2023 ICD-10-CM Diagnosis Code O90.3

Peripartum cardiomyopathy

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
  • O90.3 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 O90.3 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of O90.3 - other international versions of ICD-10 O90.3 may differ.
ICD-10-CM Coding Rules
  • O90.3 is applicable to maternity patients aged 12 - 55 years inclusive.
  • O90.3 is applicable to female patients.
Applicable To
  • Conditions in
    ICD-10-CM Diagnosis Code I42
    • I42 Cardiomyopathy
      • I42.0 Dilated cardiomyopathy
      • I42.1 Obstructive hypertrophic cardiomyopathy
      • I42.2 Other hypertrophic cardiomyopathy
      • I42.3 Endomyocardial (eosinophilic) disease
      • I42.4 Endocardial fibroelastosis
      • I42.5 Other restrictive cardiomyopathy
      • I42.6 Alcoholic cardiomyopathy
      • I42.7 Cardiomyopathy due to drug and external agent...
      • I42.8 Other cardiomyopathies
      • I42.9 Cardiomyopathy, unspecified
    I42.-
    arising during pregnancy and the puerperium
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as O90.3. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • pre-existing heart disease complicating pregnancy and the puerperium (
    ICD-10-CM Diagnosis Code O99.4

    Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    Type 1 Excludes
    • peripartum cardiomyopathy (O90.3)
    Type 2 Excludes
    • hypertensive disorders (O10-O16)
    • obstetric embolism (O88.-)
    • venous complications and cerebrovenous sinus thrombosis in labor, childbirth and the puerperium (O87.-)
    • venous complications and cerebrovenous sinus thrombosis in pregnancy (O22.-)
    O99.4-
    )
The following code(s) above O90.3 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 O90.3:
  • 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
  • O85-O92
    2023 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
Approximate Synonyms
  • Cardiomyopathy in pregnancy
  • Dilated cardiomyopathy secondary to peripartum heart disease
ICD-10-CM O90.3 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 O90.3 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 O90.3:
  • Type 1 Excludes: O99.4
    ICD-10-CM Diagnosis Code O99.4

    Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    Type 1 Excludes
    • peripartum cardiomyopathy (O90.3)
    Type 2 Excludes
    • hypertensive disorders (O10-O16)
    • obstetric embolism (O88.-)
    • venous complications and cerebrovenous sinus thrombosis in labor, childbirth and the puerperium (O87.-)
    • venous complications and cerebrovenous sinus thrombosis in pregnancy (O22.-)
  • Type 2 Excludes: I42
    ICD-10-CM Diagnosis Code I42

    Cardiomyopathy

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Code First
    • pre-existing cardiomyopathy complicating pregnancy and puerperium (O99.4)
    Includes
    • myocardiopathy
    Type 2 Excludes
    • ischemic cardiomyopathy (I25.5)
    • peripartum cardiomyopathy (O90.3)
    • ventricular hypertrophy (I51.7)

Diagnosis Index entries containing back-references to O90.3:
  • Cardiomyopathy (familial) (idiopathic) I42.9
    ICD-10-CM Diagnosis Code I42.9

    Cardiomyopathy, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Cardiomyopathy (primary) (secondary) NOS
    • peripartum O90.3
    • postpartum O90.3
  • 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)
      • peripartum O90.3
  • Peripartum
    • cardiomyopathy O90.3
  • Puerperal, puerperium (complicated by, complications)
    • cardiomyopathy O90.3

ICD-10-CM Codes Adjacent To O90.3
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
O90.5 Postpartum thyroiditis
O90.6 Postpartum mood disturbance
O90.8 Other complications of the puerperium, not elsewhere classified
O90.81 Anemia of the puerperium
O90.89 Other complications of the puerperium, not elsewhere classified
O90.9 Complication of the puerperium, unspecified
O91 Infections of breast associated with pregnancy, the puerperium and lactation
O91.0 Infection of nipple associated with pregnancy, the puerperium and lactation
O91.01 Infection of nipple associated with pregnancy

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