Is O90.3 a billable ICD-10-CM code?

Yes. O90.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O90.3 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications predominantly related to the puerperium (O85-O92).

What cannot be coded together with O90.3?

O90.3 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

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.

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

These codes carry an Excludes1 note pointing at O90.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O90.3 alone.

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

Risk adjustment

O90.3 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

O90.3 is named in 9 Medicare coverage policies — 9 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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

How O90.3 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 O90.3.

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

Related codes at this level

Codes that share O90. If O90.3 is not quite right, the correct code is usually one of these.

Questions about O90.3

Is O90.3 a billable ICD-10-CM code?: Yes. O90.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O90.3 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications predominantly related to the puerperium (O85-O92).
What cannot be coded together with O90.3?: O90.3 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.