DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

O90 Complications of the puerperium, not elsewhere classified

  • Header · not billable

O90 is not billable. The category heads 11 billable codes in FY2027, grouped under 9 subdivisions.

Index → code

  • Blues, postpartal → O90.6
  • Sadness, postpartal → O90.6
  • Hepatorenal syndrome following labor and delivery → O90.41

Where it sits

  1. Chapter 15 Pregnancy, childbirth and the puerperium (O00-O9A)
  2. O85-O92 Complications predominantly related to the puerperium (O85-O92)
  3. O90 Complications of the puerperium, not elsewhere classified
Billable codes
11
Subdivisions
9
CC / MCC codes
0 / 3
HCC V28 codes
0
New FY2027
0
Index entries
66

Codes in O90

  1. O90.0
    Disruption of cesarean delivery wound
    Billable
    Inclusion terms 1, Excludes1 2

    Inclusion terms

    • Dehiscence of cesarean delivery wound

    Excludes1

    • rupture of uterus (spontaneous) before onset of labor (O71.0-) O71.0
    • rupture of uterus during labor (O71.1) O71.1
  2. O90.1
    Disruption of perineal obstetric wound
    Billable
    Inclusion terms 3

    Inclusion terms

    • Disruption of wound of episiotomy
    • Disruption of wound of perineal laceration
    • Secondary perineal tear
  3. O90.2
    Hematoma of obstetric wound
    Billable
  4. O90.3
    Peripartum cardiomyopathy
    BillableMCC
    Inclusion terms 1, Excludes1 1

    Inclusion terms

    • Conditions in I42.- arising during pregnancy and the puerperium I42

    Excludes1

    • pre-existing heart disease complicating pregnancy and the puerperium (O99.4-) O99.4
  5. O90.4
    Postpartum acute kidney failure
    Header
    Excludes1 1

    Excludes1

    • anuria and oliguria (R34) R34
  6. O90.41
    Hepatorenal syndrome following labor and delivery
    BillableMCC
  7. O90.49
    Other postpartum acute kidney failure
    BillableMCC
    Inclusion terms 3

    Inclusion terms

    • Postpartum acute kidney failure
    • Puerperal anuria
    • Puerperal oliguria
  8. O90.5
    Postpartum thyroiditis
    Billable
  9. O90.6
    Postpartum mood disturbance
    Billable
    Inclusion terms 3, Excludes1 2

    Inclusion terms

    • Postpartum blues
    • Postpartum dysphoria
    • Postpartum sadness

    Excludes1

    • postpartum depression (F53.0) F53.0
    • puerperal psychosis (F53.1) F53.1
  10. O90.8
    Other complications of the puerperium, not elsewhere classified
    Header
  11. O90.81
    Anemia of the puerperium
    Billable
    Inclusion terms 1, Excludes1 1

    Inclusion terms

    • Postpartum anemia NOS

    Excludes1

    • pre-existing anemia complicating the puerperium (O99.03) O99.03
  12. O90.89
    Other complications of the puerperium, not elsewhere classified
    Billable
    Inclusion terms 1

    Inclusion terms

    • Placental polyp
  13. O90.9
    Complication of the puerperium, unspecified
    Billable

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column.

Instructions

Notes that also apply

Block O85-O92 instructions (Excludes2 3): printed on the block page.

Chapter 15 instructions (Notes 6, Excludes1 1, Excludes2 4, Use additional code 1): printed on the chapter 15 page.

Index entries

  • Hepatorenal syndrome following labor and delivery → O90.41
  • Blues, postpartal → O90.6
  • Sadness, postpartal → O90.6
  • Dehiscence (of)cesarean wound → O90.0
  • Breakdownperineum → O90.1
  • Complication(s) (from) (of)episiotomy, disruption → O90.1
  • Dehiscence (of)episiotomy → O90.1
  • Dehiscence (of)perineal wound (postpartum) → O90.1
  • Puerperal, puerperium (complicated by, complications)secondary perineal tear → O90.1
  • Tear, torn (traumatic)perineal, secondary → O90.1
  • Hematoma (traumatic) (skin surface intact)cesarean delivery wound → O90.2
  • Hematoma (traumatic) (skin surface intact)episiotomy → O90.2
  • Hematoma (traumatic) (skin surface intact)obstetrical surgical wound → O90.2
  • Cardiomyopathy (familial) (idiopathic)peripartum → O90.3
  • Cardiomyopathy (familial) (idiopathic)postpartum → O90.3
  • Peripartumcardiomyopathy → O90.3
  • Puerperal, puerperium (complicated by, complications)cardiomyopathy → O90.3
  • Puerperal, puerperium (complicated by, complications)hepatorenal syndrome → O90.41
  • Anuriapuerperal → O90.49
  • Oliguriapuerperal → O90.49
  • Puerperal, puerperium (complicated by, complications)uremia (due to renal failure) → O90.49
  • Puerperal, puerperium (complicated by, complications)thyroiditis → O90.5
  • Thyroiditispostpartum, puerperal → O90.5
  • Blues, postpartalbaby → O90.6
  • Dysphoriapostpartal → O90.6
  • Puerperal, puerperium (complicated by, complications)mood disturbance → O90.6
  • Anemia (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound)postpartum → O90.81
  • Puerperal, puerperium (complicated by, complications)anemia → O90.81
  • Complication(s) (from) (of)cesarean delivery wound NEC → O90.89
  • Complication(s) (from) (of)perineal repair (obstetrical) NEC → O90.89
  • Disease, diseasedpuerperal → O90.89
  • Polyp, polypusplacenta → O90.89
  • Puerperal, puerperium (complicated by, complications)neuritis → O90.89
  • Puerperal, puerperium (complicated by, complications)placental polyp → O90.89
  • Puerperal, puerperium (complicated by, complications)subinvolution (uterus) → O90.89
  • Subinvolutionpuerperal → O90.89
  • Puerperal, puerperium (complicated by, complications)complications → O90.9
  • Puerperal, puerperium (complicated by, complications)disease → O90.9
  • Puerperal, puerperium (complicated by, complications)disorder → O90.9
  • Complication(s) (from) (of)cesarean delivery wound NECdisruption → O90.0

26 more, longer entries are not listed; the search box finds them by word.

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