O74.4 is the authoritative medical code for Toxic reaction to local anesthesia during labor and delivery. This classification is used in medical billing and clinical recording to specify the clinical criteria for toxic reaction to local anesthesia during labor and delivery (ICD-10-CM O74.4), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Official Registry Overview & Definition
Toxic reaction to local anesthesia during labor and delivery is a billable ICD-10-CM diagnosis code O74.4. Includes: maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during labor and delivery. Use additional code: code, if applicable, to identify specific complication.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for O74.4 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during labor and delivery
Use Additional Code
Supplementary codes the tabular list directs you to add.
- code, if applicable, to identify specific complication
Frequently Asked Questions (FAQ) & Clinical Guidance
Is an additional code needed with O74.4?
Use additional code(s) to specify: code, if applicable, to identify specific complication.
Codes in This Family (10)
Official ICD-10-CM classifications in the same code family as O74.4, with their registry titles.
- O74 — Complications of anesthesia during labor and delivery
- 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
- O74.5 — 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
- O74.9 — Complication of anesthesia during labor and delivery, unspecified
Indexed Clinical Terms (2)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Effect, adverse, anesthesia, local, toxic, in labor and delivery
- Reaction, toxic, to local anesthesia, in labor and delivery
Related Codes & Numerical Sequence (Crawl Map)
Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:
ICD Code O70.4
Anal sphincter tear complicating delivery, not associated with third degree laceration
ICD Code O75.4
Other complications of obstetric surgery and procedures