2020 ICD-10-CM Diagnosis Code O99.33

Tobacco use disorder complicating pregnancy, childbirth, and the puerperium

    2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code
  • O99.33 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • Short description: Tobacco use disorder comp pregnancy, chldbrth, and the puerp
  • The 2020 edition of ICD-10-CM O99.33 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of O99.33 - other international versions of ICD-10 O99.33 may differ.
Applicable To
  • Smoking complicating pregnancy, childbirth, and the puerperium
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 from category
    ICD-10-CM Diagnosis Code F17

    Nicotine dependence

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • history of tobacco dependence (Z87.891)
    • tobacco use NOS (Z72.0)
    Type 2 Excludes
    • tobacco use (smoking) during pregnancy, childbirth and the puerperium (O99.33-)
    • toxic effect of nicotine (T65.2-)
    F17
    to identify type of tobacco nicotine dependence
The following code(s) above O99.33 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 O99.33:
  • 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
  • O99
    ICD-10-CM Diagnosis Code O99

    Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care
    Type 2 Excludes
    • when the reason for maternal care is that the condition is known or suspected to have affected the fetus (O35-O36)
    Use Additional
    • code to identify specific condition
    Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): Revised code
    • New description: Tobacco use disorder complicating pregnancy, childbirth, and the puerperium
    • 2016 description: Smoking (tobacco) complicating pregnancy, childbirth, and the puerperium
  • 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 O99.33:
  • Type 1 Excludes: Z72.0
    ICD-10-CM Diagnosis Code Z72.0

    Tobacco use

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Tobacco use NOS
    Type 1 Excludes
    • history of tobacco dependence (Z87.891)
    • nicotine dependence (F17.2-)
    • tobacco dependence (F17.2-)
    • tobacco use during pregnancy (O99.33-)
  • Type 2 Excludes: F17
    ICD-10-CM Diagnosis Code F17

    Nicotine dependence

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • history of tobacco dependence (Z87.891)
    • tobacco use NOS (Z72.0)
    Type 2 Excludes
    • tobacco use (smoking) during pregnancy, childbirth and the puerperium (O99.33-)
    • toxic effect of nicotine (T65.2-)

Diagnosis Index entries containing back-references to O99.33:
  • Pregnancy (single) (uterine) - see also Delivery and Puerperal
    • complicated by (care of) (management affected by)
      • mental disorders (conditions in F01-F09, F20-F99) O99.34-
        ICD-10-CM Diagnosis Code O99.34-

        Other mental disorders complicating pregnancy, childbirth, and the puerperium

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
        Applicable To
        Type 2 Excludes
        • postpartum mood disturbance (O90.6)
        • postnatal psychosis (F53.1)
        • puerperal psychosis (F53.1)
        • smoking O99.33-
      • smoking O99.33- (tobacco)
      • tobacco use disorder O99.33- (smoking)
  • Tobacco (nicotine)
    • use Z72.0
      ICD-10-CM Diagnosis Code Z72.0

      Tobacco use

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Tobacco use NOS
      Type 1 Excludes
      • history of tobacco dependence (Z87.891)
      • nicotine dependence (F17.2-)
      • tobacco dependence (F17.2-)
      • tobacco use during pregnancy (O99.33-)

ICD-10-CM Codes Adjacent To O99.33
O99.313 Alcohol use complicating pregnancy, third trimester
O99.314 Alcohol use complicating childbirth
O99.315 Alcohol use complicating the puerperium
O99.32 Drug use complicating pregnancy, childbirth, and the puerperium
O99.320 Drug use complicating pregnancy, unspecified trimester
O99.321 Drug use complicating pregnancy, first trimester
O99.322 Drug use complicating pregnancy, second trimester
O99.323 Drug use complicating pregnancy, third trimester
O99.324 Drug use complicating childbirth
O99.325 Drug use complicating the puerperium
O99.33 Tobacco use disorder complicating pregnancy, childbirth, and the puerperium
O99.330 Smoking (tobacco) complicating pregnancy, unspecified trimester
O99.331 Smoking (tobacco) complicating pregnancy, first trimester
O99.332 Smoking (tobacco) complicating pregnancy, second trimester
O99.333 Smoking (tobacco) complicating pregnancy, third trimester
O99.334 Smoking (tobacco) complicating childbirth
O99.335 Smoking (tobacco) complicating the puerperium
O99.34 Other mental disorders complicating pregnancy, childbirth, and the puerperium
O99.340 Other mental disorders complicating pregnancy, unspecified trimester
O99.341 Other mental disorders complicating pregnancy, first trimester
O99.342 Other mental disorders complicating pregnancy, second trimester

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