Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified (O67)

ICD-10 code O67 is used to identify cases of labor and delivery complicated by intrapartum hemorrhage that are not classified elsewhere. This section captures specific bleeding events occurring during labor, which can significantly impact maternal care.

The codes under this category cover various types of intrapartum hemorrhage. O67.0 specifies hemorrhage linked to coagulation defects such as hypofibrinogenemia or abnormal fibrinolysis, which may also be described as parturient hemorrhage associated with hyperfibrinolysis. O67.8 includes other causes of severe bleeding during labor, often involving uterine rupture or complications from obstetric procedures. Meanwhile, O67.9 is reserved for unspecified intrapartum hemorrhage cases, encompassing descriptions like maternal blood loss during labor or hemorrhage linked to leiomyoma. Using the correct ICD-10 code for intrapartum hemorrhage helps differentiate conditions like rupture of gravid uterus or coagulation-related bleeding, ensuring precise documentation and treatment.

Instructional Notations

Type 1 Excludes

A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

  • antepartum hemorrhage NEC O46
  • placenta previa O44
  • premature separation of placenta [abruptio placentae] O45

Type 2 Excludes

A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

  • postpartum hemorrhage O72