ICD-10-CM Codes
O00-O9A
O60-O77
O75-
2023 ICD-10-CM Diagnosis Code O75.4

2023 ICD-10-CM Diagnosis Code O75.4

Other complications of obstetric surgery and procedures

2016

2017

2018

2019

2020

2021

2022

2023

Billable/Specific Code

Maternity Dx (12-55 years)

Female Dx

O75.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2023 edition of ICD-10-CM O75.4 became effective on October 1, 2022.
This is the American ICD-10-CM version of O75.4 - other international versions of ICD-10 O75.4 may differ.

ICD-10-CM Coding Rules

O75.4 is applicable to maternity patients aged 12 - 55 years inclusive.
O75.4 is applicable to female patients.

Applicable To

Cardiac arrest following obstetric surgery or procedures
Cardiac failure following obstetric surgery or procedures
Cerebral anoxia following obstetric surgery or procedures
Pulmonary edema following obstetric surgery or procedures

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 to identify specific complication

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 (O75.4) and the excluded code together.

complications of anesthesia during labor and delivery (
ICD-10-CM Diagnosis Code O74
- O74 Complications of anesthesia during labor and ...
  - O74.0 Aspiration pneumonitis due to anesthesia duri...
  - O74.1 Other pulmonary complications of anesthesia d...
  - O74.2 Cardiac complications of anesthesia during la...
  - O74.3 Central nervous system complications of anest...
  - O74.4 Toxic reaction to local anesthesia during lab...
  - O74.5 Spinal and epidural anesthesia-induced headac...
  - O74.6 Other complications of spinal and epidural an...
  - O74.7 Failed or difficult intubation for anesthesia...
  - O74.8 Other complications of anesthesia during labo...
  - O74.9 Complication of anesthesia during labor and d...
O74.-
)
disruption of obstetrical (surgical) wound (
ICD-10-CM Diagnosis Code O90.0
Disruption of cesarean delivery wound
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)
O90.0-
ICD-10-CM Diagnosis Code O90.1
Disruption of perineal obstetric wound
Applicable To
- Disruption of wound of episiotomy
- Disruption of wound of perineal laceration
- Secondary perineal tear
O90.1
)
hematoma of obstetrical (surgical) wound (
ICD-10-CM Diagnosis Code O90.2
Hematoma of obstetric wound
O90.2
)
infection of obstetrical (surgical) wound (
ICD-10-CM Diagnosis Code O86.0
Infection of obstetric surgical wound
Applicable To
- Infected cesarean delivery wound following delivery
- Infected perineal repair following delivery
Type 1 Excludes
- complications of procedures, not elsewhere classified (T81.4-)
- postprocedural fever NOS (R50.82)
- postprocedural retroperitoneal abscess (K68.11)
O86.0-
)

The following code(s) above O75.4 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 O75.4:

O00-O9A
2023 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
O75
ICD-10-CM Diagnosis Code O75
Other complications of labor and delivery, not elsewhere classified
Type 2 Excludes
- puerperal (postpartum) infection (O86.-)
- puerperal (postpartum) sepsis (O85)
Other complications of labor and delivery, not elsewhere classified

Approximate Synonyms

Disorder after obstetric procedure, delivered
Postpartum complication of obstetrical procedure

ICD-10-CM O75.4 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):

769 Postpartum and post abortion diagnoses with o.r. Procedures
776 Postpartum and post abortion diagnoses without o.r. Procedures

Convert O75.4 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
2020 (effective 10/1/2019): No change
2021 (effective 10/1/2020): No change
2022 (effective 10/1/2021): No change
2023 (effective 10/1/2022): No change

Code annotations containing back-references to O75.4:

Code First: I47
, I49
, I50

ICD-10-CM Diagnosis Code I47
Paroxysmal tachycardia
Code First
- tachycardia complicating:
- abortion or ectopic or molar pregnancy (O00-O07, O08.8)
- obstetric surgery and procedures (O75.4)
Type 1 Excludes
- tachycardia NOS (R00.0)
- sinoauricular tachycardia NOS (R00.0)
- sinus [sinusal] tachycardia NOS (R00.0)
ICD-10-CM Diagnosis Code I49
Other cardiac arrhythmias
Code First
- cardiac arrhythmia complicating:
- abortion or ectopic or molar pregnancy (O00-O07, O08.8)
- obstetric surgery and procedures (O75.4)
Type 1 Excludes
- neonatal dysrhythmia (P29.1-)
- sinoatrial bradycardia (R00.1)
- sinus bradycardia (R00.1)
- vagal bradycardia (R00.1)
Type 2 Excludes
- bradycardia NOS (R00.1)
ICD-10-CM Diagnosis Code I50
Heart failure
Code First
- heart failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)
- heart failure due to hypertension (I11.0)
- heart failure due to hypertension with chronic kidney disease (I13.-)
- heart failure following surgery (I97.13-)
- obstetric surgery and procedures (O75.4)
- rheumatic heart failure (I09.81)
Type 2 Excludes
- cardiac arrest (I46.-)
- neonatal cardiac failure (P29.0)
Type 2 Excludes: T88

ICD-10-CM Diagnosis Code T88
Other complications of surgical and medical care, not elsewhere classified
Type 2 Excludes
- complication following infusion, transfusion and therapeutic injection (T80.-)
- complication following procedure NEC (T81.-)
- complications of anesthesia in labor and delivery (O74.-)
- complications of anesthesia in pregnancy (O29.-)
- complications of anesthesia in puerperium (O89.-)
- complications of devices, implants and grafts (T82-T85)
- complications of obstetric surgery and procedure (O75.4)
- dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1)
- poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)
- specified complications classified elsewhere

Diagnosis Index entries containing back-references to O75.4:

Anoxia (pathological) R09.02
ICD-10-CM Diagnosis Code R09.02
Hypoxemia
- cerebral G93.1
  ICD-10-CM Diagnosis Code G93.1
  Anoxic brain damage, not elsewhere classified
  2016 2017 2018 2019 2020 2021 2022 2023 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)
  - complicating
    - delivery O75.4 (cesarean) (instrumental)
Arrest, arrested
- cardiac I46.9
  ICD-10-CM Diagnosis Code I46.9
  Cardiac arrest, cause unspecified
  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  - complicating
    - delivery O75.4 (cesarean) (instrumental)
  - postprocedural I97.12-
    ICD-10-CM Diagnosis Code I97.12-
    Postprocedural cardiac arrest
    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    - obstetric procedure O75.4
Complication(s) (from) (of)
- delivery O75.9
  - see also Complications, obstetric
  ICD-10-CM Diagnosis Code O75.9
  Complication of labor and delivery, unspecified
  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
  - procedure O75.4 (instrumental) (manual) (surgical)
- obstetric O75.9
  ICD-10-CM Diagnosis Code O75.9
  Complication of labor and delivery, unspecified
  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
  - procedure O75.4 (instrumental) (manual) (surgical)
Failure, failed
- heart (acute) (senile) (sudden) I50.9
  ICD-10-CM Diagnosis Code I50.9
  Heart failure, unspecified
  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  Applicable To
  Cardiac, heart or myocardial failure NOS
  Congestive heart disease
  Congestive heart failure NOS
  Type 2 Excludes
  fluid overload unrelated to congestive heart failure (E87.70)
  - complicating
    - delivery O75.4 (cesarean) (instrumental)

ICD-10-CM Codes Adjacent To O75.4

O74.5 Spinal and epidural anesthesia-induced headache during labor and delivery

O74.6 Other complications of spinal and epidural anesthesia during labor and delivery

O74.7 Failed or difficult intubation for anesthesia during labor and delivery

O74.8 Other complications of anesthesia during labor and delivery

O74.9 Complication of anesthesia during labor and delivery, unspecified

O75 Other complications of labor and delivery, not elsewhere classified

O75.0 Maternal distress during labor and delivery

O75.1 Shock during or following labor and delivery

O75.2 Pyrexia during labor, not elsewhere classified

O75.3 Other infection during labor

O75.4 Other complications of obstetric surgery and procedures

O75.5 Delayed delivery after artificial rupture of membranes

O75.8 Other specified complications of labor and delivery

O75.81 Maternal exhaustion complicating labor and delivery

O75.82 Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section

O75.89 Other specified complications of labor and delivery

O75.9 Complication of labor and delivery, unspecified

O76 Abnormality in fetal heart rate and rhythm complicating labor and delivery

O77 Other fetal stress complicating labor and delivery

O77.0 Labor and delivery complicated by meconium in amniotic fluid

O77.1 Fetal stress in labor or delivery due to drug administration

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

2023 ICD-10-CM Diagnosis Code O75.4

Other complications of obstetric surgery and procedures

Disruption of cesarean delivery wound

Disruption of perineal obstetric wound

Hematoma of obstetric wound

Infection of obstetric surgical wound

Pregnancy, childbirth and the puerperium

Other complications of labor and delivery, not elsewhere classified

Paroxysmal tachycardia

Other cardiac arrhythmias

Heart failure

Other complications of surgical and medical care, not elsewhere classified

Hypoxemia

Anoxic brain damage, not elsewhere classified

Cardiac arrest, cause unspecified

Postprocedural cardiac arrest

Complication of labor and delivery, unspecified

Complication of labor and delivery, unspecified

Heart failure, unspecified