Is O72.1 a billable ICD-10-CM code?

Yes. O72.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O72.1 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 O72.1?

O72.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

O72.1

O72.1 — Other immediate postpartum hemorrhage

Billable / specific codeICD-10-CM

O72.1 is a billable, specific ICD-10-CM code for other immediate postpartum hemorrhage. 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.

uterine atony NOS (O62.2)
uterine atony without hemorrhage (O62.2)
postpartum atony of uterus without hemorrhage (O75.89)

Inclusion terms

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

Hemorrhage following delivery of placenta
Postpartum hemorrhage (atonic) NOS
Uterine atony with hemorrhage

Other codes that can never be billed with O72.1

These codes carry an Excludes1 note pointing at O72.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O72.1 alone.

O62.2Other uterine inertia

Risk adjustment

O72.1 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

O72.1 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.

A57189Billing and Coding: Serum Magnesium

How O72.1 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 O72.1.

Bleeding›atonic, following delivery
Hemorrhage, hemorrhagic›postpartum NEC(following delivery of placenta)
Metrorrhagia›postpartum NEC(atonic) (following delivery of placenta)
Puerperal, puerperium›hemorrhage
Atonia, atony, atonic›uterus›postpartum(with hemorrhage)
Atonia, atony, atonic›uterus›with hemorrhage(postpartum)
Delivery›complicated›by›hemorrhage›postpartum NEC(atonic) (immediate)

Related codes at this level

Codes that share O72. If O72.1 is not quite right, the correct code is usually one of these.

Questions about O72.1

Is O72.1 a billable ICD-10-CM code?: Yes. O72.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O72.1 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 O72.1?: O72.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.