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O67.0

O67.0Intrapartum hemorrhage with coagulation defect

Billable / specific codeICD-10-CM

O67.0 is a billable, specific ICD-10-CM code for intrapartum hemorrhage with coagulation defect. It is valid for submission on a claim.

Inclusion terms

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

  • Intrapartum hemorrhage (excessive) associated with afibrinogenemia
  • Intrapartum hemorrhage (excessive) associated with disseminated intravascular coagulation
  • Intrapartum hemorrhage (excessive) associated with hyperfibrinolysis
  • Intrapartum hemorrhage (excessive) associated with hypofibrinogenemia

Excludes1 inherited from the categories above O67.0

These are not written on O67.0, but they bind it: a note on a category applies to every code beneath it. Billing O67.0 with anything listed here is a denial.

Written on O67 Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified

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

Excludes2 inherited from the categories above O67.0

Also inherited, and the opposite of Excludes1: these conditions are not part of O67.0, but a patient can have both, so you may code both.

Written on O67 Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified

  • postpartum hemorrhage (O72.-)

Other codes that can never be billed with O67.0

These codes carry an Excludes1 note pointing at O67.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O67.0 alone.

  • D65Disseminated intravascular coagulation [defibrination syndrome]
  • O46Antepartum 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

O67.0 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.

Medicare coverage

O67.0 is named in 1 Medicare coverage policy 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A57189Billing and Coding: Serum Magnesium

How O67.0 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to O67.0.

  • Defibrinationintrapartum
  • Fibrinolysisintrapartum
  • Defect, defectivecoagulationintrapartum
  • Dyscrasiabloodintrapartum hemorrhage
  • Deliverycesareanhemorrhagewith coagulation defect
  • Hemorrhage, hemorrhagiccomplicatingdeliveryassociated with coagulation defect(afibrinogenemia) (DIC) (hyperfibrinolysis)
  • Hemorrhage, hemorrhagicdue to or associated withafibrinogenemia or other coagulation defectintrapartum
  • Hemolysisintravascularwithhemorrhageintrapartum
  • Deliverycomplicatedbyhemorrhageassociated withafibrinogenemia
  • Deliverycomplicatedbyhemorrhageassociated withcoagulation defect
  • Deliverycomplicatedbyhemorrhageassociated withhyperfibrinolysis
  • Deliverycomplicatedbyhemorrhageassociated withhypofibrinogenemia

Code history

O67.0 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share O67. If O67.0 is not quite right, the correct code is usually one of these.

Questions about O67.0

Is O67.0 a billable ICD-10-CM code?
Yes. O67.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O67.0 sit in the tabular list?
Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications of labor and delivery (O60-O77).
What cannot be coded together with O67.0?
O67.0 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above O67.0 (O67) and apply to it just the same.
ICD-10-CMFY2026-Apr· effective April 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.