Placental disorders
In Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48), chapter 15: Pregnancy, Childbirth and the Puerperium
48 billable codes under O43: none are a CC or MCC; none map to an HCC.
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Instructional notes
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 O43
O43 can't be used on a claim. Pick a billable code below; grey headings group them.
- O43.0Placental transfusion syndromes
- O43.01Fetomaternal placental transfusion syndrome
- O43.011Fetomaternal placental transfusion syndrome, first trimester
- O43.012Fetomaternal placental transfusion syndrome, second trimester
- O43.013Fetomaternal placental transfusion syndrome, third trimester
- O43.019Fetomaternal placental transfusion syndrome, unspecified trimester
- O43.02Fetus-to-fetus placental transfusion syndrome
- O43.021Fetus-to-fetus placental transfusion syndrome, first trimester
- O43.022Fetus-to-fetus placental transfusion syndrome, second trimester
- O43.023Fetus-to-fetus placental transfusion syndrome, third trimester
- O43.029Fetus-to-fetus placental transfusion syndrome, unspecified trimester
- O43.1Malformation of placenta
- O43.10Malformation of placenta, unspecified
- O43.101Malformation of placenta, unspecified, first trimester
- O43.102Malformation of placenta, unspecified, second trimester
- O43.103Malformation of placenta, unspecified, third trimester
- O43.109Malformation of placenta, unspecified, unspecified trimester
- O43.11Circumvallate placenta
- O43.111Circumvallate placenta, first trimester
- O43.112Circumvallate placenta, second trimester
- O43.113Circumvallate placenta, third trimester
- O43.119Circumvallate placenta, unspecified trimester
- O43.12Velamentous insertion of umbilical cord
- O43.121Velamentous insertion of umbilical cord, first trimester
- O43.122Velamentous insertion of umbilical cord, second trimester
- O43.123Velamentous insertion of umbilical cord, third trimester
- O43.129Velamentous insertion of umbilical cord, unspecified trimester
- O43.19Other malformation of placenta
- O43.191Other malformation of placenta, first trimester
- O43.192Other malformation of placenta, second trimester
- O43.193Other malformation of placenta, third trimester
- O43.199Other malformation of placenta, unspecified trimester
- O43.2Morbidly adherent placenta
- O43.21Placenta accreta
- O43.211Placenta accreta, first trimester
- O43.212Placenta accreta, second trimester
- O43.213Placenta accreta, third trimester
- O43.219Placenta accreta, unspecified trimester
- O43.22Placenta increta
- O43.221Placenta increta, first trimester
- O43.222Placenta increta, second trimester
- O43.223Placenta increta, third trimester
- O43.229Placenta increta, unspecified trimester
- O43.23Placenta percreta
- O43.231Placenta percreta, first trimester
- O43.232Placenta percreta, second trimester
- O43.233Placenta percreta, third trimester
- O43.239Placenta percreta, unspecified trimester
- O43.8Other placental disorders
- O43.81Placental infarction
- O43.811Placental infarction, first trimester
- O43.812Placental infarction, second trimester
- O43.813Placental infarction, third trimester
- O43.819Placental infarction, unspecified trimester
- O43.89Other placental disorders
- O43.891Other placental disorders, first trimester
- O43.892Other placental disorders, second trimester
- O43.893Other placental disorders, third trimester
- O43.899Other placental disorders, unspecified trimester
- O43.9Unspecified placental disorder
- O43.90Unspecified placental disorder, unspecified trimester
- O43.91Unspecified placental disorder, first trimester
- O43.92Unspecified placental disorder, second trimester
- O43.93Unspecified placental disorder, third trimester
O43 MS-DRGs
As the principal diagnosis, the billable codes under O43 group to these 8 MS-DRGs (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 (36 of 48 codes)
- DRG 818 Other Antepartum Diagnoses with O.R. Procedures with CC (36 of 48 codes)
- DRG 819 Other Antepartum Diagnoses with O.R. Procedures without CC/MCC (36 of 48 codes)
- DRG 831 Other Antepartum Diagnoses without O.R. Procedures with MCC (36 of 48 codes)
- DRG 832 Other Antepartum Diagnoses without O.R. Procedures with CC (36 of 48 codes)
- DRG 833 Other Antepartum Diagnoses without O.R. Procedures without CC/MCC (36 of 48 codes)
- DRG 769 Postpartum and Post Abortion Diagnoses with O.R. Procedures (12 of 48 codes)
- DRG 776 Postpartum and Post Abortion Diagnoses without O.R. Procedures (12 of 48 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Health Problems in Pregnancy
A health problem in pregnancy is any disease or condition that could affect your health or the health of your fetus. Some health problems may make it more likely that you will have a high-risk pregnancy. A high-risk pregnancy is one in which you, your fetus, or both are at higher risk for health problems than in a typical pregnancy.
Read more about health problems in pregnancy on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
