2027 ICD-10-CM Diagnosis Code O9A.413Sexual abuse complicating pregnancy, third trimester
ICD-10-CM Codes›O00-O9A›O94-O9A›O9A
- Billable — Valid for Submission
- Not Chronic
O9A.413 is a billable ICD-10-CM diagnosis code for sexual abuse complicating pregnancy, third trimester. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 817 through 819, 831 through 833. 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 Maltreatment/abuse and Other specified complications in pregnancy.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for O9A.413.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to O9A.413: its own notes plus those printed at O9A.4 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.
- 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):
- to identify any associated current injury due to sexual abuse
- to identify the perpetrator of abuse (Y07.-)
- 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 O9A.413, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming O9A.413: they are not reported together with it, unless the two conditions are unrelated.
- T74 Adult and child abuse, neglect and other maltreatment, confirmedabuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-) names O9A.4-, which includes this code
- T76 Adult and child abuse, neglect and other maltreatment, suspectedsuspected abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-) names O9A.4-, which includes this code
Excludes2 2
These codes carry an Excludes2 note naming O9A.413: 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 puerperiumphysical, sexual and psychological abuse complicating pregnancy, childbirth and the puerperium (O9A.3-, O9A.4-, O9A.5-) names O9A.4-, which includes this code
- O9A.3 Physical abuse complicating pregnancy, childbirth and the puerperiumsexual abuse complicating pregnancy, childbirth and the puerperium (O9A.4) names O9A.4, which includes this code
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Health Problems in Pregnancy
A health problem in pregnancy is any disease or condition that could affect your health or the health of your fetus. Some health problems may make it more likely that you will have a high-risk pregnancy. A high-risk pregnancy is one in which you, your fetus, or both are at higher risk for health problems than in a typical pregnancy.
The full article covers:
- What are health problems in pregnancy?
- What raises my risk for health problems during pregnancy?
- Can chronic health conditions cause problems in pregnancy?
- Can health problems in pregnancy be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert O9A.413 to ICD-9-CMHistory
Code HistoryHistory
Questions About O9A.413Overview
What is the ICD-10 code for sexual abuse complicating pregnancy, third trimester?
The ICD-10-CM code for sexual abuse complicating pregnancy, third trimester is O9A.413 (sometimes written as O9A413). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is O9A.413 (Sexual abuse complicating pregnancy) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report sexual abuse complicating pregnancy, third trimester on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does O9A.413 group to?
When sexual abuse complicating pregnancy, third trimester is the principal diagnosis on an inpatient stay, it groups to MS-DRG 833, 832, 831, 819, 818, 817, with relative weights from 0.5000 to 1.7586 depending on complications. Higher weights mean higher Medicare reimbursement.
Who can O9A.413 be reported for?
The Medicare Code Editor checks sexual abuse complicating pregnancy, third trimester against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.
Does O9A.413 need an additional code?
When the condition applies, yes. The Use Additional Code note at O9A.4, which applies to O9A.413, reads: code (if applicable): to identify any associated current injury due to sexual abuse; to identify the perpetrator of abuse (Y07.-). The additional code is reported after O9A.413.
