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O67.9 ICD-10-CM Code: Intrapartum hemorrhage, unspecified

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

Coding at a Glance

Tabular directives
3 Excludes1 · 1 Excludes2

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 v43, 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 O67.9 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on O67.9 itself; “inherited from” names the category or block whose note applies here.

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 O67.9

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

Before you code O67.9

  1. Unspecified does not mean incorrect. When the record gives no greater specificity, O67.9 may be the appropriate code. Check the record for detail that supports a more specific sibling. An unspecified code is for records that do not provide the detail a more specific code needs; a query, not an assumption, is the route to specificity (Guidelines I.A.9.b, I.B.18).

    ReviewO67.0, O67.8

    See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →

  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 O67.9. 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 record document the detail a more specific sibling code needs?
    Yes → Review the specific siblings in this subcategory.
    No → Continue — O67.9 is appropriate when the documentation goes no further.

    ReviewO67.0, O67.8

  2. Does the documentation support a condition named in O67.9’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 O67.9. 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).
Any detail beyond this code’s title
What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.

Official instructions as workflow

  • Excludes1 — check before selecting O67.9(3 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with O67.9: 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 O67.9(1 note)

    Coding workflow: The conditions named in this note are not included in O67.9. 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: The provider documents the condition in the terms of this code’s title and records no further detail.

Coding question: Is a more specific sibling code supportable?

Path: Review the specific siblings in this subcategory and what each requires the record to state.

Reason: A more specific code needs documentation of the distinguishing element; without it the unspecified code is appropriate, and a provider query is the route to specificity (Guidelines I.A.9.b, I.B.18).

ReviewO67.0, O67.8

Documentation: Both the condition O67.9 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

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.

Code Overview

Intrapartum hemorrhage, unspecified is a billable ICD-10-CM diagnosis code (O67.9).

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

Indexed Clinical Terms (4)

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.

Verify Before Coding

  • Age-restricted: the Medicare Code Editor lists this as a maternity (age 9-64) diagnosis; other ages are presumed incorrect.

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 structured relationships — computed from published CMS and AHRQ datasets

Other codes that name O67.9 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 1 Excludes1 note: O46 — Antepartum hemorrhage, not elsewhere classified (via O67.-).

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

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

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 category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (Complications specified during childbirth, Hemorrhage after first 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, O67.0 — Intrapartum hemorrhage with coagulation defect, O67.8 — Other intrapartum hemorrhage, 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, O71.9 — Obstetric trauma, unspecified, O72.0 — Third-stage hemorrhage, +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, prolapse, cord), 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), +338 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 O67.9 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 O67.9 with this related code in Claim Check

Hierarchy

Referenced by Excludes1 notes

Clinical classification (CCSR)

MS-DRG Grouper

Index entries

  • Delivery (childbirth) (labor), cesarean (for), hemorrhage (intrapartum)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Delivery (childbirth) (labor), complicated, by, hemorrhage (uterine)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Hemorrhage, hemorrhagic (concealed), complicating, delivery[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Hemorrhage, hemorrhagic (concealed), intrauterine, complicating delivery[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes

Change history

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

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 FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 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 — v43 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 structured 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 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.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

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. "O67.9 — Intrapartum hemorrhage, unspecified." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/o67.9-intrapartum-hemorrhage-unspecified

Change history

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

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), 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 O67.9 in its code family, with their registry titles.

View all codes in the O67 family