O73.0 ICD-10-CM Code: Retained placenta without hemorrhage
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 2 inclusion terms · 3 Excludes1
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 O73.0 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 O73.0 itself; “inherited from” names the category or block whose note applies here.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Adherent placenta, without hemorrhage
- Trapped placenta without hemorrhage
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).
- placenta accreta (O43.21-) Compare O73.0 vs O43.21 →
- placenta increta (O43.22-) Compare O73.0 vs O43.22 →
- placenta percreta (O43.23-) Compare O73.0 vs O43.23 →
Source: inherited from O73
Coder workflow for O73.0
MedCoder structured workflow — derived from this code’s own official record
Before you code O73.0
- 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).
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with O73.0. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support a condition named in O73.0’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.
Consider O73.0. 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 O73.0(3 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with O73.0: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
See the official tabular notes · Guidelines I.A.12.a
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition O73.0 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).
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 (8)
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.
- Adherent, placenta (with hemorrhage), without hemorrhage
- Delivery (childbirth) (labor), complicated, by, adherent placenta, without hemorrhage
- Delivery (childbirth) (labor), complicated, by, placenta, placental, adherent (with hemorrhage), without hemorrhage
- Delivery (childbirth) (labor), complicated, by, placenta, placental, retained (with hemorrhage), without hemorrhage
- Delivery (childbirth) (labor), complicated, by, retention of secundines (with hemorrhage), without hemorrhage
- Retention, placenta (total) (with hemorrhage), without hemorrhage
- Retention, secundines (following delivery) (with hemorrhage), without hemorrhage
- Trapped placenta (with hemorrhage), without hemorrhage
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 O73.0 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 1 Excludes1 note: O43.2 — Morbidly adherent placenta (via O73.-).
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 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 category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Complications specified during childbirth).
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, O71.9 — Obstetric trauma, unspecified, 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, O74.5 — Spinal and epidural anesthesia-induced headache during labor and delivery, O74.6 — Other complications of spinal and epidural anesthesia during labor and delivery, O74.7 — Failed or difficult intubation for anesthesia during labor and delivery, O74.8 — Other complications of 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”, “Retention”, “Trapped placenta”; these codes share that main term but sit in a different category of the Tabular List.
O71.5 — Other obstetric injury to pelvic organs (complicated, by, rupture, bladder), O71.6 — Obstetric damage to pelvic joints and ligaments (complicated, by, separation, pubic bone), O71.7 — Obstetric hematoma of pelvis (complicated, by, hematoma), O71.81 — Laceration of uterus, not elsewhere classified (complicated, by, laceration, uterus), O71.82 — Other specified trauma to perineum and vulva (complicated, by, trauma, periurethral), O71.89 — Other specified obstetric trauma (complicated, by, diastasis recti), O71.9 — Obstetric trauma, unspecified (complicated, by, trauma), O72.0 — Third-stage hemorrhage, O72.1 — Other immediate postpartum hemorrhage (complicated, by, hemorrhage, postpartum NEC), O72.2 — Delayed and secondary postpartum hemorrhage (decidua), 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), O75.89 — Other specified complications of labor and delivery (complicated, specified complication NEC), O75.9 — Complication of labor and delivery, unspecified (complicated), O76 — Abnormality in fetal heart rate and rhythm complicating labor and delivery (complicated, by, depressed fetal heart tones), O77.0 — Labor and delivery complicated by meconium in amniotic fluid (complicated, by, meconium in amniotic fluid), O77.1 — Fetal stress in labor or delivery due to drug administration (complicated, by, fetal, stress, due to drug administration), +196 more
Contextual Map
Every relationship of O73.0 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 O73.0 with this related code 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
- O43.2 — Morbidly adherent placenta[Excludes1](via O73.-): “retained placenta (O73.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Clinical classification (CCSR)
- PRG023 — Complications specified during childbirth[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
- Adherent, placenta (with hemorrhage), without hemorrhage[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Delivery (childbirth) (labor), complicated, by, adherent placenta, without hemorrhage[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Delivery (childbirth) (labor), complicated, by, placenta, placental, adherent (with hemorrhage), without hemorrhage[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Delivery (childbirth) (labor), complicated, by, placenta, placental, retained (with hemorrhage), without hemorrhage[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Delivery (childbirth) (labor), complicated, by, retention of secundines (with hemorrhage), without hemorrhage[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Retention, placenta (total) (with hemorrhage), without hemorrhage[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Retention, secundines (following delivery) (with hemorrhage), without hemorrhage[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Trapped placenta (with hemorrhage), without hemorrhage[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
Nearest codes
- O73 — Retained placenta and membranes, without hemorrhage[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O73.1 — Retained portions of placenta and membranes, without 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. "O73.0 — Retained placenta without hemorrhage." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/o73.0-retained-placenta-without-hemorrhage
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionRetained placenta without hemorrhage
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 O73.0 in its code family, with their registry titles.