2020 ICD-10-CM Diagnosis Code O90.4

Postpartum acute kidney failure

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • O90.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM O90.4 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of O90.4 - other international versions of ICD-10 O90.4 may differ.
ICD-10-CM Coding Rules
  • O90.4 is applicable to maternity patients aged 12 - 55 years inclusive.
Applicable To
  • Hepatorenal syndrome following labor and delivery
The following code(s) above O90.4 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 O90.4:
  • O00-O9A
    2020 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
    2020 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
  • Acute renal failure following labor and/or delivery
  • Postpartum (after childbirth) acute kidney disease
ICD-10-CM O90.4 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 769 Postpartum and post abortion diagnoses with o.r. Procedure
  • 776 Postpartum and post abortion diagnoses without o.r. Procedure

Convert O90.4 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
Code annotations containing back-references to O90.4:
  • Type 1 Excludes: K76.7
    , R34
    ICD-10-CM Diagnosis Code K76.7

    Hepatorenal syndrome

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes
    • hepatorenal syndrome following labor and delivery (O90.4)
    • postprocedural hepatorenal syndrome (K91.83)
    ICD-10-CM Diagnosis Code R34

    Anuria and oliguria

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes
    • anuria and oliguria complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)
    • anuria and oliguria complicating pregnancy (O26.83-)
    • anuria and oliguria complicating the puerperium (O90.4)
  • Type 2 Excludes: O26.6
    , O99.8
    ICD-10-CM Diagnosis Code O26.6

    Liver and biliary tract disorders in pregnancy, childbirth and the puerperium

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • hepatorenal syndrome following labor and delivery (O90.4)
    Use Additional
    • code to identify the specific disorder
    ICD-10-CM Diagnosis Code O99.8

    Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    Type 2 Excludes
    • genitourinary infections in pregnancy (O23.-)
    • infection of genitourinary tract following delivery (O86.1-O86.4)
    • malignant neoplasm complicating pregnancy, childbirth and the puerperium (O9A.1-)
    • maternal care for known or suspected abnormality of maternal pelvic organs (O34.-)
    • postpartum acute kidney failure (O90.4)
    • traumatic injuries in pregnancy (O9A.2-)
    Use Additional
    • code to identify condition

Diagnosis Index entries containing back-references to O90.4:
  • Failure, failed
    • renal N19
      ICD-10-CM Diagnosis Code N19

      Unspecified kidney failure

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Uremia NOS
      Type 1 Excludes
      • acute kidney failure (N17.-)
      • chronic kidney disease (N18.-)
      • chronic uremia (N18.9)
      • extrarenal uremia (R39.2)
      • prerenal uremia (R39.2)
      • renal insufficiency (acute) (N28.9)
      • uremia of newborn (P96.0)
  • Hepatorenal syndrome following labor and delivery O90.4
  • Puerperal, puerperium (complicated by, complications)
    • failure
      • renal, acute O90.4
    • necrosis, liver (acute) (subacute) (conditions in subcategory K72.0) O26.63
      ICD-10-CM Diagnosis Code O26.63

      Liver and biliary tract disorders in the puerperium

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
      • with renal failure O90.4
    • renal
      • failure O90.4
    • hepatorenal syndrome O90.4
    • uremia O90.4 (due to renal failure)
  • Syndrome - see also Disease
    • hepatorenal K76.7
      ICD-10-CM Diagnosis Code K76.7

      Hepatorenal syndrome

        2016 2017 2018 2019 2020 Billable/Specific Code
      Type 1 Excludes
      • hepatorenal syndrome following labor and delivery (O90.4)
      • postprocedural hepatorenal syndrome (K91.83)
      • following delivery O90.4
      • postpartum, puerperal O90.4

ICD-10-CM Codes Adjacent To O90.4
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
O91.011 …… first trimester

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