ICD-10-CM Code O74.3

Central nervous system complications of anesthesia during labor and delivery

Version 2020 Billable Code Maternity Diagnoses Diagnoses For Females Only

Valid for Submission

O74.3 is a billable code used to specify a medical diagnosis of central nervous system complications of anesthesia during labor and delivery. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code O74.3 might also be used to specify conditions or terms like anoxia of brain, central nervous system complications of anesthesia during labor and delivery, cerebral anoxia following anesthesia and/or sedation in labor and/or delivery, obstetric anesthesia with central nervous system complication - delivered with postnatal problem, obstetric anesthesia with central nervous system complication in childbirth, obstetric anesthesia with central nervous system complication with postnatal problem, etc

The code O74.3 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:O74.3
Short Description:Cnsl complications of anesthesia during labor and delivery
Long Description:Central nervous system complications of anesthesia during labor and delivery

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 O74.3 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 - Maternity. Age range is 12–55 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
  • Diagnoses for females only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to FEMALES only .

Synonyms

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

  • Anoxia of brain
  • Central nervous system complications of anesthesia during labor and delivery
  • Cerebral anoxia following anesthesia AND/OR sedation in labor AND/OR delivery
  • Obstetric anesthesia with central nervous system complication - delivered with postnatal problem
  • Obstetric anesthesia with central nervous system complication in childbirth
  • Obstetric anesthesia with central nervous system complication with postnatal problem
  • Obstetric anesthesia with central nervous system complications
  • Obstetric anesthesia with central nervous system complications - delivered

Convert O74.3 to ICD-9

  • 668.21 - Cns compl lab/del-deliv (Approximate Flag)
  • 668.22 - Cns complic-del w p/p (Approximate Flag)

Code Classification

  • Pregnancy, childbirth and the puerperium (O00–O99)
    • Complications of labor and delivery (O60-O77)
      • Complications of anesthesia during labor and delivery (O74)

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

Information for Patients


Anesthesia

If you are having surgery, your doctor will give you medicine called an anesthetic. Anesthetics reduce or prevent pain. There are three main types:

  • Local - numbs one small area of the body. You stay awake and alert.
  • Regional - blocks pain in an area of the body, such an arm or leg. A common type is epidural anesthesia, which is often used during childbirth.
  • General - makes you unconscious. You do not feel any pain, and you do not remember the procedure afterwards.

You may also get a mild sedative to relax you. You stay awake but may not remember the procedure afterwards. Sedation can be used with or without anesthesia.

The type of anesthesia or sedation you get depends on many factors. They include the procedure you are having and your current health.


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Childbirth Problems

While childbirth usually goes well, complications can happen. They can cause a risk to the mother, baby, or both. Possible complications include

  • Preterm (premature) labor, when labor starts before 37 completed weeks of pregnancy
  • Problems with the umbilical cord
  • Problems with the position of the baby, such as breech, in which the baby is going to come out feet first
  • Birth injuries

For some of these problems, the baby may need to be delivered surgically by a Cesarean section.


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Peripheral Nerve Disorders

Your peripheral nerves are the ones outside your brain and spinal cord. Like static on a telephone line, peripheral nerve disorders distort or interrupt the messages between the brain and the rest of the body.

There are more than 100 kinds of peripheral nerve disorders. They can affect one nerve or many nerves. Some are the result of other diseases, like diabetic nerve problems. Others, like Guillain-Barre syndrome, happen after a virus infection. Still others are from nerve compression, like carpal tunnel syndrome or thoracic outlet syndrome. In some cases, like complex regional pain syndrome and brachial plexus injuries, the problem begins after an injury. Some people are born with peripheral nerve disorders.

Symptoms often start gradually, and then get worse. They include

  • Numbness
  • Pain
  • Burning or tingling
  • Muscle weakness
  • Sensitivity to touch

Treatment aims to treat any underlying problem, reduce pain and control symptoms.

NIH: National Institute of Neurological Disorders and Stroke


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