Excludes1 pair
O62.2 vs O72.1
O62.2 and O72.1 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.
The official note, declared on O62.2
atony of uterus with hemorrhage (postpartum) (O72.1)
O62.2
Other uterine inertia
Billable
- Chapter 15
- Pregnancy, childbirth and the puerperium
- Section
- O60-O77
Use when the record says
- Atony of uterus without hemorrhage
- Atony of uterus NOS
- Desultory labor
- Hypotonic uterine dysfunction NOS
- Irregular labor
- Poor contractions
- Slow slope active phase of labor
- Uterine inertia NOS
Indexed under
- Desultory labor
- Atonia, atony, atonic › uterus (during labor)
- Dystocia › cervical (hypotonic)
- Inertia › uterus, uterine during labor
- Irregular, irregularity › labor
O72.1
Other immediate postpartum hemorrhage
Billable
- Chapter 15
- Pregnancy, childbirth and the puerperium
- Section
- O60-O77
Use when the record says
- Hemorrhage following delivery of placenta
- Postpartum hemorrhage (atonic) NOS
- Uterine atony with hemorrhage
Indexed under
- Bleeding › atonic, following delivery
- Hemorrhage, hemorrhagic › postpartum NEC (following delivery of placenta)
- Metrorrhagia › postpartum NEC (atonic) (following delivery of placenta)
- Puerperal, puerperium › hemorrhage
- Atonia, atony, atonic › uterus › with hemorrhage (postpartum)
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