2026 ICD-10-CM Diagnosis Code O90.3Peripartum cardiomyopathy
ICD-10-CM Codes›O00-O9A›O85-O92›O90
- Billable — Valid for Submission
- Not Chronic
O90.3 is a billable ICD-10-CM diagnosis code for peripartum cardiomyopathy. 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). Coders also document this condition as dilated peripartum cardiomyopathy. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Myocarditis and cardiomyopathy and Other specified complications in pregnancy.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for O90.3.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Dilated peripartum cardiomyopathy
- Heart disease in mother complicating pregnancy, childbirth AND/OR puerperium
- Postpartum cardiomyopathy
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Conditions in I42
Type 1 Excludes
- pre-existing heart disease complicating pregnancy and the puerperium O99.4
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Cardiomyopathy (familial) (idiopathic) - I42.9
- peripartum - O90.3
- postpartum - O90.3
- heart (acute) (senile) (sudden) - I50.9
- peripartum - O90.3
- cardiomyopathy - O90.3
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Cardiomyopathy(familial) (idiopathic)
- peripartum
- Cardiomyopathy(familial) (idiopathic)
- postpartum
- Failure, failed
- heart (acute) (senile) (sudden)
- peripartum
- Peripartum
- cardiomyopathy
- Puerperal, puerperium(complicated by, complications)
- cardiomyopathy
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Peripartum Cardiomyopathy
a rare form of dilated cardiomyopathy which causes heart enlargement and weakness during the last month of pregnancy or within five months of delivery.
Patient EducationClinical
Cardiomyopathy
Cardiomyopathy is the name for diseases of the heart muscle. These diseases enlarge your heart muscle or make it thicker and more rigid than normal. In rare cases, scar tissue replaces the muscle tissue.
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Convert O90.3 to ICD-9-CMHistory
Code HistoryHistory
Questions About O90.3Overview
Is O90.3 (Complications of the puerperium, not elsewhere classified) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report peripartum cardiomyopathy on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Who can O90.3 be reported for?
The Medicare Code Editor checks peripartum cardiomyopathy 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 O90.3?
Under the General Equivalence Mappings, peripartum cardiomyopathy converts to ICD-9-CM 674.52 (peripart card del w p/p) and 674.54 (peripartum card-postpart). 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.
