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ICD-10-CM Codes
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O00-O9A
Pregnancy, childbirth and the puerperium
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O85-O92
Complications predominantly related to the puerperium
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O89-
Complications of anesthesia during the puerperium
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2018 ICD-10-CM Diagnosis Code O89.4
Spinal and epidural anesthesia-induced headache during the puerperium
2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
- O89.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- Short description: Spinal and epidur anesthesia-induced hdache during the puerp
- The 2018 edition of ICD-10-CM O89.4 became effective on October 1, 2017.
- This is the American ICD-10-CM version of O89.4 - other international versions of ICD-10 O89.4 may differ.
ICD-10-CM Coding Rules
- O89.4 is applicable to maternity patients aged 12 - 55 years inclusive.
- O89.4 is applicable to female patients.
The following code(s) above
O89.4 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
O89.4:
- O00-O9A
2018 ICD-10-CM Range O00-O9A
Pregnancy, childbirth and the puerperiumNote- 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.
- O85-O92
2018 ICD-10-CM Range O85-O92
Complications predominantly related to the puerperiumType 2 Excludes- mental and behavioral disorders associated with the puerperium (F53)
- obstetrical tetanus (A34)
- puerperal osteomalacia (M83.0)
- O89
ICD-10-CM Diagnosis Code O89
Complications of anesthesia during the puerperium
2016 2017 2018 Non-Billable/Non-Specific Code
Includes- maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during the puerperium
Use Additional- code, if applicable, to identify specific complication
- Epidural obstetric anesthesia induced headache postpartum
- Epidural obstetric anesthesia-induced headache, postpartum (after childbirth)
ICD-10-CM O89.4 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):
- 769 Postpartum and post abortion diagnoses with o.r. Procedure
- 776 Postpartum and post abortion diagnoses without o.r. Procedure
Convert O89.4 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
- Complication(s) (from) (of)
- Effect, adverse
- anesthesia T88.59 - see also Anesthesia
ICD-10-CM Diagnosis Code T88.59
Other complications of anesthesia
2016 2017 2018 Non-Billable/Non-Specific Code
- spinal and epidural T88.59
ICD-10-CM Diagnosis Code T88.59
Other complications of anesthesia
2016 2017 2018 Non-Billable/Non-Specific Code
- headache T88.59
ICD-10-CM Diagnosis Code T88.59
Other complications of anesthesia
2016 2017 2018 Non-Billable/Non-Specific Code
- postpartum, puerperal O89.4
- Headache R51
ICD-10-CM Diagnosis Code R51
Headache
2016 2017 2018 Billable/Specific Code
Type 1 Excludes- atypical face pain (G50.1)
- migraine and other headache syndromes (G43-G44)
- trigeminal neuralgia (G50.0)
ICD-10-CM Codes Adjacent To O89.4
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
O89.9 Complication of anesthesia during the puerperium, unspecified
O90 Complications of the puerperium, not elsewhere classified
O90.0 Disruption of cesarean delivery wound
O90.1 Disruption of perineal obstetric wound
O90.2 Hematoma of obstetric wound
O90.3 Peripartum cardiomyopathy
O90.4 Postpartum acute kidney failure
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
