Is O74.1 a billable ICD-10-CM code?

Yes. O74.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O74.1 sit in the tabular list?

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

O74.1

O74.1 — Other pulmonary complications of anesthesia during labor and delivery

Billable / specific codeICD-10-CM

O74.1 is a billable, specific ICD-10-CM code for other pulmonary complications of anesthesia during labor and delivery. It is valid for submission on a claim.

Risk adjustment

O74.1 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

O74.1 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
A57224Billing and Coding: Respiratory Care

How O74.1 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 O74.1.

Complication›sedation during labor and delivery›pulmonary NEC
Collapse›lung›pressure due to anesthesia or other sedation›during labor and delivery
Complication›anesthesia, anesthetic›pulmonary›in›labor and delivery

Related codes at this level

Codes that share O74. If O74.1 is not quite right, the correct code is usually one of these.

Questions about O74.1

Is O74.1 a billable ICD-10-CM code?: Yes. O74.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O74.1 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications of labor and delivery (O60-O77).