Is O74.3 a billable ICD-10-CM code?

Yes. O74.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O74.3 sit in the tabular list?

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

O74.3

O74.3 — Central nervous system complications of anesthesia during labor and delivery

Billable / specific codeICD-10-CM

O74.3 is a billable, specific ICD-10-CM code for central nervous system complications of anesthesia during labor and delivery. It is valid for submission on a claim.

Other codes that can never be billed with O74.3

These codes carry an Excludes1 note pointing at O74.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O74.3 alone.

G93.1Anoxic brain damage, not elsewhere classified

Risk adjustment

O74.3 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

O74.3 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.

A56612Billing and Coding: CT of the Head
A57204Billing and Coding: MRI and CT Scans of the Head and Neck

How O74.3 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 O74.3.

Complication›sedation during labor and delivery›central nervous system
Anoxia›cerebral›complicating›anesthesia or other sedation›in labor and delivery
Complication›anesthesia, anesthetic›central nervous system›in›labor and delivery

Related codes at this level

Codes that share O74. If O74.3 is not quite right, the correct code is usually one of these.

Questions about O74.3

Is O74.3 a billable ICD-10-CM code?: Yes. O74.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O74.3 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications of labor and delivery (O60-O77).