Is O94 a billable ICD-10-CM code?

Yes. O94 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O94 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Other obstetric conditions, not elsewhere classified (O94-O9A).

O94

O94 — Sequelae of complication of pregnancy, childbirth, and the puerperium

Billable / specific codeICD-10-CMPOA exempt

O94 is a billable, specific ICD-10-CM code for sequelae of complication of pregnancy, childbirth, and the puerperium. It is valid for submission on a claim.

Code first

The underlying condition must be sequenced before this code.

condition resulting from (sequela) of complication of pregnancy, childbirth, and the puerperium

Notes

Additional guidance from the ICD-10-CM tabular list.

This category is to be used to indicate conditions in O00-O77.-, O85-O94 and O98-O9A.- as the cause of late effects. The sequelae include conditions specified as such, or as late effects, which may occur at any time after the puerperium

Risk adjustment

O94 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.

How O94 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 O94.

Sequelae›childbirth
Sequelae›obstetrical condition
Sequelae›pregnancy
Sequelae›puerperium

Questions about O94

Is O94 a billable ICD-10-CM code?: Yes. O94 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O94 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Other obstetric conditions, not elsewhere classified (O94-O9A).