O71.1 vs O90.0
O71.1 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 O71.1
disruption of cesarean delivery wound (O90.0)
O71.1
Rupture of uterus during labor
Billable
- Chapter 15
- Pregnancy, childbirth and the puerperium
- Section
- O60-O77
Use when the record says
- Rupture of uterus not stated as occurring before onset of labor
Indexed under
- Perforation, perforated › uterus › obstetrical trauma (nontraumatic) (of)
- Rupture, ruptured › uterus › during or after labor
- Rupture, ruptured › uterus › pregnant
- Delivery › complicated › by › penetration, pregnant uterus by instrument (childbirth) (labor)
- Perforation, perforated › uterus › traumatic › obstetric (nontraumatic) (of)
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