2027 ICD-10-CM Diagnosis Code O43.023Fetus-to-fetus placental transfusion syndrome, third trimester

ICD-10-CM Codes›O00-O9A›O30-O48›O43

ICD-10-CM O43.023
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

O43.023 is a billable ICD-10-CM diagnosis code for fetus-to-fetus placental transfusion syndrome, third trimester. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 817 through 819, 831 through 833. The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Maternal care related to disorders of the placenta and placental implantation.

Code Identity

ICD-10-CM Code
O43.023
Billable Status
Yes — Valid for Submission
Code Describes
Fetus-to-fetus placental transfusion syndrome, third trimester
Short Description
Fetus-to-fetus placental transfuse syndrome, third trimester
Parent Code
O43.02
Fetus-to-fetus placental transfusion syndrome

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO30-O48Maternal care related to the fetus and amniotic cavity and possible delivery problems
CategoryO43Placental disorders
This CodeO43.023Fetus-to-fetus placental transfusion syndrome, third trimester

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O43.023.

Maternity diagnoses
The Medicare Code Editor detects inconsistencies in maternity cases by checking a patient's age and any diagnosis on the patient's record. The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to O43.023: its own notes plus those printed at O43 and Chapter 15. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • supervision of normal pregnancy (Z34.-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From O43 Placental disorders applies to 48 codes
  • maternal care for poor fetal growth due to placental insufficiency (O36.5-)
  • placenta previa (O44.-)
  • placental polyp (O90.89)
  • placentitis (O41.14-)
  • premature separation of placenta [abruptio placentae] (O45.-)
From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • 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

Add a second code, after this one, to fully describe the condition.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Notes

General instructions on how these codes are used.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • 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

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name O43.023, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming O43.023: they are not reported together with it, unless the two conditions are unrelated.

  • O36 Maternal care for other fetal problems
    placental transfusion syndromes (O43.0-) names O43.0-, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming O43.023: its condition is not part of those codes, and both may be reported when the patient has both.

  • O31 Complications specific to multiple gestation
    placental transfusion syndromes (O43.0-) names O43.0-, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PRG018
Maternal care related to disorders of the placenta and placental implantation
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Blood Disorders

Your blood is living tissue made up of liquid and solids. The liquid part, called plasma, is made of water, salts and protein. Over half of your blood is plasma. The solid part of your blood contains red blood cells, white blood cells and platelets.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert O43.023 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
656.71 Oth placent cond-deliver
Approximate The match is approximate rather than exact.
ICD-9-CM
656.73 Oth placent cond-antepar
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About O43.023Overview

What is the ICD-10 code for fetus-to-fetus placental transfusion syndrome, third trimester?

The ICD-10-CM code for fetus-to-fetus placental transfusion syndrome, third trimester is O43.023 (sometimes written as O43023). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is O43.023 (Fetus-to-fetus placental transfusion syndrome) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report fetus-to-fetus placental transfusion syndrome, third trimester on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does O43.023 group to?

When fetus-to-fetus placental transfusion syndrome, third trimester is the principal diagnosis on an inpatient stay, it groups to MS-DRG 833, 832, 831, 819, 818, 817, with relative weights from 0.5000 to 1.7586 depending on complications. Higher weights mean higher Medicare reimbursement.

Who can O43.023 be reported for?

The Medicare Code Editor checks fetus-to-fetus placental transfusion syndrome, third trimester against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.

What is the ICD-9 equivalent of O43.023?

Under the General Equivalence Mappings, fetus-to-fetus placental transfusion syndrome, third trimester converts to ICD-9-CM 656.71 (oth placent cond-deliver) and 656.73 (oth placent cond-antepar). The mapping is approximate, so confirm the match fits the documentation.