O72.3 ICD-10-CM Code: Postpartum coagulation defects
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 3 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 O72.3 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 O72.3 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.
- hemorrhage after delivery of fetus or infant
Source: inherited from O72
Inclusion Terms
Alternative terms the tabular list files under this code.
- Postpartum afibrinogenemia
- Postpartum fibrinolysis
Coder workflow for O72.3
MedCoder structured workflow — derived from this code’s own official record
Before you code O72.3
- 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).
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
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 (16)
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.
- Afibrinogenemia, puerperal
- Blood, dyscrasia, puerperal, postpartum
- Circulating anticoagulants, following childbirth
- Defect, defective, coagulation (factor), postpartum, with hemorrhage
- Defibrination (syndrome), postpartum
- Deficiency, deficient, coagulation NOS, postpartum
- Disorder (of), hemorrhagic NEC, following childbirth
- Dyscrasia, blood (with), puerperal, postpartum
- Fibrinolysis (hemorrhagic) (acquired), postpartum
- Hemolysis, intravascular, postpartum
- Puerperal, puerperium (complicated by, complications), afibrinogenemia, or other coagulation defect
- Puerperal, puerperium (complicated by, complications), blood dyscrasia
- Puerperal, puerperium (complicated by, complications), coagulopathy (any), with hemorrhage
- Puerperal, puerperium (complicated by, complications), thrombocytopenia
- Syndrome, defibrination, postpartum
- Thrombocytopenia, thrombocytopenic, puerperal, postpartum
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 O72.3 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 2 Excludes1 notes across 2 chapters: D65 — Disseminated intravascular coagulation [defibrination syndrome], 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 2 Excludes2 notes across 2 chapters: D68 — Other coagulation defects, O67 — Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified (via O72.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
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 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):PRG027 — Complications specified during the puerperium (default); BLD006 — Coagulation and hemorrhagic disorders.
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 the puerperium, Coagulation and hemorrhagic disorders).
O24.439 — Gestational diabetes mellitus in the puerperium, unspecified control, O24.83 — Other pre-existing diabetes mellitus in the puerperium, O24.93 — Unspecified diabetes mellitus in the puerperium, O25.3 — Malnutrition in the puerperium, O26.63 — Liver and biliary tract disorders in the puerperium, O26.73 — Subluxation of symphysis (pubis) in the puerperium, O71.2 — Postpartum inversion of uterus, O72.0 — Third-stage hemorrhage, O72.1 — Other immediate postpartum hemorrhage, O72.2 — Delayed and secondary postpartum hemorrhage, O85 — Puerperal sepsis, O86.11 — Cervicitis following delivery, O86.12 — Endometritis following delivery, O86.13 — Vaginitis following delivery, O86.19 — Other infection of genital tract following delivery, O86.20 — Urinary tract infection following delivery, unspecified, O86.21 — Infection of kidney following delivery, O86.22 — Infection of bladder following delivery, O86.29 — Other urinary tract infection following delivery, O86.4 — Pyrexia of unknown origin following delivery, +164 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Puerperal, puerperium”, “Fibrinolysis”, “Blood”, …; these codes share that main term but sit in a different category of the Tabular List.
O24.430 — Gestational diabetes mellitus in the puerperium, diet controlled (gestational, diabetes, diet controlled), O24.434 — Gestational diabetes mellitus in the puerperium, insulin controlled (gestational, diabetes, insulincontrolled), O24.435 — Gestational diabetes mellitus in puerperium, controlled by oral hypoglycemic drugs (gestational, diabetes, oral drug controlled), O24.439 — Gestational diabetes mellitus in the puerperium, unspecified control (gestational, diabetes), O24.83 — Other pre-existing diabetes mellitus in the puerperium (diabetes, pre-existing, specified NEC), O24.93 — Unspecified diabetes mellitus in the puerperium (diabetes), O25.3 — Malnutrition in the puerperium (malnutrition), O26.63 — Liver and biliary tract disorders in the puerperium (necrosis, liver), O26.73 — Subluxation of symphysis (pubis) in the puerperium (subluxation of symphysis), O67.0 — Intrapartum hemorrhage with coagulation defect (intrapartum), O85 — Puerperal sepsis (sepsis), O86.09 — Infection of obstetric surgical wound, other surgical site (infection, genital tract NEC, obstetric surgical wound), O86.11 — Cervicitis following delivery (cervicitis), O86.12 — Endometritis following delivery (pyometra), O86.13 — Vaginitis following delivery (vaginitis), O86.19 — Other infection of genital tract following delivery (vulvitis), O86.20 — Urinary tract infection following delivery, unspecified (infection, urinary NEC), O86.21 — Infection of kidney following delivery (pyelitis), O86.22 — Infection of bladder following delivery (cystitis), O86.29 — Other urinary tract infection following delivery (pyocystitis), +415 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 O72.3 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 O72.3 with these 4 related codes in Claim Check
Hierarchy
- O00-O9A — Chapter 15: Pregnancy, Childbirth and the Puerperium (O00-O9A) (O00-O9A)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O60-O77 — Complications of labor and delivery[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes
- D65 — Disseminated intravascular coagulation [defibrination syndrome][Excludes1]: “pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- O99.1 — Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium[Excludes1]: “hemorrhage with coagulation defects (O45.-, O46.0-, O67.0, O72.3)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
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-fy2026
- O67 — Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified[Excludes2](via O72.-): “postpartum hemorrhage (O72.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Clinical classification (CCSR)
- PRG027 — Complications specified during the puerperium[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
- BLD006 — Coagulation and hemorrhagic disorders[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- DRG 769 — POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES[MS-DRG]: “POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES (MDC 14)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 776 — POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES[MS-DRG]: “POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES (MDC 14)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
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 (16)
- Afibrinogenemia, puerperal[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Blood, dyscrasia, puerperal, postpartum[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Circulating anticoagulants, following childbirth[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Defect, defective, coagulation (factor), postpartum, with hemorrhage[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Defibrination (syndrome), postpartum[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Deficiency, deficient, coagulation NOS, postpartum[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Disorder (of), hemorrhagic NEC, following childbirth[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Dyscrasia, blood (with), puerperal, postpartum[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- and 8 more
Nearest codes
- O72 — Postpartum hemorrhage[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O72.0 — Third-stage hemorrhage[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O72.1 — Other immediate postpartum hemorrhage[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O72.2 — Delayed and secondary postpartum hemorrhage[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
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. "O72.3 — Postpartum coagulation defects." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/o72.3-postpartum-coagulation-defects
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionPostpartum coagulation defects
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 O72.3 in its code family, with their registry titles.