O90.49 — Other postpartum acute kidney failure
O90.49 is a billable, specific ICD-10-CM code for other postpartum acute kidney failure. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Postpartum acute kidney failure
- Puerperal anuria
- Puerperal oliguria
Other codes that can never be billed with O90.49
These codes carry an Excludes1 note pointing at O90.49. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O90.49 alone.
- R34Anuria and oliguria
Risk adjustment
O90.49 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
O90.49 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56531Billing and Coding: Octreotide Acetate for Injectable Suspension (Sandostatin® LAR Depot)
How O90.49 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 O90.49.
- Anuria›puerperal
- Oliguria›puerperal
- Puerperal, puerperium›uremia(due to renal failure)
- Puerperal, puerperium›failure›renal, acute
- Puerperal, puerperium›necrosis, liver›with renal failure
- Puerperal, puerperium›renal›failure
- Failure, failed›renal›following›labor and delivery(acute)
Related codes at this level
Codes that share O90.4. If O90.49 is not quite right, the correct code is usually one of these.
Questions about O90.49
- Is O90.49 a billable ICD-10-CM code?
- Yes. O90.49 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does O90.49 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications predominantly related to the puerperium (O85-O92).