O75.4

O75.4: Other complications of obstetric surgery and procedures

Billable / specific codeICD-10-CM

O75.4 is a billable, specific ICD-10-CM code for other complications of obstetric surgery and procedures. It is valid for submission on a claim.

Check O75.4 with the rest of the claim: free scrubber

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

complications of anesthesia during labor and delivery (O74.-)
disruption of obstetrical (surgical) wound (O90.0-O90.1)
hematoma of obstetrical (surgical) wound (O90.2)
infection of obstetrical (surgical) wound (O86.0-)

Use additional code

Add a secondary code to capture the detail described below.

code to identify specific complication

Inclusion terms

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

Cardiac arrest following obstetric surgery or procedures
Cardiac failure following obstetric surgery or procedures
Cerebral anoxia following obstetric surgery or procedures
Pulmonary edema following obstetric surgery or procedures

Excludes2 inherited from the categories above O75.4

Not part of this code, but both may be coded when both are present.

Written on O75: Other complications of labor and delivery, not elsewhere classified

puerperal (postpartum) infection (O86.-)
puerperal (postpartum) sepsis (O85)

Risk adjustment

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

Medicare coverage

O75.4 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57189Billing and Coding: Serum Magnesium
A57326Billing and Coding: Electrocardiograms

Alphabetic index entries that lead here

Complication›delivery›procedure(instrumental) (manual) (surgical)
Complication›obstetric›procedure specified NEC(instrumental) (manual) (surgical)
Anoxia›cerebral›complicating›delivery(cesarean) (instrumental)
Arrest, arrested›cardiac›complicating›delivery(cesarean) (instrumental)
Arrest, arrested›cardiac›postprocedural›obstetric procedure
Failure, failed›heart›complicating›delivery(cesarean) (instrumental)

Code history

Unchanged in every release from FY2024 to FY2027.