DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

O94 diagnosis code · Billable category · FY2027

O94 Sequelae of complication of pregnancy, childbirth, and the puerperium

  • Billable
  • Not CC/MCC
  • POA exempt

O94 ICD-10 code: a billable diagnosis code in FY2027; the category has no subdivisions.

Where it sits

  1. Chapter 15 Pregnancy, childbirth and the puerperium (O00-O9A)
  2. O94-O9A Other obstetric conditions, not elsewhere classified (O94-O9A)
  3. O94 Sequelae of complication of pregnancy, childbirth, and the puerperium
CC / MCC
Neither
MS-DRG
769, 776
HCC V28
–
POA
Exempt
Code Editor
Maternity; Unacceptable PDX
Index entries
4

Instructions

At O94

Notes

  • This category is to be used to indicate conditions in O00-O77.-, O85-O94 and O98-O9A.- as the cause of late effects. The sequelae include conditions specified as such, or as late effects, which may occur at any time after the puerperium O00 O77 O85 O94 O98 O9A

Code first

  • condition resulting from (sequela) of complication of pregnancy, childbirth, and the puerperium

Notes that also apply

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

Index entries

  • Sequelae (of)childbirth → O94
  • Sequelae (of)obstetrical condition → O94
  • Sequelae (of)pregnancy → O94
  • Sequelae (of)puerperium → O94

NCHS Alphabetic Index. Index first, then the Tabular List.

Medicare grouping and edits

CMS files for O94
CC / MCCNeither
Appendix BMDC 14 Pregnancy, Childbirth and the Puerperium, MS-DRG 769 (Postpartum and Post Abortion Diagnoses with O.R. Procedures…); MDC 14 Pregnancy, Childbirth and the Puerperium, MS-DRG 776 (Postpartum and Post Abortion Diagnoses without O.R. Procedures…)
Code EditorAge conflict: maternity diagnosis (age 9–64); Unacceptable principal diagnosis
POAExempt
HCC V28–

CMS: MS-DRG v44 (Appendix B, C), MCE v44, POA list FY2027, 2027 Initial ICD-10-CM Mappings. What the rows mean.

Hierarchy