Is O71.1 a billable ICD-10-CM code?

Yes. O71.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O71.1 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 O71.1?

O71.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

O71.1

O71.1 — Rupture of uterus during labor

Billable / specific codeICD-10-CM

O71.1 is a billable, specific ICD-10-CM code for rupture of uterus during labor. It is valid for submission on a claim.

Excludes1 — never code together

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

disruption of cesarean delivery wound (O90.0)
laceration of uterus, NEC (O71.81)

Inclusion terms

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

Rupture of uterus not stated as occurring before onset of labor

Other codes that can never be billed with O71.1

These codes carry an Excludes1 note pointing at O71.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O71.1 alone.

O90.0Disruption of cesarean delivery wound

Risk adjustment

O71.1 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

O71.1 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.

A56421Billing and Coding: CT of the Abdomen and Pelvis

How O71.1 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 O71.1.

Perforation, perforated›uterus›obstetrical trauma
Rupture, ruptured›uterus›during or after labor
Rupture, ruptured›uterus›pregnant(during labor)
Delivery›complicated›by›penetration, pregnant uterus by instrument
Perforation, perforated›uterus›traumatic›obstetric
Pregnancy›complicated by›rupture›uterus(during labor)
Delivery›complicated›by›rupture›uterus(during or after labor)
Injury›instrumental›obstetrical›uterus›with rupture or perforation
Injury›internal›pelvis, pelvic›obstetrical trauma NEC›rupture or perforation

Related codes at this level

Codes that share O71. If O71.1 is not quite right, the correct code is usually one of these.

Questions about O71.1

Is O71.1 a billable ICD-10-CM code?: Yes. O71.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O71.1 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 O71.1?: O71.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.