Is O43.89 a billable ICD-10-CM code?

No. O43.89 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does O43.89 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).

O43.89

O43.89 — Other placental disorders

Non-billable headerICD-10-CM

O43.89 is a non-billable header ICD-10-CM code for other placental disorders. It cannot be billed on its own: choose one of the more specific child codes below.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Placental dysfunction

Risk adjustment

O43.89 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 O43.89

4 child codes. Green means billable.

Related codes at this level

Codes that share O43.8. If O43.89 is not quite right, the correct code is usually one of these.

O43.81Placental infarction

Questions about O43.89

Is O43.89 a billable ICD-10-CM code?: No. O43.89 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does O43.89 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).