2027 ICD-10-CM Diagnosis Code O90.89Other complications of the puerperium, not elsewhere classified
ICD-10-CM Codes›O00-O9A›O85-O92›O90
- Billable — Valid for Submission
- Not Chronic
O90.89 is a billable ICD-10-CM diagnosis code for other complications of the puerperium, not elsewhere classified. 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 the puerperium.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for O90.89.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- After pains
- Complication of obstetrical surgical wound
- Death of unknown cause
- Disease of circulatory system complicating pregnancy childbirth and puerperium
- Female pelvic cellulitis
- Finding of consistency of uterus
- Finding of quantity of lochia
- Flaccid uterus
- Flaccid uterus after delivery
- Hypertrophy of uterus
- Hypocalcemia of late pregnancy and/or lactation
- Lochia abnormal
- Lochia heavy
- Maternal death
- Non-involution of uterus
- Odor of lochia
- Offensive lochia
- Pain during postpartum period due to and following cesarean section
- Pendulous abdomen in pregnancy, childbirth and/or the puerperium
- Pituitary hemorrhage
- Placental polyp
- Post-episiotomy pain
- Postnatal acquired sensorineural hearing loss
- Postnatal vaginal discomfort
- Postpartum episiotomy pain
- Postpartum intrapituitary hemorrhage
- Postpartum maternal death
- Postpartum uterine hypertrophy
- Puerperal pelvic cellulitis
- Reproductive system complication of procedure
- Stenosis of cervix in pregnancy, childbirth and the puerperium
- Subinvolution of uterus in puerperium
- Sudden death
- Sudden death of unknown cause during the puerperium
- Sudden death, cause unknown
- Vaginal discomfort
- Vesicovaginal fistula
- Vesicovaginal fistula with involvement of urinary continence mechanism following normal delivery
- Vesicovaginal fistula with involvement of urinary continence mechanism following obstetric delivery procedure
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to O90.89: its own notes plus those printed at block O85-O92 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.
- Placental polyp
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, 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 O90.89, its category, or a range that includes it.
Excludes1 3
These codes carry an Excludes1 note naming O90.89: they are not reported together with it, unless the two conditions are unrelated.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
cesarean delivery wound NEC O90.89
surgical wound NEC O90.89
Disease, diseased See Also: Syndrome;
puerperal See Also: Puerperal; O90.89
placenta O90.89
Puerperal, puerperium (complicated by, complications)
specified NEC O90.89
neuritis O90.89
bladder (sphincter) O90.89
placental polyp O90.89
disease NEC O90.89
subinvolution (uterus) O90.89
puerperal O90.89
uterus (chronic) (nonpuerperal) N85.3
puerperal O90.89
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Postpartum Care
Taking home a new baby is one of the happiest times in a woman's life. But it also presents both physical and emotional challenges. :
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert O90.89 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About O90.89Overview
What is the ICD-10 code for other complications of the puerperium, not elsewhere classified?
The ICD-10-CM code for other complications of the puerperium, not elsewhere classified is O90.89 (sometimes written as O9089). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is O90.89 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other complications of the puerperium, not elsewhere classified on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does O90.89 group to?
When other complications of the puerperium, not elsewhere classified 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 O90.89 be reported for?
The Medicare Code Editor checks other complications of the puerperium, not elsewhere classified 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 O90.89?
Under the General Equivalence Mappings, other complications of the puerperium, not elsewhere classified converts to ICD-9-CM 646.44 (neuritis of preg-postpar), 646.84 (preg compl NEC-postpart), and 674.44 (placental polyp-postpart). The mapping is approximate, so confirm the match fits the documentation.
