O74.4

O74.4: Toxic reaction to local anesthesia during labor and delivery

Billable / specific codeICD-10-CM

O74.4 is a billable, specific ICD-10-CM code for toxic reaction to local anesthesia during labor and delivery. It is valid for submission on a claim.

Check O74.4 with the rest of the claim: free scrubber

Other codes that can never be billed with O74.4

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

T41Poisoning by, adverse effect of and underdosing of anesthetics and therapeutic gases
T88.2Shock due to anesthesia
T88.2XXAShock due to anesthesia, initial encounter
T88.2XXDShock due to anesthesia, subsequent encounter
T88.2XXSShock due to anesthesia, sequela

Risk adjustment

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

Medicare coverage

O74.4 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57189Billing and Coding: Serum Magnesium

Alphabetic index entries that lead here

Reaction›toxic, to local anesthesia›in labor and delivery
Effect, adverse›anesthesia›local, toxic›in labor and delivery

Code history

Unchanged in every release from FY2024 to FY2027.