O62.2 vs O72.1
O62.2 and O72.1 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 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
- Dystocia › cervical
- 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 (concealed)
- Metrorrhagia › postpartum NEC
- Puerperal, puerperium › hemorrhage (complicated by, complications)
- Atonia, atony, atonic › uterus › with hemorrhage
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