O67.0 vs O99.1
O67.0 and O99.1 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.
O67.0
Intrapartum hemorrhage with coagulation defect
Billable
- Chapter 15
- Pregnancy, childbirth and the puerperium
- Section
- O60-O77
Use when the record says
- Intrapartum hemorrhage (excessive) associated with afibrinogenemia
- Intrapartum hemorrhage (excessive) associated with disseminated intravascular coagulation
- Intrapartum hemorrhage (excessive) associated with hyperfibrinolysis
- Intrapartum hemorrhage (excessive) associated with hypofibrinogenemia
Indexed under
- Defibrination › intrapartum (syndrome)
- Fibrinolysis › intrapartum (hemorrhagic) (acquired)
- Defect, defective › coagulation › intrapartum
- Dyscrasia › blood › intrapartum hemorrhage
- Delivery › cesarean › hemorrhage › with coagulation defect (childbirth) (labor)
O99.1
Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium
Not billable
- Chapter 15
- Pregnancy, childbirth and the puerperium
- Section
- O94-O9A
Use when the record says
- Conditions in D65-D89
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