ICDcodes.org
FY2027

O43.011Fetomaternal placental transfusion syndrome, first trimester

Billable

Is O43.011 billable?

Yes — O43.011 is billable for FY2027. O43.011 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. O43.011 may be submitted for encounters from October 1, 2026 through September 30, 2027.

O43.011 at a glance

CodeO43.011
DescriptionFetomaternal placental transfusion syndrome, first trimester
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does O43.011 group to?

O43.011 sits in MDC 14 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 817Other Antepartum Diagnoses with O.R. Procedures with MCCsurgical
  • 818Other Antepartum Diagnoses with O.R. Procedures with CCsurgical
  • 819Other Antepartum Diagnoses with O.R. Procedures without CC/MCCsurgical

How is O43.011 listed in the Alphabetic Index?

The Alphabetic Index lists these routes under O43.01, the nearest indexed parent of O43.011. Use them to find the family, then select the specific code.

  • Deliverycesareanfetal-maternal hemorrhage (childbirth) (labor)
  • Pregnancycomplicated byplacental transfusion syndromesfetomaternal (single) (uterine)
  • Pregnancycomplicated byplacental transfusion syndromesmaternofetal (single) (uterine)

Excludes1 — never code together — inherited from Chapter 15

The conditions below can never be reported together with O43.011 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • supervision of normal pregnancy (Z34.-)

Use additional code — inherited from Chapter 15

Report an additional code alongside O43.011 to fully describe the condition. O43.011 is sequenced first.

  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Excludes2 — not included here — inherited from Chapter 15

The conditions below are not part of O43.011, but a patient may have both at the same time. When documentation supports it, O43.011 and the excluded code may both be reported.

  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)

Excludes2 — not included here — inherited from O43

The conditions below are not part of O43.011, but a patient may have both at the same time. When documentation supports it, O43.011 and the excluded code may both be reported.

  • maternal care for poor fetal growth due to placental insufficiency (O36.5-)
  • placenta previa (O44.-)
  • placental polyp (O90.89)
  • placentitis (O41.14-)
  • premature separation of placenta [abruptio placentae] (O45.-)

How long has O43.011 existed?

O43.011 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

What other codes are in the O43.01 family? (3)