2020 ICD-10-CM Diagnosis Code O46.0

Antepartum hemorrhage with coagulation defect

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • O46.0 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM O46.0 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of O46.0 - other international versions of ICD-10 O46.0 may differ.
The following code(s) above O46.0 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 O46.0:
  • O00-O9A
    2020 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
  • O46
    ICD-10-CM Diagnosis Code O46

    Antepartum hemorrhage, not elsewhere classified

      2016 2017 2018 2019 2020 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.-)
    Antepartum hemorrhage, not elsewhere classified
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to O46.0:
  • Type 1 Excludes: O99.1
    , D65
    , D68
    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 2020 Non-Billable/Non-Specific Code
    Applicable To
    Type 1 Excludes
    ICD-10-CM Diagnosis Code D65

    Disseminated intravascular coagulation [defibrination syndrome]

      2016 2017 2018 2019 2020 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)
    ICD-10-CM Diagnosis Code D68

    Other coagulation defects

      2016 2017 2018 2019 2020 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)
ICD-10-CM Codes Adjacent To O46.0
O45.8X1 …… first trimester
O45.8X2 …… second trimester
O45.8X3 …… third trimester
O45.8X9 …… unspecified trimester
O45.9 Premature separation of placenta, unspecified
O45.90 …… unspecified trimester
O45.91 …… first trimester
O45.92 …… second trimester
O45.93 …… third trimester
O46 Antepartum hemorrhage, not elsewhere classified
O46.0 Antepartum hemorrhage with coagulation defect
O46.00 Antepartum hemorrhage with coagulation defect, unspecified
O46.001 …… first trimester
O46.002 …… second trimester
O46.003 …… third trimester
O46.009 …… unspecified trimester
O46.01 Antepartum hemorrhage with afibrinogenemia
O46.011 …… first trimester
O46.012 …… second trimester
O46.013 …… third trimester
O46.019 …… unspecified trimester

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