O44.1 vs O69.4
O44.1 (Complete placenta previa with hemorrhage) compared with O69.4 (Labor and delivery complicated by vasa previa), 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. O44.1 carries an Excludes1 note covering O69.4: “labor and delivery complicated by hemorrhage from vasa previa (O69.4)”
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
| O44.1Complete placenta previa with hemorrhage | O69.4Labor and delivery complicated by vasa previa | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header Report instead: O69.4XX0, O69.4XX1, O69.4XX2, O69.4XX3, O69.4XX4 |
| Classification | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) |
| Definition | Complete placenta previa with hemorrhage is a non-billable ICD-10-CM category code (O44.1). | Labor and delivery complicated by vasa previa is a non-billable ICD-10-CM category code (O69.4). |
| 7th character | — | One of the following 7th characters is to be assigned to each code under category O69. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O69 that has a 7th character of 1 through 9. |
| Includes | — | Labor and delivery complicated by hemorrhage from vasa previa |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources