2026 ICD-10-CM Diagnosis Code O75.4Other complications of obstetric surgery and procedures

ICD-10-CM CodesO00-O9AO60-O77O75

ICD-10-CM O75.4
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O75.4 is a billable ICD-10-CM diagnosis code for other complications of obstetric surgery and procedures. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). 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 childbirth.

Code Identity

ICD-10-CM Code
O75.4
Billable Status
Yes — Valid for Submission
Code Describes
Other complications of obstetric surgery and procedures
Short Description
Other complications of obstetric surgery and procedures
Same as the full description in the CMS dataset.
Parent Code
Other complications of labor and delivery, not elsewhere classified

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO60-O77Complications of labor and delivery
CategoryO75Other complications of labor and delivery, not elsewhere classified
This CodeO75.4Other complications of obstetric surgery and procedures

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O75.4.

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.

  • Anoxia of brain
  • Cardiac arrest following obstetric procedure
  • Cerebral anoxia following obstetric procedure
  • Disorder following obstetric procedure
  • Failed obstetrical version
  • Heart failure following obstetric procedure
  • Injury of female genital organ due to obstetric procedure
  • Oxygen supply absent
  • Rupture of gravid uterus
  • Rupture of uterus
  • Rupture of uterus due to obstetric procedure

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Cardiac arrest following obstetric surgery or procedures
  • Cardiac failure following obstetric surgery or procedures
  • Cerebral anoxia following obstetric surgery or procedures
  • Pulmonary edema following obstetric surgery or procedures

Use Additional Code

  • code to identify specific complication

Type 2 Excludes

  • complications of anesthesia during labor and delivery O74
  • disruption of obstetrical surgical wound O90.0 O90.1
  • hematoma of obstetrical surgical wound O90.2
  • infection of obstetrical surgical wound O86.0

Index to Diseases and InjuriesGuidance

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Anoxia(pathological)
      • cerebral
        • complicating
          • delivery (cesarean) (instrumental)
    • Arrest, arrested
      • cardiac
        • complicating
          • delivery (cesarean) (instrumental)
    • Arrest, arrested
      • cardiac
        • postprocedural
          • obstetric procedure
    • Complication(s) (from) (of)
      • delivery
        • procedure (instrumental) (manual) (surgical)
    • Complication(s) (from) (of)
      • obstetric
        • procedure (instrumental) (manual) (surgical) specified NEC
    • Failure, failed
      • heart (acute) (senile) (sudden)
        • complicating
          • delivery (cesarean) (instrumental)

Clinical ClassificationClinical

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

CCSR PRG023
Complications specified during childbirth
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Childbirth Problems

Childbirth is the process of giving birth to a baby. It includes labor and delivery. Usually everything goes well, but problems can happen. They may cause a risk to the mother, baby, or both. Some of the more common childbirth problems include:

Read the full article at MedlinePlus

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

Convert O75.4 to ICD-9-CMHistory

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

ICD-9-CM
669.41 Oth ob compl-delivered
Approximate The match is approximate rather than exact.
ICD-9-CM
669.42 Oth ob compl-deliv w p/p
Approximate The match is approximate rather than exact.
ICD-9-CM
669.44 Oth ob surg compl-postpa
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About O75.4Overview

Is O75.4 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other complications of obstetric surgery and procedures on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Who can O75.4 be reported for?

The Medicare Code Editor checks other complications of obstetric surgery and procedures 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 O75.4?

Under the General Equivalence Mappings, other complications of obstetric surgery and procedures converts to ICD-9-CM 669.41 (oth ob compl-delivered), 669.42 (oth ob compl-deliv w p/p), and 669.44 (oth ob surg compl-postpa). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.