ICDcodes.org
FY2027

O43.012Fetomaternal placental transfusion syndrome, second trimester

Billable

Is O43.012 billable?

Yes — O43.012 is billable for FY2027. O43.012 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. O43.012 may be submitted for encounters from October 1, 2026 through September 30, 2027.

O43.012 at a glance

CodeO43.012
DescriptionFetomaternal placental transfusion syndrome, second trimester
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does O43.012 group to?

O43.012 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 O43.012 listed in the Alphabetic Index?

The Alphabetic Index lists these routes under O43.01, the nearest indexed parent of O43.012. 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 O43.012 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 O43.012 to fully describe the condition. O43.012 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 O43.012, but a patient may have both at the same time. When documentation supports it, O43.012 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 O43.012, but a patient may have both at the same time. When documentation supports it, O43.012 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 O43.012 existed?

O43.012 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)