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O71.7 ICD-10-CM Code: Obstetric hematoma of pelvis

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

Coding at a Glance

Tabular directives
4 inclusion terms

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 769 — POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES (MDC 14)
  • MS-DRG 776 — POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES (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 O71.7 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 O71.7 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.

  • obstetric damage from instruments

Source: inherited from O71

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Obstetric hematoma of perineum
  • Obstetric hematoma of vagina
  • Obstetric hematoma of vulva

Coder workflow for O71.7

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

Before you code O71.7

  1. 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 →

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).

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

Obstetric hematoma of pelvis is a billable ICD-10-CM diagnosis code (O71.7).

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 (10)

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.
  • CC as a secondary diagnosis (FY2026). 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 structured relationships — computed from published CMS and AHRQ datasets

Other codes that name O71.7 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 4 Excludes1 notes across 2 chapters: N89.8 — Other specified noninflammatory disorders of vagina, N90 — Other noninflammatory disorders of vulva and perineum, S37 — Injury of urinary and pelvic organs (via O71.-), S37.6 — Injury of uterus (via O71.-).

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: CC — 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 250 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 2 MS-DRGs: DRG 769 (MDC 14), DRG 776 (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).

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 CC — 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.

O36.8192 — Decreased fetal movements, unspecified trimester, fetus 2, O36.8193 — Decreased fetal movements, unspecified trimester, fetus 3, O36.8194 — Decreased fetal movements, unspecified trimester, fetus 4, O36.8195 — Decreased fetal movements, unspecified trimester, fetus 5, O36.8199 — Decreased fetal movements, unspecified trimester, other fetus, O71.00 — Rupture of uterus before onset of labor, unspecified trimester, O71.02 — Rupture of uterus before onset of labor, second trimester, O71.03 — Rupture of uterus before onset of labor, third trimester, O71.1 — Rupture of uterus during labor, O71.5 — Other obstetric injury to pelvic organs, O71.81 — Laceration of uterus, not elsewhere classified, O71.89 — Other specified obstetric trauma, O71.9 — Obstetric trauma, 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, +229 more

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Complications specified during childbirth).

O26.62 — Liver and biliary tract disorders in childbirth, O26.72 — Subluxation of symphysis (pubis) in childbirth, O67.0 — Intrapartum hemorrhage with coagulation defect, 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, O71.81 — Laceration of uterus, not elsewhere classified, O71.89 — Other specified obstetric trauma, O71.9 — Obstetric trauma, unspecified, O73.0 — Retained placenta without hemorrhage, O73.1 — Retained portions of placenta and membranes, without hemorrhage, O74.0 — Aspiration pneumonitis due to anesthesia during labor and delivery, O74.1 — Other pulmonary complications of anesthesia during labor and delivery, O74.2 — Cardiac complications of anesthesia during labor and delivery, O74.3 — Central nervous system complications of anesthesia during labor and delivery, O74.4 — Toxic reaction to local anesthesia during labor and delivery, +91 more

Same Index main term, other category

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

O69.9 — Labor and delivery complicated by cord complication, unspecified (complicated, by, cord, complication), O70.0 — First degree perineal laceration during delivery (complicated, by, laceration, vulva), O70.1 — Second degree perineal laceration during delivery (complicated, by, laceration, pelvic, floor), O70.20 — Third degree perineal laceration during delivery, unspecified (complicated, by, laceration, rectovaginal, with perineum), O70.21 — Third degree perineal laceration during delivery, IIIa (complicated, by, laceration, perineum, perineal, third degree, IIIa), O70.22 — Third degree perineal laceration during delivery, IIIb (complicated, by, laceration, perineum, perineal, third degree, IIIb), O70.23 — Third degree perineal laceration during delivery, IIIc (complicated, by, laceration, perineum, perineal, third degree, IIIc), O70.3 — Fourth degree perineal laceration during delivery (complicated, by, laceration, perineum, perineal, fourth degree), O70.4 — Anal sphincter tear complicating delivery, not associated with third degree laceration (complicated, by, laceration, anus), O70.9 — Perineal laceration during delivery, unspecified (complicated, by, laceration), O72.0 — Third-stage hemorrhage (complicated, by, adherent placenta), O72.1 — Other immediate postpartum hemorrhage (complicated, by, hemorrhage, postpartum NEC), O72.2 — Delayed and secondary postpartum hemorrhage (complicated, by, retention of secundines, partial), O73.0 — Retained placenta without hemorrhage (complicated, by, adherent placenta, without hemorrhage), O73.1 — Retained portions of placenta and membranes, without hemorrhage (complicated, by, retention of secundines, partial, without hemorrhage), O74.8 — Other complications of anesthesia during labor and delivery (complicated, by, anesthetic death), O75.1 — Shock during or following labor and delivery (complicated, by, shock), O75.2 — Pyrexia during labor, not elsewhere classified (complicated, by, fever during labor), O75.5 — Delayed delivery after artificial rupture of membranes (delayed NOS, following rupture of membranes, artificial), O75.82 — Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section (cesarean, occurring after 37 completed weeks of gestation but before 39 completed weeks gestation due toonset of labor), +210 more

Contextual Map

Every relationship of O71.7 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 O71.7 with these 4 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 14 — Pregnancy, Childbirth and the Puerperium[MDC crossing]: “Pregnancy, Childbirth and the Puerperium — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 94 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Index entries (10)

  • Delivery (childbirth) (labor), complicated, by, hematoma[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Delivery (childbirth) (labor), complicated, by, hematoma, ischial spine[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Delivery (childbirth) (labor), complicated, by, hematoma, pelvic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Delivery (childbirth) (labor), complicated, by, hematoma, vagina[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Delivery (childbirth) (labor), complicated, by, hematoma, vulva or perineum[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Hematoma (traumatic) (skin surface intact), complicating delivery (perineal) (pelvic) (vagina) (vulva)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Hematoma (traumatic) (skin surface intact), pelvis, obstetric[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Hematoma (traumatic) (skin surface intact), perineal, complicating delivery[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • and 2 more

Nearest codes (16)

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. "O71.7 — Obstetric hematoma of pelvis." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/o71.7-obstetric-hematoma-of-pelvis

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Obstetric hematoma of pelvis

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 O71.7 in its code family, with their registry titles.

View all codes in the O71 family