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.

Check O71.1 with the rest of the claim: free scrubber

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

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

O90.0Disruption of cesarean delivery wound
S37Injury of urinary and pelvic organs
S37.6Injury of uterus

Risk adjustment

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

Medicare coverage

O71.1 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56421Billing and Coding: CT of the Abdomen and Pelvis

Alphabetic index entries that lead here

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

Code history

Unchanged in every release from FY2024 to FY2027.