2027 ICD-10-CM Diagnosis Code O75.4Other complications of obstetric surgery and procedures
ICD-10-CM Codes›O00-O9A›O60-O77›O75
- Billable — Valid for Submission
- Not Chronic
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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 769, 776. 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
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for O75.4.
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
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to O75.4: its own notes plus those printed at O75 and Chapter 15. A note printed at a category, block or chapter applies to every code under it.
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.
- 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
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- 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.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify specific complication
- 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.
- 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 O75.4, its category, or a range that includes it.
Excludes2 1
These codes carry an Excludes2 note naming O75.4: its condition is not part of those codes, and both may be reported when the patient has both.
- T88 Other complications of surgical and medical care, not elsewhere classifiedcomplications of obstetric surgery and procedure (O75.4)
Code First 3
These codes say to code first a condition named in the note, and O75.4 is one of the conditions named.
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.
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.
Code HistoryHistory
Questions About O75.4Overview
What is the ICD-10 code for other complications of obstetric surgery and procedures?
The ICD-10-CM code for other complications of obstetric surgery and procedures is O75.4 (sometimes written as O754). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
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, 2026 through September 30, 2027.
What MS-DRG does O75.4 group to?
When other complications of obstetric surgery and procedures 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.
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.
Does O75.4 need an additional code?
When the condition applies, yes. The Use Additional Code note reads: code to identify specific complication. The additional code is reported after O75.4.
