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O99.03

O99.03Anemia complicating the puerperium

Billable / specific codeICD-10-CM

O99.03 is a billable, specific ICD-10-CM code for anemia complicating the puerperium. 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.

  • postpartum anemia not pre-existing prior to delivery (O90.81)

Other codes that can never be billed with O99.03

These codes carry an Excludes1 note pointing at O99.03. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O99.03 alone.

  • O90.81Anemia of the puerperium

Risk adjustment

O99.03 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 O99.03 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 O99.03.

  • Valsuani's disease
  • Puerperal, puerperiumanemiapre-existing(pre-pregnancy)
  • Puerperal, puerperiumdiseaseValsuani's
  • Pregnancycomplicated byanemiacomplicating the puerperium

Related codes at this level

Codes that share O99.0. If O99.03 is not quite right, the correct code is usually one of these.

Questions about O99.03

Is O99.03 a billable ICD-10-CM code?
Yes. O99.03 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O99.03 sit in the tabular list?
Pregnancy, childbirth and the puerperium (O00-O9A), in the block Other obstetric conditions, not elsewhere classified (O94-O9A).
What cannot be coded together with O99.03?
O99.03 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.