O75.4 vs T88
O75.4 (Other complications of obstetric surgery and procedures) compared with T88 (Other complications of surgical and medical care, not elsewhere classified), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. T88 carries an Excludes2 note covering O75.4: “complications of obstetric surgery and procedure (O75.4)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| O75.4Other complications of obstetric surgery and procedures | T88Other complications of surgical and medical care, not elsewhere classified | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: T88.0XXA, T88.0XXD, T88.0XXS, T88.1XXA, T88.1XXD |
| Classification | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Other complications of obstetric surgery and procedures is a billable ICD-10-CM diagnosis code (O75.4). | Other complications of surgical and medical care, not elsewhere classified is a non-billable ICD-10-CM category code (T88). |
| 7th character | — | The appropriate 7th character is to be added to each code from category T88 |
| Includes | Cardiac arrest following obstetric surgery or procedures Cardiac failure following obstetric surgery or procedures Cerebral anoxia following obstetric surgery or procedures Pulmonary edema following obstetric surgery or procedures | — |
| Use additional code | code to identify specific complication | code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) code(s) to identify the specified condition resulting from the complication code to identify devices involved and details of circumstances (Y62-Y82) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources