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2025 ICD-10-CM code O9A.4

Sexual abuse complicating pregnancy, childbirth, and the puerperium.

This code is to be used only on the maternal record, never on the newborn record.

The medical necessity of using this code is to capture data on sexual abuse as a complicating factor in pregnancy, childbirth, and the puerperium. This data can be used to inform public health interventions and improve the care of women who have experienced abuse.

Clinicians should document the details of the sexual abuse, including the nature of the abuse, the timing of the abuse in relation to the pregnancy, childbirth, or puerperium, and any associated injuries or complications.

IMPORTANT:Use additional codes from category T74.21 or T76.21 to identify any associated current injury due to sexual abuse. Use additional codes from category Y07.- to identify the perpetrator of the abuse.

In simple words: This code indicates that a pregnant woman, a woman in labor, or a woman who recently gave birth has experienced sexual abuse.

This code represents sexual abuse as a complicating factor during pregnancy, childbirth, or the puerperium (postpartum period).

Example 1: A woman in her third trimester is admitted to the hospital for preterm labor after experiencing sexual assault. The code O9A.4 is used to indicate the sexual abuse complicating the pregnancy., A woman reports experiencing sexual abuse during labor. This is documented in her medical record, and code O9A.4 is used to capture this information., A woman in her postpartum period is diagnosed with PTSD related to sexual abuse that occurred during her pregnancy. The code O9A.4 is used to indicate the sexual abuse complicating the puerperium.

Documentation should include details of the sexual abuse, the timing of the abuse in relation to the pregnancy, childbirth, or puerperium, and any associated injuries or complications. Additional codes should be used to specify the type of abuse (T74.21 or T76.21) and the perpetrator (Y07.-) if known.

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