MCMedicalCodingSoftware
O46

O46: Antepartum hemorrhage, not elsewhere classified

Non-billable headerICD-10-CM

O46 is a non-billable header ICD-10-CM code for antepartum hemorrhage, not elsewhere classified. 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.

  • hemorrhage in early pregnancy (O20.-)
  • intrapartum hemorrhage NEC (O67.-)
  • placenta previa (O44.-)
  • premature separation of placenta [abruptio placentae] (O45.-)

Other codes that can never be billed with O46

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • D65Disseminated intravascular coagulation [defibrination syndrome]
  • O67Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified
  • O99.1Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead O46

3 child codes. Green means billable.

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.