O44.1 vs O69.4
O44.1 and O69.4 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
The official note, declared on O44.1
labor and delivery complicated by hemorrhage from vasa previa (O69.4)
O44.1
Complete placenta previa with hemorrhage
Not billable
- Chapter 15
- Pregnancy, childbirth and the puerperium
- Section
- O30-O48
Indexed under
- Previa › placenta › with hemorrhage
- Hemorrhage, hemorrhagic › antepartum › due to › placenta previa (concealed)
- Previa › placenta › complete › with hemorrhage
- Delivery › cesarean › placenta previa › complete › with hemorrhage (childbirth) (labor)
- Delivery › complicated › by › placenta, placental › vicious insertion (childbirth) (labor)
O69.4
Labor and delivery complicated by vasa previa
Not billable
- Chapter 15
- Pregnancy, childbirth and the puerperium
- Section
- O60-O77
Use when the record says
- Labor and delivery complicated by hemorrhage from vasa previa
Indexed under
- Vasa previa
- Hemorrhage, hemorrhagic › vasa previa (concealed)
- Previa › vasa
- Delivery › complicated › by › vasa previa (childbirth) (labor)
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027