O9A ICD-10-CM Code: Maternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coder workflow for O9A
MedCoder structured workflow — derived from this code’s own official record
Before you code O9A
- O9A 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).
ReviewO9A.1, O9A.2, O9A.3, O9A.4, O9A.5
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 O9A?
Yes → Select that code and continue the checks below on its own page.
No → O9A cannot be reported as written; query for the specificity its subcategory needs.
Consider O9A. 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).
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.
Official Coding Guidelines
Official source data — quoted verbatim from the CMS/NCHS Official Guidelines
Official source data — quoted verbatim from the CMS/NCHS Official Guidelines
Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.
Chapter 15: Pregnancy, Childbirth, and the Puerperium (O00-O9A)
1) Codes from chapter 15 and sequencing priority Obstetric cases require codes from chapter 15, codes in the range O00- O9A, Pregnancy, Childbirth, and the Puerperium. Chapter 15 codes have sequencing priority over codes from other chapters. Additional codes from other chapters may be used in conjunction with chapter 15 codes to further specify conditions. Should the provider document that the pregnancy is incidental to the encounter, then code Z33.1, Pregnant state, incidental, should be used in place of any chapter 15 codes. It is the provider’s responsibility to state that the condition being treated is not affecting the pregnancy.
Verify Before Coding
- Not billable as written — a more specific code is required: O9A.111, O9A.112, O9A.113, O9A.119, O9A.12.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Contextual Map
Every relationship of O9A 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]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O94-O9A — Other obstetric conditions, not elsewhere classified[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Nearest codes (40)
- O9A.1 — Malignant neoplasm complicating pregnancy, childbirth and the puerperium[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O9A.11 — Malignant neoplasm complicating pregnancy[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O9A.111 — Malignant neoplasm complicating pregnancy, first trimester[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O9A.112 — Malignant neoplasm complicating pregnancy, second trimester[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O9A.113 — Malignant neoplasm complicating pregnancy, third trimester[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O9A.119 — Malignant neoplasm complicating pregnancy, unspecified trimester[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O9A.12 — Malignant neoplasm complicating childbirth[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O9A.13 — Malignant neoplasm complicating the puerperium[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 32 more
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 O9A be billed directly?
No. O9A (Maternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and 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
- Coding guidelines Official source data
- ICD-10-CM Official Guidelines for Coding and Reporting (FY2026), quoted by section 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
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionMaternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and 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 O9A in its code family, with their registry titles.
- O9A.1 — Malignant neoplasm complicating pregnancy, childbirth and the puerperium
- O9A.11 — Malignant neoplasm complicating pregnancy
- O9A.111 — Malignant neoplasm complicating pregnancy, first trimester
- O9A.112 — Malignant neoplasm complicating pregnancy, second trimester
- O9A.113 — Malignant neoplasm complicating pregnancy, third trimester
- O9A.119 — Malignant neoplasm complicating pregnancy, unspecified trimester
- O9A.12 — Malignant neoplasm complicating childbirth
- O9A.13 — Malignant neoplasm complicating the puerperium
- O9A.2 — Injury, poisoning and certain other consequences of external causes complicating pregnancy, childbirth and the puerperium
- O9A.21 — Injury, poisoning and certain other consequences of external causes complicating pregnancy
- O9A.211 — Injury, poisoning and certain other consequences of external causes complicating pregnancy, first trimester
- O9A.212 — Injury, poisoning and certain other consequences of external causes complicating pregnancy, second trimester
- O9A.213 — Injury, poisoning and certain other consequences of external causes complicating pregnancy, third trimester
- O9A.219 — Injury, poisoning and certain other consequences of external causes complicating pregnancy, unspecified trimester
- O9A.22 — Injury, poisoning and certain other consequences of external causes complicating childbirth
- O9A.23 — Injury, poisoning and certain other consequences of external causes complicating the puerperium
- O9A.3 — Physical abuse complicating pregnancy, childbirth and the puerperium
- O9A.31 — Physical abuse complicating pregnancy
- O9A.311 — Physical abuse complicating pregnancy, first trimester
- O9A.312 — Physical abuse complicating pregnancy, second trimester
- O9A.313 — Physical abuse complicating pregnancy, third trimester
- O9A.319 — Physical abuse complicating pregnancy, unspecified trimester
- O9A.32 — Physical abuse complicating childbirth
- O9A.33 — Physical abuse complicating the puerperium
- O9A.4 — Sexual abuse complicating pregnancy, childbirth and the puerperium
- O9A.41 — Sexual abuse complicating pregnancy
- O9A.411 — Sexual abuse complicating pregnancy, first trimester
- O9A.412 — Sexual abuse complicating pregnancy, second trimester
- O9A.413 — Sexual abuse complicating pregnancy, third trimester
- O9A.419 — Sexual abuse complicating pregnancy, unspecified trimester
- O9A.42 — Sexual abuse complicating childbirth
- O9A.43 — Sexual abuse complicating the puerperium
- O9A.5 — Psychological abuse complicating pregnancy, childbirth and the puerperium
- O9A.51 — Psychological abuse complicating pregnancy
- O9A.511 — Psychological abuse complicating pregnancy, first trimester
- O9A.512 — Psychological abuse complicating pregnancy, second trimester
- O9A.513 — Psychological abuse complicating pregnancy, third trimester
- O9A.519 — Psychological abuse complicating pregnancy, unspecified trimester
- O9A.52 — Psychological abuse complicating childbirth
- O9A.53 — Psychological abuse complicating the puerperium