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O71 vs S37.69XD

O71 (Other obstetric trauma) compared with S37.69XD (Other injury of uterus, subsequent encounter), 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. S37.69XD carries an Excludes1 note covering O71: “injury to uterus during delivery (O71.-)”

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. S37.69XD carries an Excludes1 note covering O71: “obstetric trauma to pelvic organs (O71.-)”

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

O71Other obstetric traumaS37.69XDOther injury of uterus, subsequent encounter
Billing statusNon-billable header

Report instead: O71.00, O71.02, O71.03, O71.1, O71.2

Billable
ClassificationO00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionOther obstetric trauma is a non-billable ICD-10-CM category code (O71).Other injury of uterus, subsequent encounter is a billable ICD-10-CM diagnosis code (S37.69D).
7th characterThe appropriate 7th character is to be added to each code from category S37
Includes
obstetric damage from instruments
injuries to the abdominal wall
injuries to the anus
injuries to the buttock
injuries to the external genitalia

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