2019 ICD-10-CM Diagnosis Code O67.0

Intrapartum hemorrhage with coagulation defect

    2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
  • O67.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM O67.0 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of O67.0 - other international versions of ICD-10 O67.0 may differ.
ICD-10-CM Coding Rules
  • O67.0 is applicable to maternity patients aged 12 - 55 years inclusive.
  • O67.0 is applicable to female patients.
Applicable To
  • Intrapartum hemorrhage (excessive) associated with afibrinogenemia
  • Intrapartum hemorrhage (excessive) associated with disseminated intravascular coagulation
  • Intrapartum hemorrhage (excessive) associated with hyperfibrinolysis
  • Intrapartum hemorrhage (excessive) associated with hypofibrinogenemia
The following code(s) above O67.0 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 O67.0:
  • O00-O9A
    2019 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
  • O67
    ICD-10-CM Diagnosis Code O67

    Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • antepartum hemorrhage NEC (O46.-)
    • placenta previa (O44.-)
    • premature separation of placenta [abruptio placentae] (O45.-)
    Type 2 Excludes
    • postpartum hemorrhage (O72.-)
    Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified
ICD-10-CM O67.0 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 998 Principal diagnosis invalid as discharge diagnosis

Convert O67.0 to ICD-9-CM

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
Code annotations containing back-references to O67.0:
  • 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 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 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 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)

Diagnosis Index entries containing back-references to O67.0:
  • Defect, defective Q89.9
    ICD-10-CM Diagnosis Code Q89.9

    Congenital malformation, unspecified

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Applicable To
    • Congenital anomaly NOS
    • Congenital deformity NOS
    • coagulation (factor) D68.9
      - see also Deficiency, factor
      ICD-10-CM Diagnosis Code D68.9

      Coagulation defect, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      • intrapartum O67.0
  • Defibrination (syndrome) D65
    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)
    • intrapartum O67.0
  • Delivery (childbirth) (labor)
    • cesarean (for)
      • hemorrhage (intrapartum) O67.9
        ICD-10-CM Diagnosis Code O67.9

        Intrapartum hemorrhage, unspecified

          2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
        • with coagulation defect O67.0
    • complicated O75.9
      ICD-10-CM Diagnosis Code O75.9

      Complication of labor and delivery, unspecified

        2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
      • by
        • hemorrhage (uterine) O67.9
          ICD-10-CM Diagnosis Code O67.9

          Intrapartum hemorrhage, unspecified

            2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
          • associated with
            • afibrinogenemia O67.0
            • coagulation defect O67.0
            • hyperfibrinolysis O67.0
            • hypofibrinogenemia O67.0
  • Dyscrasia
    • blood (with) D75.9
      ICD-10-CM Diagnosis Code D75.9

      Disease of blood and blood-forming organs, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      • intrapartum hemorrhage O67.0
  • Fibrinolysis (hemorrhagic) (acquired) D65
    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)
    • intrapartum O67.0
  • Hemolysis
  • Hemorrhage, hemorrhagic (concealed) R58
    ICD-10-CM Diagnosis Code R58

    Hemorrhage, not elsewhere classified

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Hemorrhage NOS
    Type 1 Excludes
    • hemorrhage included with underlying conditions, such as:
    • acute duodenal ulcer with hemorrhage (K26.0)
    • acute gastritis with bleeding (K29.01)
    • ulcerative enterocolitis with rectal bleeding (K51.01)

ICD-10-CM Codes Adjacent To O67.0
O66.2 Obstructed labor due to unusually large fetus
O66.3 Obstructed labor due to other abnormalities of fetus
O66.4 Failed trial of labor
O66.40 …… unspecified
O66.41 Failed attempted vaginal birth after previous cesarean delivery
O66.5 Attempted application of vacuum extractor and forceps
O66.6 Obstructed labor due to other multiple fetuses
O66.8 Other specified obstructed labor
O66.9 Obstructed labor, unspecified
O67 Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified
O67.0 Intrapartum hemorrhage with coagulation defect
O67.8 Other intrapartum hemorrhage
O67.9 Intrapartum hemorrhage, unspecified
O68 Labor and delivery complicated by abnormality of fetal acid-base balance
O69 Labor and delivery complicated by umbilical cord complications
O69.0 Labor and delivery complicated by prolapse of cord
O69.0XX0 …… not applicable or unspecified
O69.0XX1 …… fetus 1
O69.0XX2 …… fetus 2
O69.0XX3 …… fetus 3
O69.0XX4 …… fetus 4

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