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ICD-10 Guide
ICD-10 CodesChapter 15: Pregnancy, childbirth and the puerperiumO74

O74

Non-billable

Complications of anesthesia during labor and delivery

Chapter 15:Pregnancy, childbirth and the puerperium

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 O74 is a used to indicate a diagnosis of complications of anesthesia during labor and delivery.

Key Diagnostic Point:

The ICD-10 Level 1 Category code O74 encompasses complications of anesthesia that may arise during the labor and delivery process. This category includes various adverse effects related to the administration of anesthesia, such as respiratory complications, cardiovascular events, and neurological issues that can occur as a result of anesthesia techniques used during childbirth. The clinical significance of this category lies in its ability to capture and report these complications, which can impact maternal and fetal outcomes, as well as the overall quality of care provided during labor and delivery. Proper coding is essential for tracking these complications, facilitating research, and improving patient safety protocols in obstetric care.

  • Usage guidelines for O74 codes indicate that they should be applied when there is a clear documentation of complications arising from anesthesia during labor and delivery. This includes instances where the anesthesia may have led to adverse effects that necessitate additional medical intervention or monitoring. Accurate coding not only aids in clinical management but also plays a crucial role in reimbursement processes and quality reporting measures, thereby influencing healthcare practices and policies in obstetric anesthesia management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of complications
  • Documentation requirements
  • Clinical judgment in coding

Audit Risk Factors

  • Inadequate documentation
  • Misinterpretation of anesthesia-related complications
  • Failure to report all relevant complications

Specialty Focus

Medical Specialties

Obstetrics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Anesthesiology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical impact of the O74 category is significant, as it directly relates to patient safety and quality of care during labor and delivery. By accurately capturing complications associated with anesthesia, healthcare providers can identify trends, improve protocols, and enhance training for anesthesiologists and obstetricians. This data can lead to better outcomes for mothers and infants, ultimately contributing to improved population health metrics.
Administratively, the O74 category plays a crucial role in quality reporting and performance measures. Healthcare organizations are increasingly focused on reducing complications and improving patient experiences, making the accurate reporting of anesthesia-related complications essential. The insights gained from analyzing O74 data can inform policy changes, resource allocation, and the development of targeted interventions aimed at minimizing risks associated with anesthesia during childbirth.

ICD-9 vs ICD-10

The clinical impact of the O74 category is significant, as it directly relates to patient safety and quality of care during labor and delivery. By accurately capturing complications associated with anesthesia, healthcare providers can identify trends, improve protocols, and enhance training for anesthesiologists and obstetricians. This data can lead to better outcomes for mothers and infants, ultimately contributing to improved population health metrics. Administratively, the O74 category plays a crucial role in quality reporting and performance measures. Healthcare organizations are increasingly focused on reducing complications and improving patient experiences, making the accurate reporting of anesthesia-related complications essential. The insights gained from analyzing O74 data can inform policy changes, resource allocation, and the development of targeted interventions aimed at minimizing risks associated with anesthesia during childbirth.

Reimbursement & Billing Impact

reimbursement. This includes understanding the nuances of anesthesia billing, such as the distinction between routine and complication-related services. Additionally, it is essential to stay updated on payer-specific guidelines, as reimbursement policies can vary significantly between insurance providers.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for O74

Coding & Billing References

  • •
    Official ICD-10 Guidelines for O74

Frequently Asked Questions

What conditions are included in O74?

O74 includes complications such as respiratory depression, hypotension, and neurological deficits resulting from anesthesia during labor and delivery. It captures both maternal and fetal complications associated with anesthetic agents and techniques.

When should I use O74 codes?

O74 codes should be used when there is documented evidence of complications arising from anesthesia during labor and delivery, particularly when these complications necessitate additional medical intervention or monitoring.

What documentation is required for O74?

Documentation should include detailed descriptions of the anesthesia administered, any complications that arose, the clinical response to those complications, and any additional treatments provided as a result.