ICD-10-CM Code O46.90

Antepartum hemorrhage, unspecified, unspecified trimester

Version 2021 Billable Code Maternity Diagnoses Diagnoses For Females Only

Valid for Submission

O46.90 is a billable code used to specify a medical diagnosis of antepartum hemorrhage, unspecified, unspecified trimester. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code O46.90 might also be used to specify conditions or terms like accidental antepartum hemorrhage, antepartum hemorrhage, antepartum hemorrhage due to cervical polyp, bleeding from female genital tract during pregnancy, concealed accidental hemorrhage, hemorrhagic complication of pregnancy, etc

The code O46.90 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.

ICD-10:O46.90
Short Description:Antepartum hemorrhage, unspecified, unspecified trimester
Long Description:Antepartum hemorrhage, unspecified, unspecified trimester

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code O46.90 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • 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).
  • Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Accidental antepartum hemorrhage
  • Antepartum hemorrhage
  • Antepartum hemorrhage due to cervical polyp
  • Bleeding from female genital tract during pregnancy
  • Concealed accidental hemorrhage
  • Hemorrhagic complication of pregnancy
  • Indeterminate antepartum hemorrhage
  • Mixed accidental hemorrhage
  • Revealed accidental hemorrhage

Diagnostic Related Groups

The ICD-10 code O46.90 is grouped in the following groups for version MS-DRG V38.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2021.

  • 817 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC
  • 818 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC
  • 819 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC

Convert O46.90 to ICD-9

  • 641.90 - Antepart hem NOS-unspec (Approximate Flag)

Code Classification

  • Pregnancy, childbirth and the puerperium (O00–O99)
    • Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
      • Antepartum hemorrhage, not elsewhere classified (O46)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Information for Patients


Health Problems in Pregnancy

Every pregnancy has some risk of problems. You may have problems because of a health condition you had before you got pregnant. You could also develop a condition during pregnancy. Other causes of problems during pregnancy can include being pregnant with more than one baby, a health problem in a previous pregnancy, substance abuse during pregnancy, or being over age 35. Any of these can affect your health, the health of your baby, or both.

If you have a chronic condition, you should talk to your health care provider about how to minimize your risk before you get pregnant. Once you are pregnant, you may need a health care team to monitor your pregnancy. Some common conditions that can complicate a pregnancy include

  • High blood pressure
  • Polycystic ovary syndrome
  • Kidney problems
  • Autoimmune disorders
  • Obesity
  • HIV/AIDS
  • Cancer
  • Infections

Other conditions that can make pregnancy risky can happen while you are pregnant - for example, gestational diabetes and Rh incompatibility. Good prenatal care can help detect and treat them.

Some discomforts, like nausea, back pain, and fatigue, are common during pregnancy. Sometimes it is hard to know what is normal. Call your health care provider if something is bothering or worrying you.

  • Bed rest during pregnancy (Medical Encyclopedia)
  • Hydramnios (Medical Encyclopedia)
  • Hyperemesis gravidarum (Medical Encyclopedia)
  • Insufficient cervix (Medical Encyclopedia)
  • Placenta abruptio (Medical Encyclopedia)
  • Placenta abruptio (Medical Encyclopedia)
  • Placenta previa (Medical Encyclopedia)
  • Vaginal bleeding in early pregnancy (Medical Encyclopedia)
  • Vaginal bleeding in late pregnancy (Medical Encyclopedia)
  • Vaginal bleeding in pregnancy (Medical Encyclopedia)

[Learn More]

Vaginal Bleeding

Also called: Dysfunctional Uterine Bleeding, Uterine Bleeding

Menstruation, or period, is a woman's monthly bleeding.Abnormal vaginal bleeding is different from normal menstrual periods. It could be bleeding that is between periods, is very heavy, or lasts much longer than usual. It also includes bleeding that happens before puberty or after menopause. Causes can include

  • Uterine fibroids or polyps
  • Hormone problems
  • Hormone pills, such as birth control pills and hormone replacement therapy (menopausal hormone therapy)
  • Cancer of the cervix, ovaries, uterus or vagina
  • Thyroid problems

Bleeding during pregnancy can have several different causes. It is not always serious, but to be safe you should contact your health care provider right away.

Pelvic exams, blood tests, imaging tests, and other procedures can help your health care provider diagnose the problem. Treatment depends on the cause. Treatments may include medicines, hormones, and surgery.

  • D and C (Medical Encyclopedia)
  • Dysfunctional uterine bleeding (DUB) (Medical Encyclopedia)
  • Vaginal bleeding (Medical Encyclopedia)
  • Vaginal bleeding between periods (Medical Encyclopedia)
  • Vaginal bleeding in early pregnancy (Medical Encyclopedia)
  • Vaginal bleeding in late pregnancy (Medical Encyclopedia)
  • Vaginal bleeding in pregnancy (Medical Encyclopedia)

[Learn More]