2027 ICD-10-CM Diagnosis Code O99.893Other specified diseases and conditions complicating puerperium

ICD-10-CM Codes›O00-O9A›O94-O9A›O99

ICD-10-CM O99.893
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

O99.893 is a billable ICD-10-CM diagnosis code for other specified diseases and conditions complicating puerperium. 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

ICD-10-CM Code
O99.893
Billable Status
Yes — Valid for Submission
Code Describes
Other specified diseases and conditions complicating puerperium
Short Description
Oth diseases and conditions complicating puerperium
Parent Code
O99.89
Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO94-O9AOther obstetric conditions, not elsewhere classified
CategoryO99Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
This CodeO99.893Other specified diseases and conditions complicating puerperium

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O99.893.

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).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bicornuate uterus
  • Bicornuate uterus in pregnancy, childbirth and the puerperium
  • Bleeding from nose
  • Bone AND/OR joint disorder in mother complicating pregnancy, childbirth AND/OR puerperium
  • Bone AND/OR joint disorder of back in mother complicating pregnancy, childbirth AND/OR puerperium
  • Bone AND/OR joint disorder of lower extremities in mother complicating pregnancy, childbirth AND/OR puerperium
  • Bone AND/OR joint disorder of pelvis in mother complicating pregnancy, childbirth AND/OR puerperium
  • Chronic disease of breast
  • Congenital abnormal shape of uterus
  • Congenital abnormality of uterus in pregnancy, childbirth and the puerperium
  • Congenital cardiovascular disorder in mother complicating pregnancy, childbirth AND/OR puerperium
  • Congenital cardiovascular disorders during pregnancy, childbirth and the puerperium
  • Cystocele in pregnancy, childbirth and the puerperium
  • Disease of nervous system complicating pregnancy, childbirth and puerperium
  • Disease of skin and subcutaneous tissue complicating pregnancy, childbirth and/or puerperium
  • Disease of the respiratory system complicating pregnancy, childbirth and/or the puerperium
  • Finding of tone of female perineum
  • Galactorrhea associated with childbirth
  • Heart disease in mother complicating pregnancy, childbirth AND/OR puerperium
  • Hemoglobinuria
  • Increased lactation
  • Maternal perinatal disorder
  • Maternal perinatal epistaxis
  • Maternal perinatal jaundice
  • Maternal perinatal sensorineural hearing loss
  • Neoplasm of body of uterus in pregnancy, childbirth and puerperium
  • Obstetric abscess of breast
  • Obstetric anesthesia problems
  • Obstetric infection of breast
  • Obstetric mastitis
  • Obstetrical blood clot embolism
  • Orthopedic disorders during pregnancy, childbirth and the puerperium
  • Pelvic soft tissue abnormality in pregnancy, childbirth and the puerperium
  • Perinatal depression
  • Polyp of cervix in pregnancy, childbirth and the puerperium
  • Postpartum amenorrhea-galactorrhea syndrome
  • Postpartum headache
  • Postparturient hemoglobinuria
  • Rigid perineum
  • Rigid perineum in pregnancy, childbirth, and/or puerperium
  • Rubella in mother complicating pregnancy, childbirth AND/OR puerperium
  • Uterine fibroids in pregnancy, childbirth and the puerperium

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to O99.893: its own notes plus those printed at O99.8, O99, and Chapter 15. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium applies to 96 codes
  • conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • 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.

From O99.8 Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium applies to 18 codes
  • genitourinary infections in pregnancy (O23.-)
  • infection of genitourinary tract following delivery (O86.1-O86.4)
  • malignant neoplasm complicating pregnancy, childbirth and the puerperium (O9A.1-)
  • maternal care for known or suspected abnormality of maternal pelvic organs (O34.-)
  • postpartum acute kidney failure (O90.49)
  • traumatic injuries in pregnancy (O9A.2-)
From O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium applies to 96 codes
  • when the reason for maternal care is that the condition is known or suspected to have affected the fetus (O35-O36)
From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From O99.8 Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium applies to 18 codes
  • code to identify condition
From O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium applies to 96 codes
  • code to identify specific condition
From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • 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.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • 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.

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.

CCSR PRG027
Complications specified during the puerperium
Default principal diagnosis: inpatient Yes · outpatient Yes

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.

Code History & ChangesHistory

Replacement O99.893 replaces the following previously assigned code(s):

  • O99.89 - Oth diseases and conditions compl preg/chldbrth
FY 2021AddedAdded to the ICD-10-CM code setEffective October 1, 2020.
FY 2022–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About O99.893Overview

What is the ICD-10 code for other specified diseases and conditions complicating puerperium?

The ICD-10-CM code for other specified diseases and conditions complicating puerperium is O99.893 (sometimes written as O99893). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is O99.893 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other specified diseases and conditions complicating puerperium on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does O99.893 group to?

When other specified diseases and conditions complicating puerperium 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 O99.893 be reported for?

The Medicare Code Editor checks other specified diseases and conditions complicating puerperium against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.

Does O99.893 need an additional code?

When the condition applies, yes. The Use Additional Code note at O99.8, which applies to O99.893, reads: code to identify condition. The additional code is reported after O99.893.