Version 2024

2024 ICD-10-CM Diagnosis Code O43.1

Malformation of placenta

ICD-10-CM Code:
O43.1
ICD-10 Code for:
Malformation of placenta
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Pregnancy, childbirth and the puerperium
    (O00-O9A)
    • Maternal care related to the fetus and amniotic cavity and possible delivery problems
      (O30-O48)
      • Placental disorders
        (O43)

O43.1 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of malformation of placenta. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Malformation of placenta

Non-specific codes like O43.1 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for malformation of placenta:

  • O43.10 for Malformation of placenta, unspecified - NON-BILLABLE CODE

  • Use O43.101 for Malformation of placenta, unspecified, first trimester - BILLABLE CODE

  • Use O43.102 for Malformation of placenta, unspecified, second trimester - BILLABLE CODE

  • Use O43.103 for Malformation of placenta, unspecified, third trimester - BILLABLE CODE

  • Use O43.109 for Malformation of placenta, unspecified, unspecified trimester - BILLABLE CODE

  • O43.11 for Circumvallate placenta - NON-BILLABLE CODE

  • Use O43.111 for Circumvallate placenta, first trimester - BILLABLE CODE

  • Use O43.112 for Circumvallate placenta, second trimester - BILLABLE CODE

  • Use O43.113 for Circumvallate placenta, third trimester - BILLABLE CODE

  • Use O43.119 for Circumvallate placenta, unspecified trimester - BILLABLE CODE

  • O43.12 for Velamentous insertion of umbilical cord - NON-BILLABLE CODE

  • Use O43.121 for Velamentous insertion of umbilical cord, first trimester - BILLABLE CODE

  • Use O43.122 for Velamentous insertion of umbilical cord, second trimester - BILLABLE CODE

  • Use O43.123 for Velamentous insertion of umbilical cord, third trimester - BILLABLE CODE

  • Use O43.129 for Velamentous insertion of umbilical cord, unspecified trimester - BILLABLE CODE

  • O43.19 for Other malformation of placenta - NON-BILLABLE CODE

  • Use O43.191 for Other malformation of placenta, first trimester - BILLABLE CODE

  • Use O43.192 for Other malformation of placenta, second trimester - BILLABLE CODE

  • Use O43.193 for Other malformation of placenta, third trimester - BILLABLE CODE

  • Use O43.199 for Other malformation of placenta, unspecified trimester - BILLABLE CODE

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.