2019 ICD-10-CM Diagnosis Code O89

Complications of anesthesia during the puerperium

    2016 2017 2018 2019 Non-Billable/Non-Specific Code
  • O89 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2019 edition of ICD-10-CM O89 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of O89 - other international versions of ICD-10 O89 may differ.
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 specific complication
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during the puerperium
The following code(s) above O89 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 O89:
  • 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
  • O85-O92
    2019 ICD-10-CM Range O85-O92

    Complications predominantly related to the puerperium

    Type 2 Excludes
    • mental and behavioral disorders associated with the puerperium (F53.-)
    • obstetrical tetanus (A34)
    • puerperal osteomalacia (M83.0)
    Complications predominantly related to the puerperium
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 O89:
  • Type 1 Excludes: T88.2
    , T41
    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)
    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-)
  • Type 2 Excludes: T88
    , O29
    ICD-10-CM Diagnosis Code T88

    Other complications of surgical and medical care, not elsewhere classified

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    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
    ICD-10-CM Diagnosis Code O29

    Complications of anesthesia during pregnancy

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during pregnancy
    Type 2 Excludes
    • complications of anesthesia during labor and delivery (O74.-)
    • complications of anesthesia during the puerperium (O89.-)
    Use Additional
    • code, if necessary, to identify the complication
ICD-10-CM Codes Adjacent To O89
O88.32 Pyemic and septic embolism in childbirth
O88.33 Pyemic and septic embolism in the puerperium
O88.8 Other obstetric embolism
O88.81 Other embolism in pregnancy
O88.811 …… first trimester
O88.812 …… second trimester
O88.813 …… third trimester
O88.819 …… unspecified trimester
O88.82 Other embolism in childbirth
O88.83 Other embolism in the puerperium
O89 Complications of anesthesia during the puerperium
O89.0 Pulmonary complications of anesthesia during the puerperium
O89.01 Aspiration pneumonitis due to anesthesia during the puerperium
O89.09 Other pulmonary complications of anesthesia during the puerperium
O89.1 Cardiac complications of anesthesia during the puerperium
O89.2 Central nervous system complications of anesthesia during the puerperium
O89.3 Toxic reaction to local anesthesia during the puerperium
O89.4 Spinal and epidural anesthesia-induced headache during the puerperium
O89.5 Other complications of spinal and epidural anesthesia during the puerperium
O89.6 Failed or difficult intubation for anesthesia during the puerperium
O89.8 Other complications of anesthesia during the puerperium

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