2027 ICD-10-CM Diagnosis Code O72.2Delayed and secondary postpartum hemorrhage

ICD-10-CM Codes›O00-O9A›O60-O77›O72

ICD-10-CM O72.2
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

O72.2 is a billable ICD-10-CM diagnosis code for delayed and secondary postpartum hemorrhage. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 769, 776. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 250 closely related codes. 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 Complications specified during the puerperium and Hemorrhage after first trimester.

Code Identity

ICD-10-CM Code
O72.2
Billable Status
Yes — Valid for Submission
Code Describes
Delayed and secondary postpartum hemorrhage
Short Description
Delayed and secondary postpartum hemorrhage
Same as the full description in the CMS dataset.
Parent Code
O72
Postpartum hemorrhage

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO60-O77Complications of labor and delivery
CategoryO72Postpartum hemorrhage
This CodeO72.2Delayed and secondary postpartum hemorrhage

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O72.2.

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).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Delayed AND/OR secondary postpartum hemorrhage
  • Finding of contents of cervix
  • Finding of contents of uterus
  • Placental fragments at cervical os
  • Placental fragments in uterus
  • Postpartum hemorrhage
  • Products of conception at uterine os cervix
  • Retained placenta
  • Retained products of conception, following delivery with hemorrhage
  • Retained secundines
  • Retained uterine membrane
  • Retention of placenta and uterine membrane

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to O72.2: its own notes plus those printed at O72 and Chapter 15. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From O72 Postpartum hemorrhage applies to 4 codes
  • hemorrhage after delivery of fetus or infant

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Hemorrhage associated with retained portions of placenta or membranes after the first 24 hours following delivery of placenta
  • Retained products of conception NOS, following delivery

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 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 O72.2, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming O72.2: its condition is not part of those codes, and both may be reported when the patient has both.

  • O67 Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified
    postpartum hemorrhage (O72.-) names O72.-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

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

CCSR PRG027
Complications specified during the puerperium
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR PRG010
Hemorrhage after first trimester
Default principal diagnosis: inpatient No · outpatient No

Clinical InformationClinical

  • Postpartum Hemorrhage

    excess blood loss from uterine bleeding associated with obstetric labor or childbirth. it is defined as blood loss greater than 500 ml or of the amount that adversely affects the maternal physiology, such as blood pressure and hematocrit. postpartum hemorrhage is divided into two categories, immediate (within first 24 hours after birth) or delayed (after 24 hours postpartum).

Patient EducationClinical

Postpartum Care

Taking home a new baby is one of the happiest times in a woman's life. But it also presents both physical and emotional challenges. :

Read the full article at MedlinePlus

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

Convert O72.2 to ICD-9-CMHistory

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

ICD-9-CM
666.22 Delay p/p hem-del w p/p
Approximate The match is approximate rather than exact.
ICD-9-CM
666.24 Delay p/part hem-postpar
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 O72.2Overview

What is the ICD-10 code for delayed and secondary postpartum hemorrhage?

The ICD-10-CM code for delayed and secondary postpartum hemorrhage is O72.2 (sometimes written as O722). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is O72.2 (Postpartum hemorrhage) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report delayed and secondary postpartum hemorrhage on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does O72.2 group to?

When delayed and secondary postpartum hemorrhage is the principal diagnosis on an inpatient stay, it groups to MS-DRG 769, 776, with relative weights from 0.6718 to 1.6666 depending on complications. Higher weights mean higher Medicare reimbursement.

Is O72.2 a CC or MCC?

CMS lists O72.2 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 250 closely related codes in its exclusion list.

Who can O72.2 be reported for?

The Medicare Code Editor checks delayed and secondary postpartum hemorrhage against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.