Is O43.2 a billable ICD-10-CM code?

No. O43.2 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does O43.2 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48).

What cannot be coded together with O43.2?

O43.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

O43.2

O43.2 — Morbidly adherent placenta

Non-billable headerICD-10-CM

O43.2 is a non-billable header ICD-10-CM code for morbidly adherent placenta. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

retained placenta (O73.-)

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

associated third stage postpartum hemorrhage, if applicable (O72.0)

Other codes that can never be billed with O43.2

These codes carry an Excludes1 note pointing at O43.2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O43.2 alone.

O73Retained placenta and membranes, without hemorrhage

Risk adjustment

O43.2 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead O43.2

3 child codes. Green means billable.

Related codes at this level

Codes that share O43. If O43.2 is not quite right, the correct code is usually one of these.

Questions about O43.2

Is O43.2 a billable ICD-10-CM code?: No. O43.2 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does O43.2 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48).
What cannot be coded together with O43.2?: O43.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.