Is O71.6 a billable ICD-10-CM code?

Yes. O71.6 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O71.6 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications of labor and delivery (O60-O77).

O71.6

O71.6 — Obstetric damage to pelvic joints and ligaments

Billable / specific codeICD-10-CM

O71.6 is a billable, specific ICD-10-CM code for obstetric damage to pelvic joints and ligaments. It is valid for submission on a claim.

Inclusion terms

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

Obstetric avulsion of inner symphyseal cartilage
Obstetric damage to coccyx
Obstetric traumatic separation of symphysis (pubis)

Other codes that can never be billed with O71.6

These codes carry an Excludes1 note pointing at O71.6. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O71.6 alone.

O26.7Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium
S33Dislocation and sprain of joints and ligaments of lumbar spine and pelvis

Risk adjustment

O71.6 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

O71.6 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.

A53065Billing and Coding: Outpatient Physical Therapy

How O71.6 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 O71.6.

Avulsion›symphyseal cartilage, complicating delivery(inner)
Damage›coccyx, complicating delivery
Separation›pubic bone, obstetrical trauma
Separation›symphysis pubis, obstetrical trauma
Avulsion›cartilage›symphyseal, complicating delivery(inner)
Damage›pelvic›joint or ligament, during delivery
Injury›coccyx›complicating delivery
Injury›pelvis, pelvic›joint or ligament, complicating delivery
Laceration›broad ligament›obstetrical trauma
Perforation, perforated›broad ligament›obstetrical trauma
Rupture, ruptured›symphysis pubis›obstetric
Tear, torn›broad ligament›obstetrical trauma

Related codes at this level

Codes that share O71. If O71.6 is not quite right, the correct code is usually one of these.

Questions about O71.6

Is O71.6 a billable ICD-10-CM code?: Yes. O71.6 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O71.6 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications of labor and delivery (O60-O77).