Version 2024

First Trimester (0 to 13 Weeks)

2024 ICD-10-CM Diagnosis Code O9A.411

Sexual abuse complicating pregnancy, first trimester

ICD-10-CM Code:: O9A.411
ICD-10 Code for:: Sexual abuse complicating pregnancy, first trimester
Is Billable?: Yes - Valid for Submission
Chronic Condition Indicator: ^[1]: Not chronic
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Code Information
Clinical Classification
Tabular List of Diseases and Injuries
Code Edits
Diagnostic Related Groups Mapping
Convert to ICD-9 Code
Patient Education
Other Codes Used Similar Conditions
Code History

Code Classification

Pregnancy, childbirth and the puerperium
(O00-O9A)
- Other obstetric conditions, not elsewhere classified
  (O94-O9A)
  - Maternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
    (O9A)

O9A.411 is a billable diagnosis code used to specify a medical diagnosis of sexual abuse complicating pregnancy, first trimester. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

The code O9A.411 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.

Clinical Classification

Clinical Category	CCSR Category Code	Inpatient Default CCSR	Outpatient Default CCSR
Maltreatment/abuse	INJ032	N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.	N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Other specified complications in pregnancy	PRG028	Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.	Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM 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 .

O9A.411 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
817	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC	14	2.255
818	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC	14	1.1731
819	OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC	14	0.9072

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert O9A.411 to ICD-9-CM

ICD-9-CM Code: 648.91 - Oth curr cond-delivered
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
ICD-9-CM Code: 648.93 - Oth curr cond-antepartum
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education

Sexual Assault

What is sexual assault?

Sexual assault is any kind of sexual activity, contact, or experience that happens without your consent. That means the sexual activity happens even though you don't agree to it.

Sexual assault may happen with:

Physical force or threats of force
Sexual coercion (being pressured, tricked, threatened, or forced in a nonphysical way)
Alcohol or drugs, including date rape drugs

Sexual assault may also be called sexual violence or sexual abuse. It affects millions of people each year. Anyone can be a victim of sexual assault. Many victims first experience sexual assault during childhood. Most victims are girls and women. But many boys and men are also victims of sexual assault.

If you've been sexually assaulted, it's never your fault. It's something that happens to you.

What does sexual assault include?

Sexual assault is any unwanted sexual activity, including:

Sexual activity with physical contact, which is everything from sexual touching or kissing to rape or attempted rape
Sexual activity without physical contact, which includes things that may happen in person, online, or through texts, such as:
- "Flashing" or exhibitionism (when someone shows you their genitals without asking you for permission)
- Being forced to look at sexual images or pose for sexual photos
- Being sent unwanted texts with sexual photos or messages
- Voyeurism (when someone watches private sexual acts without permission)
- Getting sexual threats or being sexually harassed (unwelcome sexual comments, requests for sexual favors, or other sexual behavior that's ongoing)

Any sexual activity that happens without your consent is sexual assault.

What does "consent" mean?

Giving your consent means that you clearly and freely say "yes" to sexual activity. Your consent means that you:

Know and understand what's going on.
Can say what you want to do and don't want to do.
Are not underage.
Are not being pressured or tricked to do things you don't want to do.

Giving consent is not:

Silence. Not saying "no" doesn't mean you're saying "yes."
Having consented in the past. Having said "yes" to sex with someone in the past doesn't mean that you've agreed to all sexual activity in the future. That's true when you're dating or in a lasting relationship.
Being passive and not fighting off an attacker.

You cannot give consent if you are:

Drugged, drunk, passed out, or asleep.
Mentally unable to consent due to illness or disability.
Underage (States have different laws about how old you must be to give legal consent to sexual activity.).
Sexually coerced. This means that someone is pressuring you to participate in sexual activity. Agreeing to sex under pressure is not giving consent. The pressure may include:
- Abusing power over you, for example, a boss threatening your job.
- Making threats to harm people you care about.
- Making false promises to reward you for sex.
- Threatening to end a relationship or spread rumors about you.
- Wearing you down by constantly asking for sex or making you feel guilty or obligated.

Who commits sexual assault?

Both men and women commit sexual assault. A person who commits sexual assault may be a stranger, but more often it's someone you know, for example:

A friend or acquaintance
Someone you work with
A neighbor
A family member
A current or past romantic partner, including a spouse

What are the possible health effects from sexual assault?

Sexual assault may have many health effects. Many of them can affect your lifelong health and well-being. The effects may include:

Physical effects such as:
- Bruises or genital injuries
- Sexually transmitted diseases
- Pregnancy
- Ongoing problems with:
  - Female reproductive health
  - Digestive disorders
  - Your heart
  - Sexual health
Psychological effects such as:
- Depression or anxiety
- Thoughts about suicide
- Post-traumatic stress disorder (PTSD)

Sexual assault victims are more likely to smoke, have an alcohol use disorder (AUD), use illegal drugs, and have risky sexual behavior. Girls who experience sexual violence are more likely to become victims of intimate partner violence in adulthood.

What can I do if I'm a victim of sexual assault?

If you are in danger or need medical care, call 911. If you can, get away from the person who assaulted you and get to a safe place as fast as you can.

You can call the National Sexual Assault Hotline at 800-656-HOPE (4673) to connect with a sexual assault service provider in your area who can direct you to local resources.

Getting support after a sexual assault may help you cope better and reduce the long-term effects. Victim services like rape crisis centers may provide a safe, healing place where you can find support.

Studies show that treatments such as Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) can help victims cope with depression, anxiety, and post-traumatic stress disorder.

Can sexual assault be prevented?

Sexual assault is never the victim's fault. No one who has been assaulted should be blamed for something that they did or did not do.

You can take some steps to try to be safer around others:

Go to parties with friends. Look out for each other. If a friend seems drunk or drugged, get them to a safe place. Have a plan for how you'll get home, too.
Keep control of your drink. Someone could add alcohol or put a drug in it without you knowing.
Meet people for the first time in a public place.
Listen to your "gut feelings." If you feel uncomfortable around someone, leave.
Pay attention to your surroundings. When walking alone, stay in busy well-lit areas. And don't wear headphones; you want to be able to hear what's happening around you.

Centers for Disease and Control and Prevention

[Learn More in MedlinePlus]

Other ICD-10-CM Codes Commonly Used for Similar Conditions

Filter related codes list:

O9A Maternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and the puerperium.
O9A.1 Malignant neoplasm complicating pregnancy, childbirth and the puerperium.
O9A.11 Malignant neoplasm complicating pregnancy.
O9A.111 Malignant neoplasm complicating pregnancy, first trimester.
O9A.112 Malignant neoplasm complicating pregnancy, second trimester.
O9A.113 Malignant neoplasm complicating pregnancy, third trimester.
O9A.119 Malignant neoplasm complicating pregnancy, unspecified trimester.
O9A.12 Malignant neoplasm complicating childbirth.
O9A.13 Malignant neoplasm complicating the puerperium.
O9A.2 Injury, poisoning and certain other consequences of external causes complicating pregnancy, childbirth and the puerperium.
O9A.21 Injury, poisoning and certain other consequences of external causes complicating pregnancy.
O9A.211 Injury, poisoning and certain other consequences of external causes complicating pregnancy, first trimester.
O9A.212 Injury, poisoning and certain other consequences of external causes complicating pregnancy, second trimester.
O9A.213 Injury, poisoning and certain other consequences of external causes complicating pregnancy, third trimester.
O9A.219 Injury, poisoning and certain other consequences of external causes complicating pregnancy, unspecified trimester.
O9A.22 Injury, poisoning and certain other consequences of external causes complicating childbirth.
O9A.23 Injury, poisoning and certain other consequences of external causes complicating the puerperium.
O9A.3 Physical abuse complicating pregnancy, childbirth and the puerperium.
O9A.31 Physical abuse complicating pregnancy.
O9A.311 Physical abuse complicating pregnancy, first trimester.
O9A.312 Physical abuse complicating pregnancy, second trimester.
O9A.313 Physical abuse complicating pregnancy, third trimester.
O9A.319 Physical abuse complicating pregnancy, unspecified trimester.
O9A.32 Physical abuse complicating childbirth.
O9A.33 Physical abuse complicating the puerperium.
O9A.4 Sexual abuse complicating pregnancy, childbirth and the puerperium.
O9A.41 Sexual abuse complicating pregnancy.
O9A.412 Sexual abuse complicating pregnancy, second trimester.
O9A.413 Sexual abuse complicating pregnancy, third trimester.
O9A.419 Sexual abuse complicating pregnancy, unspecified trimester.
O9A.42 Sexual abuse complicating childbirth.
O9A.43 Sexual abuse complicating the puerperium.
O9A.5 Psychological abuse complicating pregnancy, childbirth and the puerperium.
O9A.51 Psychological abuse complicating pregnancy.
O9A.511 Psychological abuse complicating pregnancy, first trimester.
O9A.512 Psychological abuse complicating pregnancy, second trimester.
O9A.513 Psychological abuse complicating pregnancy, third trimester.
O9A.519 Psychological abuse complicating pregnancy, unspecified trimester.
O9A.52 Psychological abuse complicating childbirth.
O9A.53 Psychological abuse complicating the puerperium.

Code History

FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
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. This was the first year ICD-10-CM was implemented into the HIPAA code set.

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.