O71.0 vs O90.0
O71.0 and O90.0 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 O71.0
disruption of (current) cesarean delivery wound (O90.0)
O71.0
Rupture of uterus (spontaneous) before onset of labor
Not billable
- Chapter 15
- Pregnancy, childbirth and the puerperium
- Section
- O60-O77
Indexed under
- Rupture, ruptured › uterus › before labor
- Rupture, ruptured › uterus › pregnant › before labor
- Pregnancy › complicated by › rupture › uterus › before onset of labor (single) (uterine)
- Delivery › complicated › by › rupture › uterus › before labor (childbirth) (labor)
O90.0
Disruption of cesarean delivery wound
Billable
- Chapter 15
- Pregnancy, childbirth and the puerperium
- Section
- O85-O92
Use when the record says
- Dehiscence of cesarean delivery wound
Indexed under
- Dehiscence › cesarean wound (of)
- Complication › cesarean delivery wound NEC › disruption (s) (from) (of)
- Puerperal, puerperium › disruption › cesarean wound (complicated by, complications)
- Disruption › wound › operation › cesarean (of)
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