2021 ICD-10-CM Code O99.345
Other mental disorders complicating the puerperium
Valid for Submission
O99.345 is a billable diagnosis code used to specify a medical diagnosis of other mental disorders complicating the puerperium. The code O99.345 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code O99.345 might also be used to specify conditions or terms like bipolar affective disorder, most recent episode mixed, bipolar i disorder, most recent episode depressed with postpartum onset, bipolar i disorder, most recent episode depression, bipolar i disorder, most recent episode manic, bipolar i disorder, most recent episode manic with postpartum onset , bipolar i disorder, most recent episode mixed with postpartum onset, etc.
The code O99.345 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: | O99.345 |
| Short Description: | Other mental disorders complicating the puerperium |
| Long Description: | Other mental disorders complicating the puerperium |
Code Classification
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 O99.345 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 - 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).
- Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Bipolar affective disorder, most recent episode mixed
- Bipolar I disorder, most recent episode depressed with postpartum onset
- Bipolar I disorder, most recent episode depression
- Bipolar I disorder, most recent episode manic
- Bipolar I disorder, most recent episode manic with postpartum onset
- Bipolar I disorder, most recent episode mixed with postpartum onset
- Mental disorder in the puerperium - baby delivered
- Mental disorder in the puerperium - baby delivered during previous episode of care
- Recurrent major depressive disorder with postpartum onset
Convert O99.345 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code O99.345 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
Mental Disorders
Also called: Mental illness
What are mental disorders?
Mental disorders (or mental illnesses) are conditions that affect your thinking, feeling, mood, and behavior. They may be occasional or long-lasting (chronic). They can affect your ability to relate to others and function each day.
What are some types of mental disorders?
There are many different types of mental disorders. Some common ones include
- Anxiety disorders, including panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder, and phobias
- Depression, bipolar disorder, and other mood disorders
- Eating disorders
- Personality disorders
- Psychotic disorders, including schizophrenia
What causes mental disorders?
There is no single cause for mental illness. A number of factors can contribute to risk for mental illness, such as
- Your genes and family history
- Your life experiences, such as stress or a history of abuse, especially if they happen in childhood
- Biological factors such as chemical imbalances in the brain
- A traumatic brain injury
- A mother's exposure to viruses or toxic chemicals while pregnant
- Use of alcohol or recreational drugs
- Having a serious medical condition like cancer
- Having few friends, and feeling lonely or isolated
Mental disorders are not caused by character flaws. They have nothing to do with being lazy or weak.
Who is at risk for mental disorders?
Mental disorders are common. More than half of all Americans will be diagnosed with a mental disorder at some time in their life.
How are mental disorders diagnosed?
The steps to getting a diagnosis include
- A medical history
- A physical exam and possibly lab tests, if your provider thinks that other medical conditions could be causing your symptoms
- A psychological evaluation. You will answer questions about your thinking, feelings, and behaviors.
What are the treatments for mental disorders?
Treatment depends on which mental disorder you have and how serious it is. You and your provider will work on a treatment plan just for you. It usually involves some type of therapy. You may also take medicines. Some people also need social support and education on managing their condition.
In some cases, you may need more intensive treatment. You may need to go to a psychiatric hospital. This could be because your mental illness is severe. Or it could be because you are at risk of hurting yourself or someone else. In the hospital, you will get counseling, group discussions, and activities with mental health professionals and other patients.
- Adjustment disorder (Medical Encyclopedia)
- Conversion disorder (Medical Encyclopedia)
- Illness anxiety disorder (Medical Encyclopedia)
- Somatic symptom disorder (Medical Encyclopedia)
[Learn More]
Postpartum Care
Also called: Post-pregnancy health
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.
- Get as much rest as possible. You may find that all you can do is eat, sleep, and care for your baby. And that is perfectly okay. You will have spotting or bleeding, like a menstrual period, off and on for up to six weeks.
- You might also have swelling in your legs and feet, feel constipated, have menstrual-like cramping. Even if you are not breastfeeding, you can have milk leaking from your nipples, and your breasts might feel full, tender, or uncomfortable.
- Follow your doctor's instructions on how much activity, like climbing stairs or walking, you can do for the next few weeks.
- Doctors usually recommend that you abstain from sexual intercourse for four to six weeks after birth.
In addition to physical changes, you may feel sad or have the "baby blues." If you are extremely sad or are unable to care for yourself or your baby, you might have a serious condition called postpartum depression.
Dept. of Health and Human Services Office on Women's Health
- After vaginal delivery - in the hospital (Medical Encyclopedia)
- Losing weight after pregnancy (Medical Encyclopedia)
- Questions to ask your doctor about going home with your baby (Medical Encyclopedia)
- Questions to ask your doctor about post pregnancy care (Medical Encyclopedia)
- Vaginal delivery - discharge (Medical Encyclopedia)
[Learn More]
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)