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v1.0.0
ICD-10 Guide
DiagnosesPostpartum Hemorrhage

Postpartum Hemorrhage

ICD-10 Coding for Postpartum Hemorrhage(O72.0, O72.1, O72.2, O72.3, O67.8)

PRIMARY SPECIALTYObstetrics
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Postpartum Hemorrhage?
Essential facts and insights about Postpartum Hemorrhage

Key Clinical Considerations:

  • Excessive vaginal bleeding after childbirth, typically defined as blood loss greater than 500 mL for vaginal delivery or 1000 mL for cesarean delivery.
  • Key diagnostic tests include complete blood count (CBC) to assess hemoglobin levels and coagulation studies if coagulopathy is suspected.
  • Physical exam findings may include signs of hypovolemic shock, such as tachycardia, hypotension, and pallor.

Clinical Information

Clinical Criteria & Documentation Requirements

  • Required documentation elements include estimated blood loss, vital signs, interventions performed, and response to treatment.
  • Specific coding terminology includes 'primary postpartum hemorrhage' and 'secondary postpartum hemorrhage' based on timing.
  • Documentation examples: 'Patient experienced 800 mL blood loss post vaginal delivery with subsequent management including uterotonics.'

Coding Guidelines

Usage Guidelines & Examples

  • Usage guidelines emphasize the importance of differentiating between primary and secondary postpartum hemorrhage.
  • Common errors include misclassifying the type of hemorrhage and failing to document the estimated blood loss.

Code Exclusions

Important Exclusions

  • Excluded conditions include uterine atony, retained placental fragments, and coagulopathy.
  • Alternative codes may include those for specific causes of hemorrhage, such as O72.2 for 'Other specified postpartum hemorrhage.'

Related ICD-10 Codes

Primary Codes
O72.0
Postpartum hemorrhage, primary
O72.1
Postpartum hemorrhage, secondary
Differential Codes
O67.8
O67.8
if hemorrhage occurs during cesarean section.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Obstetrics

Specialty Applications

  • Patient populations include postpartum women experiencing excessive bleeding.
  • Clinical settings include hospitals, birthing centers, and emergency departments.

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Document the estimated blood loss, interventions, and patient response.

Billing considerations?

Ensure accurate coding based on the type and timing of hemorrhage for appropriate reimbursement.