Skip to main content

O67.0 ICD-10-CM Code: Intrapartum hemorrhage with coagulation defect

Compare with another codeCheck this code on a claim

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
4 inclusion terms · 3 Excludes1 · 1 Excludes2

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

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; the Instructions section marks which is which.

Excludes1Never report with this code
  • antepartum hemorrhage NEC (O46.-)
  • placenta previa (O44.-)
  • premature separation of placenta abruptio placentae
Excludes2Not included here; may be reported together
  • postpartum hemorrhage (O72.-)
IncludesWhat this code covers
  • Intrapartum hemorrhage (excessive) associated with afibrinogenemia
  • Intrapartum hemorrhage (excessive) associated with disseminated intravascular coagulation
  • Intrapartum hemorrhage (excessive) associated with hyperfibrinolysis
  • Intrapartum hemorrhage (excessive) associated with hypofibrinogenemia

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

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 998 — PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS (MDC 14)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for O67.0 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 O67.0 itself; “inherited from” names the category or block whose note applies here.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Intrapartum hemorrhage (excessive) associated with afibrinogenemia
  • Intrapartum hemorrhage (excessive) associated with disseminated intravascular coagulation
  • Intrapartum hemorrhage (excessive) associated with hyperfibrinolysis
  • Intrapartum hemorrhage (excessive) associated with hypofibrinogenemia

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

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

Source: inherited from O67

Coder workflow for O67.0

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

Before you code O67.0

  1. O67.0’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).

    Guide: Combination codes →

  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 →

  3. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with O67.0. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in O67.0’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewO46, O44

Consider O67.0. Then confirm the code is valid for the date of service in the Verify section.

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 associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).

Official instructions as workflow

  • Excludes1 — check before selecting O67.0(3 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with O67.0: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareO46, O44

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

  • Excludes2 — not part of O67.0(1 note)

    Coding workflow: The conditions named in this note are not included in O67.0. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareO72

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

Coding decision scenarios

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

Documentation: Both the condition O67.0 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewO46, O44

Documentation: Only one of the components this code’s title joins is documented.

Coding question: Is O67.0 supported?

Path: Review the code for the documented component on its own.

Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).

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 O67.0 with…

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

The codes most likely to be picked instead of O67.0 — 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.

  • O46— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of antepartum hemorrhage NEC moves the case to O46; the two are not reported together unless documented as unrelated.

    Full comparison: O67.0 vs O46 →

  • O44— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of placenta previa moves the case to O44; the two are not reported together unless documented as unrelated.

    Full comparison: O67.0 vs O44 →

  • O67.9— Specificity relationship (Review)

    Overlapping diagnoses in the same category.

    Overlapping codes in the same category — the documentation decides which is the more specific fit.

    What moves you there: A record that documents no more than “Intrapartum hemorrhage, unspecified” takes O67.9; specificity in the record moves it back here.

    Full comparison: O67.0 vs O67.9 →

  • O72— 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 postpartum hemorrhage adds O72; it is not part of this code and both may be reported when both are documented.

    Full comparison: O67.0 vs O72 →

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

Intrapartum hemorrhage with coagulation defect is a billable ICD-10-CM diagnosis code (O67.0).

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

  • Age-restricted: the Medicare Code Editor lists this as a maternity (age 9-64) diagnosis; other ages are presumed incorrect.
  • MCC as a secondary diagnosis (FY2027). Can raise the stay's MS-DRG severity tier.

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 O67.0 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: D65 — Disseminated intravascular coagulation [defibrination syndrome], O46 — Antepartum hemorrhage, not elsewhere classified (via O67.-), O99.1 — Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium.

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

Referenced by 1 Excludes2 note: D68 — Other coagulation defects.

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

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: MCC — Major Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 263 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 1 MS-DRG: DRG 998 (MDC 14).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):PRG023 — Complications specified during childbirth (default); PRG010 — Hemorrhage after first trimester.

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical process (MS-DRG)

Acts as MCC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

O46.093 — Antepartum hemorrhage with other coagulation defect, third trimester, O46.099 — Antepartum hemorrhage with other coagulation defect, unspecified trimester, O46.8X1 — Other antepartum hemorrhage, first trimester, O46.8X2 — Other antepartum hemorrhage, second trimester, O46.8X3 — Other antepartum hemorrhage, third trimester, O46.8X9 — Other antepartum hemorrhage, unspecified trimester, O46.90 — Antepartum hemorrhage, unspecified, unspecified trimester, O46.91 — Antepartum hemorrhage, unspecified, first trimester, O46.92 — Antepartum hemorrhage, unspecified, second trimester, O46.93 — Antepartum hemorrhage, unspecified, third trimester, O67.8 — Other intrapartum hemorrhage, O67.9 — Intrapartum hemorrhage, unspecified, O75.4 — Other complications of obstetric surgery and procedures, O75.81 — Maternal exhaustion complicating labor and delivery, O75.89 — Other specified complications of labor and delivery, O75.9 — Complication of labor and delivery, unspecified, O80 — Encounter for full-term uncomplicated delivery, O90.89 — Other complications of the puerperium, not elsewhere classified, O99.111 — Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, first trimester, O99.112 — Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, second trimester, +242 more

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (Complications specified during childbirth, Hemorrhage after first trimester).

O46.012 — Antepartum hemorrhage with afibrinogenemia, second trimester, O46.013 — Antepartum hemorrhage with afibrinogenemia, third trimester, O46.022 — Antepartum hemorrhage with disseminated intravascular coagulation, second trimester, O46.023 — Antepartum hemorrhage with disseminated intravascular coagulation, third trimester, O46.092 — Antepartum hemorrhage with other coagulation defect, second trimester, O46.093 — Antepartum hemorrhage with other coagulation defect, third trimester, O46.8X2 — Other antepartum hemorrhage, second trimester, O46.8X3 — Other antepartum hemorrhage, third trimester, O46.92 — Antepartum hemorrhage, unspecified, second trimester, O46.93 — Antepartum hemorrhage, unspecified, third trimester, O67.8 — Other intrapartum hemorrhage, O67.9 — Intrapartum hemorrhage, unspecified, O71.1 — Rupture of uterus during labor, O71.3 — Obstetric laceration of cervix, O71.4 — Obstetric high vaginal laceration alone, O71.5 — Other obstetric injury to pelvic organs, O71.6 — Obstetric damage to pelvic joints and ligaments, O71.7 — Obstetric hematoma of pelvis, O71.81 — Laceration of uterus, not elsewhere classified, O71.89 — Other specified obstetric trauma, +126 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Delivery”, “Hemorrhage, hemorrhagic”; these codes share that main term but sit in a different category of the Tabular List.

O66.0 — Obstructed labor due to shoulder dystocia (complicated, by, obstructed labor, due to, impacted shoulders), O66.1 — Obstructed labor due to locked twins (complicated, by, obstructed labor, due to, locked twins), O66.2 — Obstructed labor due to unusually large fetus (complicated, by, obstructed labor, due to, large fetus), O66.3 — Obstructed labor due to other abnormalities of fetus (complicated, by, fetal, deformity), O66.40 — Failed trial of labor, unspecified (cesarean, failed, trial of labor NOS), O66.41 — Failed attempted vaginal birth after previous cesarean delivery (cesarean, failed, trial of labor NOS, following previous cesarean delivery), O66.5 — Attempted application of vacuum extractor and forceps (cesarean, failed, forceps), O66.6 — Obstructed labor due to other multiple fetuses (complicated, by, obstructed labor, due to, multiple fetuses NEC), O66.8 — Other specified obstructed labor (complicated, by, dilatation, bladder), O66.9 — Obstructed labor, unspecified (complicated, by, obstructed labor, due to, dystocia), O68 — Labor and delivery complicated by abnormality of fetal acid-base balance (complicated, by, fetal, acidemia), O69.0 — Labor and delivery complicated by prolapse of cord (complicated, by, cord, prolapse), O69.1 — Labor and delivery complicated by cord around neck, with compression (complicated, by, cord, around neck, with compression), O69.2 — Labor and delivery complicated by other cord entanglement, with compression (complicated, by, cord, entanglement), O69.3 — Labor and delivery complicated by short cord (complicated, by, cord, short), O69.4 — Labor and delivery complicated by vasa previa (vasa previa), O69.5 — Labor and delivery complicated by vascular lesion of cord (complicated, by, cord, bruising), O69.81 — Labor and delivery complicated by cord around neck, without compression (complicated, by, cord, around neck, without compression), O69.82 — Labor and delivery complicated by other cord entanglement, without compression (complicated, by, cord, entanglement, without compression), O69.89 — Labor and delivery complicated by other cord complications (complicated, by, cord, complication, specified NEC), +464 more

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

Partial Thromboplastin Time (PTT) Test, Prothrombin Time Test and INR (PT/INR)

Contextual Map

Every relationship of O67.0 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 O67.0 with these 4 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

Referenced by Excludes2 notes

  • D68 — Other coagulation defects[Excludes2]: “coagulation defects complicating pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Clinical classification (CCSR)

MS-DRG Grouper

  • MCC — Major Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (MCC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2027
  • DRG 998 — PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS[MS-DRG]: “PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS (MDC 14)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027

Index entries (12)

  • Defect, defective, coagulation (factor), intrapartum[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Defibrination (syndrome), intrapartum[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Delivery (childbirth) (labor), cesarean (for), hemorrhage (intrapartum), with coagulation defect[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Delivery (childbirth) (labor), complicated, by, hemorrhage (uterine), associated with, afibrinogenemia[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Delivery (childbirth) (labor), complicated, by, hemorrhage (uterine), associated with, coagulation defect[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Delivery (childbirth) (labor), complicated, by, hemorrhage (uterine), associated with, hyperfibrinolysis[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Delivery (childbirth) (labor), complicated, by, hemorrhage (uterine), associated with, hypofibrinogenemia[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Dyscrasia, blood (with), intrapartum hemorrhage[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • and 4 more

Nearest codes

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.

Indexed Clinical Terms (12)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

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
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 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 20, 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. "O67.0 — Intrapartum hemorrhage with coagulation defect." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/o67.0-intrapartum-hemorrhage-with-coagulation-defect

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Intrapartum hemorrhage with coagulation defect

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 O67.0 in its code family, with their registry titles.

View all codes in the O67 family