O87 ICD-10-CM Code: Venous complications and hemorrhoids in the puerperium
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- Tabular directives
- 1 inclusion term · 6 Excludes2
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for O87 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 O87 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.
- venous complications in labor, delivery and the puerperium
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- obstetric embolism (O88.-) Compare O87 vs O88 →
- puerperal septic thrombophlebitis (O86.81) Compare O87 vs O86.81 →
- venous complications in pregnancy (O22.-) Compare O87 vs O22 →
- mental and behavioral disorders associated with the puerperium (F53.-) inherited from O85-O92Compare O87 vs F53 →
- obstetrical tetanus (A34) inherited from O85-O92Compare O87 vs A34 →
- puerperal osteomalacia (M83.0) inherited from O85-O92Compare O87 vs M83.0 →
Coder workflow for O87
MedCoder structured workflow — derived from this code’s own official record
Before you code O87
- O87 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewO87.0, O87.1, O87.2, O87.3, O87.4, O87.8, O87.9
See the relationships section · Guide: How to choose an ICD-10-CM code →
- 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).
Choose the right path
- Does the documentation support one of the more specific codes beneath O87?
Yes → Select that code and continue the checks below on its own page.
No → O87 cannot be reported as written; query for the specificity its subcategory needs.
Consider O87. 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).
Official instructions as workflow
Excludes2 — not part of O87(6 notes)
Coding workflow: The conditions named in this note are not included in O87. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
CompareO88, O86.81, O22, F53, A34, M83.0
See the official tabular notes · Guidelines I.A.12.b
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.
Verify Before Coding
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 O87 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 Excludes2 notes: O22 — Venous complications and hemorrhoids in pregnancy, O99.4 — Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium.
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Referenced by 2 Code First instructions: I80 — Phlebitis and thrombophlebitis, I82 — Other venous embolism and thrombosis.
Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.
Contextual Map
Every relationship of O87 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 O87 with these 9 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
- O85-O92 — Complications predominantly related to the puerperium[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Excludes2
- A34 — Obstetrical tetanus[Excludes2]: “obstetrical tetanus (A34)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- F53 — Mental and behavioral disorders associated with the puerperium, not elsewhere classified[Excludes2]: “mental and behavioral disorders associated with the puerperium (F53.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- M83.0 — Puerperal osteomalacia[Excludes2]: “puerperal osteomalacia (M83.0)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- O22 — Venous complications and hemorrhoids in pregnancy[Excludes2]: “venous complications in pregnancy (O22.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- O86.81 — Puerperal septic thrombophlebitis[Excludes2]: “puerperal septic thrombophlebitis (O86.81)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- O88 — Obstetric embolism[Excludes2]: “obstetric embolism (O88.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes2 notes
- O22 — Venous complications and hemorrhoids in pregnancy[Excludes2]: “venous complications and hemorrhoids of childbirth and the puerperium (O87.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- O99.4 — Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium[Excludes2]: “venous complications and cerebrovenous sinus thrombosis in labor, childbirth and the puerperium (O87.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Code First instructions
- I80 — Phlebitis and thrombophlebitis[Code First]: “phlebitis and thrombophlebitis complicating pregnancy, childbirth and the puerperium (O22.-, O87.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- I82 — Other venous embolism and thrombosis[Code First]: “pregnancy, childbirth and the puerperium (O22.-, O87.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Nearest codes
- O87.0 — Superficial thrombophlebitis in the puerperium[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O87.1 — Deep phlebothrombosis in the puerperium[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O87.2 — Hemorrhoids in the puerperium[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O87.3 — Cerebral venous thrombosis in the puerperium[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O87.4 — Varicose veins of lower extremity in the puerperium[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O87.8 — Other venous complications in the puerperium[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O87.9 — Venous complication in the puerperium, unspecified[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
Common coding questions
Can O87 be billed directly?
No. O87 (Venous complications and hemorrhoids in the puerperium) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
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
- 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. "O87 — Venous complications and hemorrhoids in the puerperium." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/o87-venous-complications-and-hemorrhoids-in-the-puerperium
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionVenous complications and hemorrhoids in the puerperium
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 O87 in its code family, with their registry titles.
- O87.0 — Superficial thrombophlebitis in the puerperium
- O87.1 — Deep phlebothrombosis in the puerperium
- O87.2 — Hemorrhoids in the puerperium
- O87.3 — Cerebral venous thrombosis in the puerperium
- O87.4 — Varicose veins of lower extremity in the puerperium
- O87.8 — Other venous complications in the puerperium
- O87.9 — Venous complication in the puerperium, unspecified