O94-O9A
Medium Complexity
Other obstetric conditions, not elsewhere classified
Primary Specialty: Obstetrics and Gynecology
Last Updated: 2025-09-09
ICD-10 Codes (200)
152 billable46 category headers
O98O98.0O98.01O98.011Billable
O98.012Billable
O98.013Billable
O98.019Billable
O98.02Billable
O98.03Billable
O98.1O98.11O98.111Billable
O98.112Billable
O98.113Billable
O98.119Billable
O98.12Billable
O98.13Billable
O98.2O98.21O98.211Billable
O98.212Billable
O98.213Billable
O98.219Billable
O98.22Billable
O98.23Billable
O98.3O98.31O98.311Billable
O98.312Billable
O98.313Billable
O98.319Billable
O98.32Billable
O98.33Billable
O98.4O98.41O98.411Billable
O98.412Billable
O98.413Billable
O98.419Billable
O98.42Billable
O98.43Billable
O98.5O98.51O98.511Billable
O98.512Billable
O98.513Billable
O98.519Billable
O98.52Billable
O98.53Billable
O98.6O98.61O98.611Billable
O98.612Billable
O98.613Billable
O98.619Billable
O98.62Billable
O98.63Billable
O98.7O98.71O98.711Billable
O98.712Billable
O98.713Billable
O98.719Billable
O98.72Billable
O98.73Billable
O98.8O98.81O98.811Billable
O98.812Billable
O98.813Billable
O98.819Billable
O98.82Billable
O98.83Billable
O98.9O98.91O98.911Billable
O98.912Billable
O98.913Billable
O98.919Billable
O98.92Billable
O98.93Billable
O99O99.0O99.01O99.011Billable
O99.012Billable
O99.013Billable
O99.019Billable
O99.02Billable
O99.03Billable
O99.1O99.11O99.111Billable
O99.112Billable
O99.113Billable
O99.119Billable
O99.12Billable
O99.13Billable
O99.2O99.21O99.210Billable
O99.211Billable
O99.212Billable
O99.213Billable
O99.214Billable
O99.215Billable
O99.28O99.280Billable
O99.281Billable
O99.282Billable
O99.283Billable
O99.284Billable
O99.285Billable
O99.3O99.31O99.310Billable
O99.311Billable
O99.312Billable
O99.313Billable
O99.314Billable
O99.315Billable
O99.32O99.320Billable
O99.321Billable
O99.322Billable
O99.323Billable
O99.324Billable
O99.325Billable
O99.33O99.330Billable
O99.331Billable
O99.332Billable
O99.333Billable
O99.334Billable
O99.335Billable
O99.34O99.340Billable
O99.341Billable
O99.342Billable
O99.343Billable
O99.344Billable
O99.345Billable
O99.35O99.350Billable
O99.351Billable
O99.352Billable
O99.353Billable
O99.354Billable
O99.355Billable
O99.4O99.41O99.411Billable
O99.412Billable
O99.413Billable
O99.419Billable
O99.42Billable
O99.43Billable
O99.5O99.51O99.511Billable
O99.512Billable
O99.513Billable
O99.519Billable
O99.52Billable
O99.53Billable
O99.6O99.61O99.611Billable
O99.612Billable
O99.613Billable
O99.619Billable
O99.62Billable
O99.63Billable
O99.7O99.71O99.711Billable
O99.712Billable
O99.713Billable
O99.719Billable
O99.72Billable
O99.73Billable
O99.8O99.81O99.810Billable
O99.814Billable
O99.815Billable
O99.82O99.820Billable
O99.824Billable
O99.825Billable
O99.83O99.830Billable
O99.834Billable
O99.835Billable
O99.84O99.840Billable
O99.841Billable
O99.842Billable
O99.843Billable
O99.844Billable
Updates & Changes
FY 2026 Updates
Current Year
New Codes (1)
O03.87
Complete or unspecified spontaneous abortion with embolism, complicated by delayed or excessive hemorrhage
Revised Codes (1)
O00.9
Ectopic pregnancy, unspecified - updated hCG correlation requirements
Deleted Codes
No codes deleted in this range for FY 2026
Historical Changes
- •FY 2025: Routine maintenance updates with minor terminology clarifications
- •FY 2024: Enhanced specificity requirements for certain code ranges
- •FY 2023: Updated documentation guidelines for improved clarity
Upcoming Changes
- •Proposed updates pending review by Coordination and Maintenance Committee
- •Under consideration: Enhanced digital health integration codes
Implementation Guidance
- •Review all FY 2026 updates for O94-O9A codes before implementation
- •Always verify the most current codes in the ICD-10-CM manual
- •Ensure clinical documentation supports the selected diagnosis codes
- +3 more guidance items...
Range Overview
high priority
The O94-O9A range in ICD-10 covers a variety of obstetric conditions that are not classified elsewhere. These codes are used to document conditions related to pregnancy, childbirth, and the puerperium, including complications and disorders that are not covered in other categories. This range is crucial for accurate documentation and billing in obstetric care.
Key Usage Points:
- •Always code to the highest level of specificity.
- •Use additional codes to identify any associated conditions.
- •For multiple gestations, assign a code for each fetus affected.
- •Remember to code for any complications of delivery.
- •Use Z3A codes to denote weeks of gestation.
Coding Guidelines
When to Use:
- ✓When a patient presents with an obstetric condition not classified elsewhere.
- ✓When a patient has a complication of pregnancy, childbirth, or the puerperium.
- ✓When a patient has a disorder of the breast associated with childbirth.
- ✓When a patient has a condition complicating pregnancy, childbirth, or the puerperium.
When NOT to Use:
- ✗When the condition is classified elsewhere.
- ✗When the patient is not pregnant or in the puerperium.
- ✗When the condition is not related to pregnancy, childbirth, or the puerperium.
- ✗When the condition is a normal physiological change associated with pregnancy.
Code Exclusions
Always verify exclusions by checking the ICD-10 manual and any updates from the World Health Organization.
Documentation Requirements
Documentation for codes in the O94-O9A range should be thorough and specific, detailing the patient's condition, any complications, and the impact on pregnancy, childbirth, or the puerperium. The documentation should support the code chosen and provide a clear picture of the patient's health status.
Clinical Information:
- •Detailed description of the patient's condition
- •Any complications or associated conditions
- •The impact of the condition on pregnancy, childbirth, or the puerperium
- •Any treatments or interventions provided
- •The outcome of the condition and any ongoing care required
Supporting Evidence:
- •Medical history and examination findings
- •Laboratory and imaging results
- •Notes from any consultations or referrals
- •Treatment plans and progress notes
Good Documentation Example:
Patient presented with severe postpartum hemorrhage following vaginal delivery. Hemorrhage was controlled with uterine massage and administration of oxytocin. Patient stabilized and will be monitored closely.
Poor Documentation Example:
Patient had bleeding after delivery.
Common Documentation Errors:
- âš Not documenting to the highest level of specificity
- âš Not including associated conditions or complications
- âš Not indicating the impact on pregnancy, childbirth, or the puerperium
- âš Not providing supporting evidence
Range Statistics
Total Codes
152
Billable
Complexity:
Medium
Primary Use:Clinical Documentation
Chapter:15
Coding Complexity
Medium
Complexity Rating
The complexity of these codes is medium due to the need to understand a variety of obstetric conditions and complications, identify any associated conditions, and code to the highest level of specificity. Additionally, coders must be aware of any exclusions in this range.
Key Factors:
- â–¸Understanding the specific conditions covered by this range
- â–¸Identifying any associated conditions or complications
- â–¸Coding to the highest level of specificity
- â–¸Identifying any exclusions
Specialty Focus
These codes are primarily used in obstetrics and gynecology, but may also be relevant in family medicine and emergency medicine when dealing with obstetric patients.
Primary Specialties:
Obstetrics and Gynecology
80%
Family Medicine
10%
Emergency Medicine
10%
Clinical Scenarios:
- • A patient presents with a severe postpartum hemorrhage following a vaginal delivery.
- • A patient has a breast abscess that developed during the puerperium.
- • A patient presents with a complication of a cesarean section.
- • A patient has a condition complicating pregnancy, such as a urinary tract infection.
Resources & References
There are a variety of resources available to assist with coding in the O94-O9A range, including the ICD-10 manual, official coding guidelines, and clinical reference materials.
Official Guidelines:
- ICD-10 Manual
- World Health Organization ICD-10 Guidelines
- National Coding Guidelines
Clinical References:
- Obstetrics and Gynecology Textbooks
- Clinical Practice Guidelines
Educational Materials:
- Coding Workshops and Webinars
- Online Coding Courses
Frequently Asked Questions
Can I use a code from the O94-O9A range for a condition that is not related to pregnancy, childbirth, or the puerperium?
No, these codes are specifically for conditions related to pregnancy, childbirth, and the puerperium. If the condition is not related to these, a different code should be used.