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O99.892 ICD-10-CM Code: Other specified diseases and conditions complicating childbirth

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

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 998 — PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS (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.

Official Registry Overview & Definition

Other specified diseases and conditions complicating childbirth is a billable ICD-10-CM diagnosis code (O99.892).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for O99.892 in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code to identify condition
  • Use additional code to identify specific condition

Indexed Clinical Terms (2)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Delivery (childbirth) (labor), complicated, by, condition NEC
  • Delivery (childbirth) (labor), complicated, by, disease NEC

Frequently Compared Codes

The official Excludes notes on O99.892 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2021 — 2020-10-01
    Added to the code set
    Other specified diseases and conditions complicating childbirth
    FY2021 changes

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.

Relationships & Classification

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 1 MS-DRG: DRG 998 (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.

Contextual Map

Every relationship of O99.892 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.

Hierarchy

  • O00-O9A — Chapter 15: Pregnancy, Childbirth and the Puerperium (O00-O9A) (O00-O9A) [Hierarchy]
  • O94-O9A — Other obstetric conditions, not elsewhere classified [Hierarchy]
  • O99 — Clinical Diagnosis [Hierarchy]
  • O99.8 — Clinical Diagnosis [Hierarchy]
  • O99.89 — Clinical Diagnosis [Hierarchy]

Clinical classification (CCSR)

  • PRG023 — Complications specified during childbirth [CCSR]

Potential MS-DRG

  • DRG 998 — PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS [MS-DRG]: “PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS (MDC 14)”

Index entries

  • Delivery (childbirth) (labor), complicated, by, condition NEC[Index term]
  • Delivery (childbirth) (labor), complicated, by, disease NEC[Index term]

Nearest codes (40)

  • O99 — Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium [Sibling]
  • O99.53 — Diseases of the respiratory system complicating the puerperium [Sibling]
  • O99.6 — Diseases of the digestive system complicating pregnancy, childbirth and the puerperium [Sibling]
  • O99.61 — Diseases of the digestive system complicating pregnancy [Sibling]
  • O99.611 — Diseases of the digestive system complicating pregnancy, first trimester [Sibling]
  • O99.612 — Diseases of the digestive system complicating pregnancy, second trimester [Sibling]
  • O99.613 — Diseases of the digestive system complicating pregnancy, third trimester [Sibling]
  • O99.619 — Diseases of the digestive system complicating pregnancy, unspecified trimester [Sibling]
  • and 32 more

Change history

  • FY2021 — Added to the code set [Change history]

Nearest Codes in This Family

Official ICD-10-CM classifications closest to O99.892 in its code family, with their registry titles.

  • O99.835 — Other infection carrier state complicating the puerperium
  • O99.84 — Bariatric surgery status complicating pregnancy, childbirth and the puerperium
  • O99.840 — Bariatric surgery status complicating pregnancy, unspecified trimester
  • O99.841 — Bariatric surgery status complicating pregnancy, first trimester
  • O99.842 — Bariatric surgery status complicating pregnancy, second trimester
  • O99.843 — Bariatric surgery status complicating pregnancy, third trimester
  • O99.844 — Bariatric surgery status complicating childbirth
  • O99.845 — Bariatric surgery status complicating the puerperium
  • O99.89 — Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium
  • O99.891 — Other specified diseases and conditions complicating pregnancy

View all codes in the O99 family