2027 ICD-10-CM Diagnosis Code O74Complications of anesthesia during labor and delivery

ICD-10-CM Codes›O00-O9A›O60-O77›O74

ICD-10-CM O74
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

O74 is a non-billable ICD-10-CM category code for complications of anesthesia during labor and delivery, so it cannot be submitted on claims. Use a more specific code from this category instead, such as O74.0, O74.1, O74.2, and O74.3.

Code Identity

ICD-10-CM Code
O74
Billable Status
No — Non-Billable Category
Code Describes
Complications of anesthesia during labor and delivery
Short Description
Complications of anesthesia during labor and delivery
Same as the full description in the CMS dataset.
Chapter
O60-O77
Complications of labor and delivery

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO60-O77Complications of labor and delivery
CategoryO74Complications of anesthesia during labor and delivery
This CodeO74Complications of anesthesia during labor and delivery

Specific Coding for Complications of anesthesia during labor and deliveryOverview

Non-specific codes like O74 require more characters. Use one of these billable codes instead:

  • Use O74.0 for Aspiration pneumonitis due to anesthesia during labor and delivery

  • Use O74.1 for Other pulmonary complications of anesthesia during labor and delivery

  • Use O74.2 for Cardiac complications of anesthesia during labor and delivery

  • Use O74.3 for Central nervous system complications of anesthesia during labor and delivery

  • Use O74.4 for Toxic reaction to local anesthesia during labor and delivery

  • Use O74.5 for Spinal and epidural anesthesia-induced headache during labor and delivery

  • Use O74.6 for Other complications of spinal and epidural anesthesia during labor and delivery

  • Use O74.7 for Failed or difficult intubation for anesthesia during labor and delivery

  • Use O74.8 for Other complications of anesthesia during labor and delivery

  • Use O74.9 for Complication of anesthesia during labor and delivery, unspecified

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to O74: its own notes plus those printed at 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.

  • maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during labor and 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.

On O74 itself
  • code, if applicable, to identify specific complication
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 O74, its category, or a range that includes it.

Excludes1 2

These codes carry an Excludes1 note naming O74: they are not reported together with it, unless the two conditions are unrelated.

  • T41 Poisoning by, adverse effect of and underdosing of anesthetics and therapeutic gases
    complications of anesthesia during labor and delivery (O74.-)
  • T88.2 Shock due to anesthesia
    labor and delivery (O74.-)

Excludes2 3

These codes carry an Excludes2 note naming O74: its condition is not part of those codes, and both may be reported when the patient has both.

  • O29 Complications of anesthesia during pregnancy
    complications of anesthesia during labor and delivery (O74.-)
  • O75.4 Other complications of obstetric surgery and procedures
    complications of anesthesia during labor and delivery (O74.-)
  • T88 Other complications of surgical and medical care, not elsewhere classified
    complications of anesthesia in labor and delivery (O74.-)

Patient EducationClinical

Anesthesia

Anesthesia is the use of medicines, called anesthetics, to prevent pain during surgery and other medical procedures. Medicine may be given by injection, inhalation, topical lotion, spray, eye drops, or a skin patch.

The full article covers:

  • What is anesthesia?
  • What is anesthesia used for?
  • What are the types of anesthesia?
  • What are the risks of anesthesia?

Read the full article at MedlinePlus

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

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 O74Overview

What is the ICD-10 code for complications of anesthesia during labor and delivery?

O74 is the ICD-10-CM category for complications of anesthesia during labor and delivery, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is O74 (Complications of anesthesia during labor and delivery) a billable code?

No. This is a category header that groups the codes for complications of anesthesia during labor and delivery, and headers cannot be submitted on claims. Claims for complications of anesthesia during labor and delivery need a more specific code from this category, such as O74.0, O74.1, and O74.2.

Does O74 need an additional code?

When the condition applies, yes. The Use Additional Code note reads: code, if applicable, to identify specific complication. The additional code is reported after O74.