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O29 ICD-10-CM Code: Complications of anesthesia during pregnancy

Compare with another code for O29Check this code on a claim

Billing Status: NO. This is a non-billable ICD-10-CM code: report a more specific billable code beneath it.

Coding at a Glance

Tabular directives
1 inclusion term · 4 Excludes2 · 1 use-additional code

Category · FY2027A non-billable heading in the tabular list: report a more specific code beneath it.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.

Use additional codeReport with this code when documented
  • Use additional code, if necessary, to identify the complication
Excludes2Not included here; may be reported together
  • 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) (from O20-O29)
  • maternal diseases classifiable elsewhere but complicating pregnancy, labor and delivery, and the puerperium (O98-O99) (from O20-O29)
IncludesWhat this code covers
  • maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during pregnancy

Where it sits Source: CMS/NCHS

Under:Chapter 15: Pregnancy, Childbirth and the PuerperiumO20-O29 Other maternal disorders predominantly related to pregnancy

Codes under O29 (9)

  • O29.0Pulmonary complications of anesthesia during pregnancyNot billable
  • O29.1Cardiac complications of anesthesia during pregnancyNot billable
  • O29.2Central nervous system complications of anesthesia during pregnancyNot billable
  • O29.3Toxic reaction to local anesthesia during pregnancyNot billable
  • O29.4Spinal and epidural anesthesia induced headache during pregnancyNot billable
  • O29.5Other complications of spinal and epidural anesthesia during pregnancyNot billable
  • O29.6Failed or difficult intubation for anesthesia during pregnancyNot billable
  • O29.8Other complications of anesthesia during pregnancyNot billable
  • O29.9Unspecified complication of anesthesia during pregnancyNot billable

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for O29 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on O29 itself; “inherited from” names the category or block whose note applies here.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during pregnancy

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code, if necessary, to identify the complication

Coder workflow for O29

MedCoder structured workflow — derived from this code’s own official record

Before you code O29

  1. O29 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).

    ReviewO29.0, O29.1, O29.2, O29.3, O29.4, O29.5, O29.6, O29.8, O29.9

    See the relationships section · Guide: How to choose an ICD-10-CM code →

  2. Confirm the condition is documented as complicating the pregnancy, childbirth, or the puerperium, and check the trimester where the code carries one and the fetus character where the category requires it. Chapter 15 codes belong on the maternal record only and take sequencing priority over codes from other chapters. It is the provider’s responsibility to state that a condition is not affecting the pregnancy; the trimester is assigned from the documentation (Guidelines I.C.15.a, I.C.15.a.1, I.C.15.a.3).

    Guide: How to choose an ICD-10-CM code →

Choose the right path

  1. Does the documentation support one of the more specific codes beneath O29?
    Yes → Select that code and continue the checks below on its own page.
    No → O29 cannot be reported as written. Where the codes beneath it include an unspecified code, that code applies when the record goes no further; otherwise query for the missing detail.

    ReviewO29.0, O29.1, O29.2, O29.3, O29.4, O29.5, O29.6, O29.8, O29.9

Report the code beneath O29 that the documentation supports, not O29 itself. Then work the Use Additional Code note, and confirm that code is valid for the date of service on its own page.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Trimester
Assigned from the documented trimester at the encounter, or the trimester in which the condition developed for inpatient stays (Guidelines I.C.15.a.3).
The conditions the Use Additional Code note names
Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.

Official instructions as workflow

  • Excludes2 — not part of O29(4 notes)

    Coding workflow: The conditions named in this note are not included in O29. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareO74, O89

    See the official tabular notes · Guidelines I.A.12.b

  • Use Additional Code — after identifying O29(1 note)

    Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with O29 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.

    See the official tabular notes · Guidelines I.A.13

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: A condition the Use Additional Code note names is documented.

Coding question: Is a second code reported with the code beneath O29?

Path: Review the Use Additional Code note and the code it names.

Reason: The additional code is reported when the record documents the condition; a conditional instruction applies only when its condition is met (Guidelines I.A.13).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse O29 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of O29 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • O74— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of complications of anesthesia during labor and delivery adds O74; it is not part of this code and both may be reported when both are documented.

    Full comparison: O29 vs O74 →

  • O89— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of complications of anesthesia during the puerperium adds O89; it is not part of this code and both may be reported when both are documented.

    Full comparison: O29 vs O89 →

  • O30— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of maternal care related to the fetus and amniotic cavity and possible delivery problems adds O30; it is not part of this code and both may be reported when both are documented.

    Full comparison: O29 vs O30 →

  • O48— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of maternal care related to the fetus and amniotic cavity and possible delivery problems adds O48; it is not part of this code and both may be reported when both are documented.

    Full comparison: O29 vs O48 →

  • O98— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of maternal diseases classifiable elsewhere but complicating pregnancy, labor and delivery, and the puerperium adds O98; it is not part of this code and both may be reported when both are documented.

    Full comparison: O29 vs O98 →

  • O99— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of maternal diseases classifiable elsewhere but complicating pregnancy, labor and delivery, and the puerperium adds O99; it is not part of this code and both may be reported when both are documented.

    Full comparison: O29 vs O99 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Complications of anesthesia during pregnancy is a non-billable ICD-10-CM category code (O29). A more specific billable subcode must be selected for claims submission.

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Verify Before Coding

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name O29 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 3 Excludes1 notes across 2 chapters: J95.4 — Chemical pneumonitis due to anesthesia, T41 — Poisoning by, adverse effect of and underdosing of anesthetics and therapeutic gases, T88.2 — Shock due to anesthesia.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 3 Excludes2 notes across 2 chapters: J12 — Viral pneumonia, not elsewhere classified, J18 — Pneumonia, unspecified organism, T88 — Other complications of surgical and medical care, not elsewhere classified.

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Contextual Map

Every relationship of O29 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run O29 with these 14 related codes in Claim Check

Hierarchy

Excludes2 (20)

Referenced by Excludes1 notes

Referenced by Excludes2 notes

Nearest codes (76)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Common coding questions

MedCoder editorial

Can O29 be billed directly?

No. O29 (Complications of anesthesia during pregnancy) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "O29 — Complications of anesthesia during pregnancy." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/o29-complications-of-anesthesia-during-pregnancy

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Complications of anesthesia during pregnancy

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to O29 in its code family, with their registry titles.