2025 ICD-10-CM code O75.4
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Complications of labor and delivery - Other complications of obstetric surgery and procedures Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A) Feed
This code represents other complications arising from obstetric surgical procedures, excluding those specifically listed elsewhere.
Modifiers may be applicable depending on the specific circumstances, such as the location of service or the type of anesthesia used.Consult the CMS guidelines for appropriate modifier use.
Medical necessity is established by the presence of a complication directly related to the obstetric surgery and requiring medical intervention. The severity and treatment of the complication must be documented.
Obstetrician/Gynecologist, Anesthesiologist (if anesthesia-related complications), Cardiologist (if cardiac complications), other specialists as needed based on the specific complication.
- Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A)
- O75 (Other complications of labor and delivery)
In simple words: This code is used when a woman has a problem after surgery related to pregnancy or childbirth.The problem isn't one of the specific problems already listed in medical billing codes.
ICD-10-CM code O75.4, "Other complications of obstetric surgery and procedures," encompasses a range of adverse events following obstetric surgical interventions.These complications are not otherwise specified or categorized within other ICD-10-CM codes.Examples include cardiac arrest, cardiac failure, cerebral anoxia, and pulmonary edema resulting from obstetric surgery.This code should be used when a more specific code is unavailable to represent the complication.Additional codes may be used to specify the particular complication encountered.
Example 1: A 35-year-old woman undergoes a cesarean section. Post-operatively, she experiences cardiac arrest requiring resuscitation. Code O75.4 is assigned, along with the appropriate code for cardiac arrest (I46)., A 28-year-old woman has a postpartum hemorrhage requiring emergency surgery. Following the procedure, she develops acute pulmonary edema. Code O75.4 is assigned along with J81 (Pulmonary edema)., A 40-year-old woman undergoes a myomectomy during pregnancy. Postoperatively she experiences a stroke. Code O75.4 is assigned along with the appropriate code for stroke.
Complete operative report detailing the procedure, anesthesia record, post-operative course notes, and any relevant laboratory or imaging results.Documentation should clearly link the complication to the obstetric surgery.
** This code should be used cautiously and only when no other more specific code accurately reflects the complication. Always ensure complete and accurate documentation to support the use of O75.4.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Obstetrics and Gynecology, Cardiology, Anesthesiology, Critical Care Medicine
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center