O90.3

O90.3: Peripartum cardiomyopathy

Billable / specific codeICD-10-CM

O90.3 is a billable, specific ICD-10-CM code for peripartum cardiomyopathy. It is valid for submission on a claim.

Check O90.3 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

pre-existing heart disease complicating pregnancy and the puerperium (O99.4-)

Inclusion terms

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

Conditions in I42.- arising during pregnancy and the puerperium

Other codes that can never be billed with O90.3

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

O99.4Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium

Risk adjustment

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

Medicare coverage

O90.3 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A52868Billing and Coding: Transesophageal Echocardiography (TEE)
A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
A56781Billing and Coding: Transthoracic Echocardiography (TTE)

Alphabetic index entries that lead here

Cardiomyopathy›peripartum
Cardiomyopathy›postpartum
Peripartum›cardiomyopathy
Puerperal, puerperium›cardiomyopathy
Failure, failed›heart›peripartum

Code history

Unchanged in every release from FY2024 to FY2027.