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O26.7 vs O71.6

O26.7 (Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium) compared with O71.6 (Obstetric damage to pelvic joints and ligaments), 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. O26.7 carries an Excludes1 note covering O71.6: “traumatic separation of symphysis (pubis) during childbirth (O71.6)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

O26.7Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperiumO71.6Obstetric damage to pelvic joints and ligaments
Billing statusNon-billable header

Report instead: O26.711, O26.712, O26.713, O26.719, O26.72

Billable
ClassificationO00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionSubluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium is a non-billable ICD-10-CM category code (O26.7).Obstetric damage to pelvic joints and ligaments is a billable ICD-10-CM diagnosis code (O71.6).
Includes
obstetric damage from instruments
Obstetric avulsion of inner symphyseal cartilage
Obstetric damage to coccyx
Obstetric traumatic separation of symphysis (pubis)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources