ICDcodes.org
FY2027

O43.219Placenta accreta, unspecified trimester

BillableUnspecified

Is O43.219 billable?

Yes, but O43.219 is an unspecified code. O43.219 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, O43.219 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting O43.219 — the more specific alternatives are listed below.

O43.219 at a glance

CodeO43.219
DescriptionPlacenta accreta, unspecified trimester
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does O43.219 group to?

O43.219 sits in MDC 14 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 769Postpartum and Post Abortion Diagnoses with O.R. Proceduressurgical

How is O43.219 listed in the Alphabetic Index?

The Alphabetic Index lists these routes under O43.21, the nearest indexed parent of O43.219. Use them to find the family, then select the specific code.

  • Accreta placenta
  • Pregnancycomplicated byplacenta accreta (single) (uterine)
  • Deliverycomplicatedbyplacenta, placentalaccreta (childbirth) (labor)

Excludes1 — never code together — inherited from Chapter 15

The conditions below can never be reported together with O43.219 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.-)

Excludes1 — never code together — inherited from O43.2

The conditions below can never be reported together with O43.219 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • retained placenta (O73.-)

Use additional code — inherited from Chapter 15

Report an additional code alongside O43.219 to fully describe the condition. O43.219 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 O43.219, but a patient may have both at the same time. When documentation supports it, O43.219 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 O43.219, but a patient may have both at the same time. When documentation supports it, O43.219 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.-)

Code also — inherited from O43.2

Two codes may be needed to describe the condition fully. Whether O43.219 is sequenced first depends on the reason for the encounter.

  • associated third stage postpartum hemorrhage, if applicable (O72.0)

How long has O43.219 existed?

O43.219 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 O43.21 family? (3)