O99.893 — Other specified diseases and conditions complicating puerperium
Is O99.893 billable?
Yes, but O99.893 is an unspecified code. O99.893 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, O99.893 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 O99.893 — the more specific alternatives are listed below.
O99.893 at a glance
| Code | O99.893 |
|---|---|
| Description | Other specified diseases and conditions complicating puerperium |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does O99.893 group to?
O99.893 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 O99.893 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to O99.893. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Puerperal, puerperium › specified condition NEC (complicated by, complications)
- Prediabetes, prediabetic › complicating › puerperium
- Puerperal, puerperium › disease › nonobstetric NEC (complicated by, complications)
- Puerperal, puerperium › disorder › nonobstetric NEC (complicated by, complications)
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O99.893 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 O99.893 to fully describe the condition. O99.893 is sequenced first.
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Use additional code — inherited from O99
Report an additional code alongside O99.893 to fully describe the condition. O99.893 is sequenced first.
- code to identify specific condition
Use additional code — inherited from O99.8
Report an additional code alongside O99.893 to fully describe the condition. O99.893 is sequenced first.
- code to identify condition
Excludes2 — not included here — inherited from Chapter 15
The conditions below are not part of O99.893, but a patient may have both at the same time. When documentation supports it, O99.893 and the excluded code may both be reported.
Excludes2 — not included here — inherited from O99
The conditions below are not part of O99.893, but a patient may have both at the same time. When documentation supports it, O99.893 and the excluded code may both be reported.
- when the reason for maternal care is that the condition is known or suspected to have affected the fetus (O35-O36)
Excludes2 — not included here — inherited from O99.8
The conditions below are not part of O99.893, but a patient may have both at the same time. When documentation supports it, O99.893 and the excluded code may both be reported.
- genitourinary infections in pregnancy (O23.-)
- infection of genitourinary tract following delivery (O86.1-O86.4)
- malignant neoplasm complicating pregnancy, childbirth and the puerperium (O9A.1-)
- maternal care for known or suspected abnormality of maternal pelvic organs (O34.-)
- postpartum acute kidney failure (O90.49)
- traumatic injuries in pregnancy (O9A.2-)
How long has O99.893 existed?
O99.893 first appears in FY2021 (FY2020 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.