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O29.029 vs O74

O29.029 (Pressure collapse of lung due to anesthesia during pregnancy, unspecified trimester) compared with O74 (Complications of anesthesia during labor and delivery), from the official CMS tabular data.

Summary

These codes can be reported together when both conditions are documented, because O29.029 lists O74 under Excludes2, which marks them as distinct conditions.

Official rule
What is different?

The conditions named and billing status.O29.029 is “Pressure collapse of lung due to anesthesia during pregnancy, unspecified trimester”; O74 is “Complications of anesthesia during labor and delivery”. O74 is a non-billable header; O29.029 is billable.

Registry fact

Can these codes be reported together?

Yes, when both are documented.O29.029 lists O74 under Excludes2: “complications of anesthesia during labor and delivery (O74.-)”. Excludes2 marks distinct conditions that may both be reported when both are documented.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes1 relationship?

None.Neither entry carries an Excludes1 note that names the other code.

Official rule

Is there an Excludes2 relationship?

Yes.O29.029’s tabular entry: “complications of anesthesia during labor and delivery (O74.-)”. The note covers O74.

Official ruleGuide: Excludes1 vs Excludes2

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Is one a parent or header code?

One is a header.O74 is a non-billable header, but O29.029 is not one of its subdivisions.

Registry fact

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Informational

Excludes2 relationship

O29.029
Pressure collapse of lung due to anesthesia during pregnancy, unspecified trimester
↔
O74
Complications of anesthesia during labor and delivery

What we found

Yes, when both are documented.O29.029 carries an Excludes2 note covering O74: “complications of anesthesia during labor and delivery (O74.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

What to review

Report both only when the documentation supports both conditions; otherwise report the one documented.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source / rule

CMS ICD-10-CM tabular instructional notes

Official guidance behind these answers

  • Section I.A.12.b — Excludes2 · applies to: Excludes2

    A type 2 Excludes note represents “Not included here.” An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

    ICD-10-CM Official Guidelines FY2026

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

O29.029Pressure collapse of lung due to anesthesia during pregnancy, unspecified trimesterO74Complications of anesthesia during labor and delivery
Billing statusBillableNon-billable header

Report instead: O74.0, O74.1, O74.2, O74.3, O74.4

ClassificationO00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionPressure collapse of lung due to anesthesia during pregnancy, unspecified trimester is a billable ICD-10-CM diagnosis code (O29.029).Complications of anesthesia during labor and delivery is a non-billable ICD-10-CM category code (O74).
Includes
maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during pregnancy
maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during labor and delivery
Excludes2
complications of anesthesia during labor and delivery (O74.-)
complications of anesthesia during the puerperium (O89.-)
maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
maternal diseases classifiable elsewhere but complicating pregnancy, labor and delivery, and the puerperium (O98-O99)
—
Use additional code
code, if necessary, to identify the complication
code, if applicable, to identify specific complication

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.

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Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources