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Compare/O46 vs O67

O46 vs O67

O46 (Antepartum hemorrhage, not elsewhere classified) compared with O67 (Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified), 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. O46 carries an Excludes1 note covering O67: “intrapartum hemorrhage NEC (O67.-)”

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. O67 carries an Excludes1 note covering O46: “antepartum hemorrhage NEC (O46.-)”

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

O46Antepartum hemorrhage, not elsewhere classifiedO67Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified
Billing statusNon-billable header

Report instead: O46.001, O46.002, O46.003, O46.009, O46.011

Non-billable header

Report instead: O67.0, O67.8, O67.9

ClassificationO00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionAntepartum hemorrhage, not elsewhere classified is a non-billable ICD-10-CM category code (O46).Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified is a non-billable ICD-10-CM category code (O67).

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