2027 ICD-10-CM Diagnosis Code O9A.33Physical abuse complicating the puerperium

ICD-10-CM Codes›O00-O9A›O94-O9A›O9A

ICD-10-CM O9A.33
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

O9A.33 is a billable ICD-10-CM diagnosis code for physical abuse complicating the 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 and Maltreatment/abuse.

Code Identity

ICD-10-CM Code
O9A.33
Billable Status
Yes — Valid for Submission
Code Describes
Physical abuse complicating the puerperium
Short Description
Physical abuse complicating the puerperium
Same as the full description in the CMS dataset.
Parent Code
O9A.3
Physical abuse complicating pregnancy, childbirth and the puerperium

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO94-O9AOther obstetric conditions, not elsewhere classified
CategoryO9AMaternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
This CodeO9A.33Physical abuse complicating the puerperium

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O9A.33.

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).

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to O9A.33: its own notes plus those printed at O9A.3 and Chapter 15. A note printed at a category, block or chapter applies to every code under it.

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 O9A.3 Physical abuse complicating pregnancy, childbirth and the puerperium applies to 6 codes
  • sexual abuse complicating pregnancy, childbirth and the puerperium (O9A.4)
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 O9A.3 Physical abuse complicating pregnancy, childbirth and the puerperium applies to 6 codes
  • code (if applicable):
  • to identify any associated current injury due to physical abuse
  • to identify the perpetrator of abuse (Y07.-)
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.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name O9A.33, its category, or a range that includes it.

Excludes1 2

These codes carry an Excludes1 note naming O9A.33: they are not reported together with it, unless the two conditions are unrelated.

  • T74 Adult and child abuse, neglect and other maltreatment, confirmed
    abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-) names O9A.3-, which includes this code
  • T76 Adult and child abuse, neglect and other maltreatment, suspected
    suspected abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-) names O9A.3-, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming O9A.33: its condition is not part of those codes, and both may be reported when the patient has both.

  • O9A.2 Injury, poisoning and certain other consequences of external causes complicating pregnancy, childbirth and the puerperium
    physical, sexual and psychological abuse complicating pregnancy, childbirth and the puerperium (O9A.3-, O9A.4-, O9A.5-) names O9A.3-, which includes this code

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
CCSR INJ032
Maltreatment/abuse
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Intimate Partner Violence

Intimate partner violence (IPV) is abuse that happens in a romantic relationship. The intimate partner could be a current or former spouse or dating partner. IPV is also known as domestic violence.

The full article covers:

  • What is intimate partner violence (IPV)?
  • Who is affected by intimate partner violence (IPV)?
  • What are the signs that someone is experiencing intimate partner violence (IPV)?
  • What can I do if I am experiencing intimate partner violence (IPV)?
  • How can I help someone who is experiencing intimate partner violence (IPV)?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert O9A.33 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
648.94 Oth curr cond-postpartum
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About O9A.33Overview

What is the ICD-10 code for physical abuse complicating the puerperium?

The ICD-10-CM code for physical abuse complicating the puerperium is O9A.33 (sometimes written as O9A33). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is O9A.33 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report physical abuse complicating the puerperium on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does O9A.33 group to?

When physical abuse complicating the 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 O9A.33 be reported for?

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

Does O9A.33 need an additional code?

When the condition applies, yes. The Use Additional Code note at O9A.3, which applies to O9A.33, reads: code (if applicable): to identify any associated current injury due to physical abuse; to identify the perpetrator of abuse (Y07.-). The additional code is reported after O9A.33.