F53.1 vs O90.6
F53.1 (Puerperal psychosis) compared with O90.6 (Postpartum mood disturbance), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. F53.1 carries an Excludes1 note covering O90.6: “postpartum dysphoria (O90.6)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. O90.6 carries an Excludes1 note covering F53.1: “puerperal psychosis (F53.1)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Yes, when both are documented. O90.6 carries an Excludes2 note covering F53.1: “mental and behavioral disorders associated with the puerperium (F53.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| F53.1Puerperal psychosis | O90.6Postpartum mood disturbance | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) |
| Definition | Puerperal psychosis is a billable ICD-10-CM diagnosis code (F53.1). | Postpartum mood disturbance is a billable ICD-10-CM diagnosis code (O90.6). |
| Includes | Postpartum psychosis Puerperal psychosis, NOS | Postpartum blues Postpartum dysphoria Postpartum sadness |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources