetal heart rate abnormal variability complicating labor and delivery
  • Fetal tachycardia complicating labor and delivery
  • Non-reassuring fetal heart rate or rhythm complicating labor and delivery

  Type 1 Excludes

  • fetal stress NOS (O77.9)
  • labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
  • labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)

  Type 2 Excludes

  • fetal metabolic acidemia (O68)
  • other fetal stress (O77.0-O77.1)
  2019 ICD-10-CM Diagnosis Code O68

  Labor and delivery complicated by abnormality of fetal acid-base balance

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Fetal acidemia complicating labor and delivery
  • Fetal acidosis complicating labor and delivery
  • Fetal alkalosis complicating labor and delivery
  • Fetal metabolic acidemia complicating labor and delivery

  Type 1 Excludes

  • fetal stress NOS (O77.9)
  • labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
  • labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)

  Type 2 Excludes

  • abnormality in fetal heart rate or rhythm (O76)
  • labor and delivery complicated by meconium in amniotic fluid (O77.0)
  2019 ICD-10-CM Diagnosis Code O68

  Labor and delivery complicated by abnormality of fetal acid-base balance

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Fetal acidemia complicating labor and delivery
  • Fetal acidosis complicating labor and delivery
  • Fetal alkalosis complicating labor and delivery
  • Fetal metabolic acidemia complicating labor and delivery

  Type 1 Excludes

  • fetal stress NOS (O77.9)
  • labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
  • labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)

  Type 2 Excludes

  • abnormality in fetal heart rate or rhythm (O76)
  • labor and delivery complicated by meconium in amniotic fluid (O77.0)
• O77.9: O68
  , O76
  2019 ICD-10-CM Diagnosis Code O68

  Labor and delivery complicated by abnormality of fetal acid-base balance

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Fetal acidemia complicating labor and delivery
  • Fetal acidosis complicating labor and delivery
  • Fetal alkalosis complicating labor and delivery
  • Fetal metabolic acidemia complicating labor and delivery

  Type 1 Excludes

  • fetal stress NOS (O77.9)
  • labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
  • labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)

  Type 2 Excludes

  • abnormality in fetal heart rate or rhythm (O76)
  • labor and delivery complicated by meconium in amniotic fluid (O77.0)
  2019 ICD-10-CM Diagnosis Code O76

  Abnormality in fetal heart rate and rhythm complicating labor and delivery

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Depressed fetal heart rate tones complicating labor and delivery
  • Fetal bradycardia complicating labor and delivery
  • Fetal heart rate decelerations complicating labor and delivery
  • Fetal heart rate irregularity complicating labor and delivery
  • Fetal heart rate abnormal variability complicating labor and delivery
  • Fetal tachycardia complicating labor and delivery
  • Non-reassuring fetal heart rate or rhythm complicating labor and delivery

  Type 1 Excludes

  • fetal stress NOS (O77.9)
  • labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
  • labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)

  Type 2 Excludes

  • fetal metabolic acidemia (O68)
  • other fetal stress (O77.0-O77.1)
• O85: A40
  , A41
  , K65
  , N71
  2019 ICD-10-CM Diagnosis Code K65

  Peritonitis

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Code Also

  • if applicable diverticular disease of intestine (K57.-)

  Type 1 Excludes

  • acute appendicitis with generalized peritonitis (K35.2-)
  • aseptic peritonitis (T81.6)
  • benign paroxysmal peritonitis (E85.0)
  • chemical peritonitis (T81.6)
  • gonococcal peritonitis (A54.85)
  • neonatal peritonitis (P78.0-P78.1)
  • pelvic peritonitis, female (N73.3-N73.5)
  • periodic familial peritonitis (E85.0)
  • peritonitis due to talc or other foreign substance (T81.6)
  • peritonitis in chlamydia (A74.81)
  • peritonitis in diphtheria (A36.89)
  • peritonitis in syphilis (late) (A52.74)
  • peritonitis in tuberculosis (A18.31)
  • peritonitis with or following abortion or ectopic or molar pregnancy (O00-O07, O08.0)
  • peritonitis with or following appendicitis (K35.-)
  • puerperal peritonitis (O85)
  • retroperitoneal infections (K68.-)

  Use Additional

  • code (B95-B97), to identify infectious agent, if known
  2019 ICD-10-CM Diagnosis Code A40

  Streptococcal sepsis

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Code First

  • postprocedural streptococcal sepsis (T81.4-)
  • streptococcal sepsis during labor (O75.3)
  • streptococcal sepsis following abortion or ectopic or molar pregnancy (O03-O07, O08.0)
  • streptococcal sepsis following immunization (T88.0)
  • streptococcal sepsis following infusion, transfusion or therapeutic injection (T80.2-)

  Type 1 Excludes

  • neonatal (P36.0-P36.1)
  • puerperal sepsis (O85)
  • sepsis due to Streptococcus, group D (A41.81)
  2019 ICD-10-CM Diagnosis Code A41

  Other sepsis

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Code First

  • postprocedural sepsis (T81.4-)
  • sepsis during labor (O75.3)
  • sepsis following abortion, ectopic or molar pregnancy (O03-O07, O08.0)
  • sepsis following immunization (T88.0)
  • sepsis following infusion, transfusion or therapeutic injection (T80.2-)

  Type 1 Excludes

  • bacteremia NOS (R78.81)
  • neonatal (P36.-)
  • puerperal sepsis (O85)
  • streptococcal sepsis (A40.-)

  Type 2 Excludes

  • sepsis (due to) (in) actinomycotic (A42.7)
  • sepsis (due to) (in) anthrax (A22.7)
  • sepsis (due to) (in) candidal (B37.7)
  • sepsis (due to) (in) Erysipelothrix (A26.7)
  • sepsis (due to) (in) extraintestinal yersiniosis (A28.2)
  • sepsis (due to) (in) gonococcal (A54.86)
  • sepsis (due to) (in) herpesviral (B00.7)
  • sepsis (due to) (in) listerial (A32.7)
  • sepsis (due to) (in) melioidosis (A24.1)
  • sepsis (due to) (in) meningococcal (A39.2-A39.4)
  • sepsis (due to) (in) plague (A20.7)
  • sepsis (due to) (in) tularemia (A21.7)
  • toxic shock syndrome (A48.3)
  2019 ICD-10-CM Diagnosis Code N71

  Inflammatory disease of uterus, except cervix

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Includes

  • endo (myo) metritis
  • metritis
  • myometritis
  • pyometra
  • uterine abscess

  Type 1 Excludes

  • hyperplastic endometritis (N85.0-)
  • infection of uterus following delivery (O85, O86.-)

  Use Additional

  • code (B95-B97), to identify infectious agent
• O86: N71
  2019 ICD-10-CM Diagnosis Code N71

  Inflammatory disease of uterus, except cervix

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Includes

  • endo (myo) metritis
  • metritis
  • myometritis
  • pyometra
  • uterine abscess

  Type 1 Excludes

  • hyperplastic endometritis (N85.0-)
  • infection of uterus following delivery (O85, O86.-)

  Use Additional

  • code (B95-B97), to identify infectious agent
• O86.1: O85
  2019 ICD-10-CM Diagnosis Code O85

  Puerperal sepsis

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Postpartum sepsis
  • Puerperal peritonitis
  • Puerperal pyemia

  Type 1 Excludes

  • fever of unknown origin following delivery (O86.4)
  • genital tract infection following delivery (O86.1-)
  • obstetric pyemic and septic embolism (O88.3-)
  • puerperal septic thrombophlebitis (O86.81)
  • urinary tract infection following delivery (O86.2-)

  Type 2 Excludes

  • sepsis during labor (O75.3)

  Use Additional

  • code (B95-B97), to identify infectious agent
• O86.2: O85
  2019 ICD-10-CM Diagnosis Code O85

  Puerperal sepsis

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Postpartum sepsis
  • Puerperal peritonitis
  • Puerperal pyemia

  Type 1 Excludes

  • fever of unknown origin following delivery (O86.4)
  • genital tract infection following delivery (O86.1-)
  • obstetric pyemic and septic embolism (O88.3-)
  • puerperal septic thrombophlebitis (O86.81)
  • urinary tract infection following delivery (O86.2-)

  Type 2 Excludes

  • sepsis during labor (O75.3)

  Use Additional

  • code (B95-B97), to identify infectious agent
• O86.4: O85
  , R50
  2019 ICD-10-CM Diagnosis Code O85

  Puerperal sepsis

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Postpartum sepsis
  • Puerperal peritonitis
  • Puerperal pyemia

  Type 1 Excludes

  • fever of unknown origin following delivery (O86.4)
  • genital tract infection following delivery (O86.1-)
  • obstetric pyemic and septic embolism (O88.3-)
  • puerperal septic thrombophlebitis (O86.81)
  • urinary tract infection following delivery (O86.2-)

  Type 2 Excludes

  • sepsis during labor (O75.3)

  Use Additional

  • code (B95-B97), to identify infectious agent
  2019 ICD-10-CM Diagnosis Code R50

  Fever of other and unknown origin

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • chills without fever (R68.83)
  • febrile convulsions (R56.0-)
  • fever of unknown origin during labor (O75.2)
  • fever of unknown origin in newborn (P81.9)
  • hypothermia due to illness (R68.0)
  • malignant hyperthermia due to anesthesia (T88.3)
  • puerperal pyrexia NOS (O86.4)
• O86.81: O85
  2019 ICD-10-CM Diagnosis Code O85

  Puerperal sepsis

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Postpartum sepsis
  • Puerperal peritonitis
  • Puerperal pyemia

  Type 1 Excludes

  • fever of unknown origin following delivery (O86.4)
  • genital tract infection following delivery (O86.1-)
  • obstetric pyemic and septic embolism (O88.3-)
  • puerperal septic thrombophlebitis (O86.81)
  • urinary tract infection following delivery (O86.2-)

  Type 2 Excludes

  • sepsis during labor (O75.3)

  Use Additional

  • code (B95-B97), to identify infectious agent
• O86.89: A46
  2019 ICD-10-CM Diagnosis Code A46

  Erysipelas

  2016 2017 2018 2019 Billable/Specific Code

  Type 1 Excludes

  • postpartum or puerperal erysipelas (O86.89)
• O87.2: K64
  2019 ICD-10-CM Diagnosis Code K64

  Hemorrhoids and perianal venous thrombosis

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Includes

  • piles

  Type 1 Excludes

  • hemorrhoids complicating childbirth and the puerperium (O87.2)
  • hemorrhoids complicating pregnancy (O22.4)
• O87.3: G08
  2019 ICD-10-CM Diagnosis Code G08

  Intracranial and intraspinal phlebitis and thrombophlebitis

  2016 2017 2018 2019 Billable/Specific Code

  Applicable To

  • Septic embolism of intracranial or intraspinal venous sinuses and veins
  • Septic endophlebitis of intracranial or intraspinal venous sinuses and veins
  • Septic phlebitis of intracranial or intraspinal venous sinuses and veins
  • Septic thrombophlebitis of intracranial or intraspinal venous sinuses and veins
  • Septic thrombosis of intracranial or intraspinal venous sinuses and veins

  Type 1 Excludes

  • intracranial phlebitis and thrombophlebitis complicating:
  • abortion, ectopic or molar pregnancy (O00-O07, O08.7)
  • pregnancy, childbirth and the puerperium (O22.5, O87.3)
  • nonpyogenic intracranial phlebitis and thrombophlebitis (I67.6)

  Type 2 Excludes

  • intracranial phlebitis and thrombophlebitis complicating nonpyogenic intraspinal phlebitis and thrombophlebitis (G95.1)
• O87.4: I83
  2019 ICD-10-CM Diagnosis Code I83

  Varicose veins of lower extremities

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • varicose veins complicating pregnancy (O22.0-)
  • varicose veins complicating the puerperium (O87.4)
• O87.8: I86.3
  2019 ICD-10-CM Diagnosis Code I86.3

  Vulval varices

  2016 2017 2018 2019 Billable/Specific Code Female Dx

  Type 1 Excludes

  • vulval varices complicating childbirth and the puerperium (O87.8)
  • vulval varices complicating pregnancy (O22.1-)
• O88: T81.7
  2019 ICD-10-CM Diagnosis Code T81.7

  Vascular complications following a procedure, not elsewhere classified

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Applicable To

  • Air embolism following procedure NEC
  • Phlebitis or thrombophlebitis resulting from a procedure

  Type 1 Excludes

  • embolism complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)
  • embolism complicating pregnancy, childbirth and the puerperium (O88.-)
  • traumatic embolism (T79.0)

  Type 2 Excludes

  • embolism due to prosthetic devices, implants and grafts (T82.8-, T83.81, T84.8-, T85.81-)
  • embolism following infusion, transfusion and therapeutic injection (T80.0)
• O88.0: T79.0
  2019 ICD-10-CM Diagnosis Code T79.0

  Air embolism (traumatic)

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • air embolism complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)
  • air embolism complicating pregnancy, childbirth and the puerperium (O88.0)
  • air embolism following infusion, transfusion, and therapeutic injection (T80.0)
  • air embolism following procedure NEC (T81.7-)
• O88.3: O85
  2019 ICD-10-CM Diagnosis Code O85

  Puerperal sepsis

  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

  Applicable To

  • Postpartum sepsis
  • Puerperal peritonitis
  • Puerperal pyemia

  Type 1 Excludes

  • fever of unknown origin following delivery (O86.4)
  • genital tract infection following delivery (O86.1-)
  • obstetric pyemic and septic embolism (O88.3-)
  • puerperal septic thrombophlebitis (O86.81)
  • urinary tract infection following delivery (O86.2-)

  Type 2 Excludes

  • sepsis during labor (O75.3)

  Use Additional

  • code (B95-B97), to identify infectious agent
• O88.8: T79.1
  2019 ICD-10-CM Diagnosis Code T79.1

  Fat embolism (traumatic)

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • fat embolism complicating:
  • abortion or ectopic or molar pregnancy (O00-O07, O08.2)
  • pregnancy, childbirth and the puerperium (O88.8)
• O89: T41
  , T88.2
  2019 ICD-10-CM Diagnosis Code T41

  Poisoning by, adverse effect of and underdosing of anesthetics and therapeutic gases

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • benzodiazepines (T42.4-)
  • cocaine (T40.5-)
  • complications of anesthesia during pregnancy (O29.-)
  • complications of anesthesia during labor and delivery (O74.-)
  • complications of anesthesia during the puerperium (O89.-)
  • opioids (T40.0-T40.2-)
  2019 ICD-10-CM Diagnosis Code T88.2

  Shock due to anesthesia

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • complications of anesthesia (in):
  • labor and delivery (O74.-)
  • pregnancy (O29.-)
  • puerperium (O89.-)
  • postprocedural shock NOS (T81.1-)

  Use Additional

  • code for adverse effect, if applicable, to identify drug (T41.- with fifth or sixth character 5)
• O89.0: J12
  , J18
  2019 ICD-10-CM Diagnosis Code J18

  Pneumonia, unspecified organism

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Code First

  • associated influenza, if applicable (J09.X1, J10.0-, J11.0-)

  Type 1 Excludes

  • abscess of lung with pneumonia (J85.1)
  • aspiration pneumonia due to anesthesia during labor and delivery (O74.0)
  • aspiration pneumonia due to anesthesia during pregnancy (O29)
  • aspiration pneumonia due to anesthesia during puerperium (O89.0)
  • aspiration pneumonia due to solids and liquids (J69.-)
  • aspiration pneumonia NOS (J69.0)
  • congenital pneumonia (P23.0)
  • drug-induced interstitial lung disorder (J70.2-J70.4)
  • interstitial pneumonia NOS (J84.9)
  • lipid pneumonia (J69.1)
  • neonatal aspiration pneumonia (P24.-)
  • pneumonitis due to external agents (J67-J70)
  • pneumonitis due to fumes and vapors (J68.0)
  • usual interstitial pneumonia (J84.17)
  2019 ICD-10-CM Diagnosis Code J12

  Viral pneumonia, not elsewhere classified

  2016 2017 2018 2019 Non-Billable/Non-Specific Code

  Code First

  • associated influenza, if applicable (J09.X1, J10.0-, J11.0-)

  Code Also

  • associated abscess, if applicable (J85.1)

  Includes

  • bronchopneumonia due to viruses other than influenza viruses

  Type 1 Excludes

  • aspiration pneumonia due to anesthesia during labor and delivery (O74.0)
  • aspiration pneumonia due to anesthesia during pregnancy (O29)
  • aspiration pneumonia due to anesthesia during puerperium (O89.0)
  • aspiration pneumonia due to solids and liquids (J69.-)
  • aspiration pneumonia NOS (J69.0)
  • congenital pneumonia (P23.0)
  • congenital rubella pneumonitis (P35.0)
  • interstitial pneumonia NOS (J84.9)
  • lipid pneumonia (J69.1)
  • neonatal aspiration pneumonia (P24.-)