Maternal care for disproportion
In Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48), chapter 15: Pregnancy, Childbirth and the Puerperium
40 billable codes under O33: 1 is a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
Advertisements
Instructional notes
Includes: conditions that are coded here
- the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for cesarean delivery before onset of labor
Excludes1: not coded here, use a different code
- disproportion with obstructed labor (O65-O66)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Coding of obstetric cases with O00-O9A codes: sequencing priority, trimester and fetus characters, principal diagnosis selection, delivery outcome, and pregnancy-related complications.
- General Rules for Obstetric Cases (page 63)
- Selection of OB Principal or First-listed Diagnosis (page 64)
- Pre-existing conditions versus conditions due to the pregnancy (page 65)
- Pre-existing hypertension in pregnancy (page 66)
- Fetal Conditions Affecting the Management of the Mother (page 66)
- HIV Infection in Pregnancy, Childbirth and the Puerperium (page 66)
- Diabetes mellitus in pregnancy (page 66)
- Long term use of insulin and oral hypoglycemics (page 67)
All codes under O33
O33 can't be used on a claim. Pick a billable code below; grey headings group them.
- O33.0Maternal care for disproportion due to deformity of maternal pelvic bones
- O33.1Maternal care for disproportion due to generally contracted pelvis
- O33.2Maternal care for disproportion due to inlet contraction of pelvis
- O33.3Maternal care for disproportion due to outlet contraction of pelvis
- O33.3XX0Maternal care for disproportion due to outlet contraction of pelvis, not applicable or unspecified
- O33.3XX1Maternal care for disproportion due to outlet contraction of pelvis, fetus 1
- O33.3XX2Maternal care for disproportion due to outlet contraction of pelvis, fetus 2
- O33.3XX3Maternal care for disproportion due to outlet contraction of pelvis, fetus 3
- O33.3XX4Maternal care for disproportion due to outlet contraction of pelvis, fetus 4
- O33.3XX5Maternal care for disproportion due to outlet contraction of pelvis, fetus 5
- O33.3XX9Maternal care for disproportion due to outlet contraction of pelvis, other fetus
- O33.4Maternal care for disproportion of mixed maternal and fetal origin
- O33.4XX0Maternal care for disproportion of mixed maternal and fetal origin, not applicable or unspecified
- O33.4XX1Maternal care for disproportion of mixed maternal and fetal origin, fetus 1
- O33.4XX2Maternal care for disproportion of mixed maternal and fetal origin, fetus 2
- O33.4XX3Maternal care for disproportion of mixed maternal and fetal origin, fetus 3
- O33.4XX4Maternal care for disproportion of mixed maternal and fetal origin, fetus 4
- O33.4XX5Maternal care for disproportion of mixed maternal and fetal origin, fetus 5
- O33.4XX9Maternal care for disproportion of mixed maternal and fetal origin, other fetus
- O33.5Maternal care for disproportion due to unusually large fetus
- O33.5XX0Maternal care for disproportion due to unusually large fetus, not applicable or unspecified
- O33.5XX1Maternal care for disproportion due to unusually large fetus, fetus 1
- O33.5XX2Maternal care for disproportion due to unusually large fetus, fetus 2
- O33.5XX3Maternal care for disproportion due to unusually large fetus, fetus 3
- O33.5XX4Maternal care for disproportion due to unusually large fetus, fetus 4
- O33.5XX5Maternal care for disproportion due to unusually large fetus, fetus 5
- O33.5XX9Maternal care for disproportion due to unusually large fetus, other fetus
- O33.6Maternal care for disproportion due to hydrocephalic fetus
- O33.6XX0Maternal care for disproportion due to hydrocephalic fetus, not applicable or unspecified
- O33.6XX1Maternal care for disproportion due to hydrocephalic fetus, fetus 1
- O33.6XX2Maternal care for disproportion due to hydrocephalic fetus, fetus 2
- O33.6XX3Maternal care for disproportion due to hydrocephalic fetus, fetus 3
- O33.6XX4Maternal care for disproportion due to hydrocephalic fetus, fetus 4
- O33.6XX5Maternal care for disproportion due to hydrocephalic fetus, fetus 5
- O33.6XX9Maternal care for disproportion due to hydrocephalic fetus, other fetus
- O33.7Maternal care for disproportion due to other fetal deformities
- O33.7XX0Maternal care for disproportion due to other fetal deformities, not applicable or unspecified
- O33.7XX1Maternal care for disproportion due to other fetal deformities, fetus 1
- O33.7XX2Maternal care for disproportion due to other fetal deformities, fetus 2
- O33.7XX3Maternal care for disproportion due to other fetal deformities, fetus 3
- O33.7XX4Maternal care for disproportion due to other fetal deformities, fetus 4
- O33.7XX5Maternal care for disproportion due to other fetal deformities, fetus 5
- O33.7XX9Maternal care for disproportion due to other fetal deformities, other fetus
- O33.8Maternal care for disproportion of other origin
- O33.9Maternal care for disproportion, unspecified
O33 MS-DRGs
As the principal diagnosis, all 40 billable codes under O33 group to MS-DRG 817, 818, 819, 831, 832, or 833 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 817 Other Antepartum Diagnoses with O.R. Procedures with MCC
- DRG 818 Other Antepartum Diagnoses with O.R. Procedures with CC
- DRG 819 Other Antepartum Diagnoses with O.R. Procedures without CC/MCC
- DRG 831 Other Antepartum Diagnoses without O.R. Procedures with MCC
- DRG 832 Other Antepartum Diagnoses without O.R. Procedures with CC
- DRG 833 Other Antepartum Diagnoses without O.R. Procedures without CC/MCC
Other codes that refer to O33
Notes on these codes point to O33.
- M95.5 Excludes1: maternal care for known or suspected disproportion (O33.-)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Childbirth Problems
Childbirth is the process of giving birth to a baby. It includes labor and delivery. Usually everything goes well, but problems can happen. They may cause a risk to the mother, baby, or both. Some of the more common childbirth problems include:
Read more about childbirth problems on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
