Complications of anesthesia during labor and delivery
In Complications of labor and delivery (O60-O77), chapter 15: Pregnancy, Childbirth and the Puerperium
10 billable codes under O74: none are a CC or MCC; none map to an HCC.
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Instructional notes
Includes: conditions that are coded here
- maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during labor and delivery
Use additional code: add a second code for this, listed after this one
- code, if applicable, to identify specific complication
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 O74
O74 can't be used on a claim. Pick a billable code below; grey headings group them.
- O74.0Aspiration pneumonitis due to anesthesia during labor and delivery
- O74.1Other pulmonary complications of anesthesia during labor and delivery
- O74.2Cardiac complications of anesthesia during labor and delivery
- O74.3Central nervous system complications of anesthesia during labor and delivery
- O74.4Toxic reaction to local anesthesia during labor and delivery
- O74.5Spinal and epidural anesthesia-induced headache during labor and delivery
- O74.6Other complications of spinal and epidural anesthesia during labor and delivery
- O74.7Failed or difficult intubation for anesthesia during labor and delivery
- O74.8Other complications of anesthesia during labor and delivery
- O74.9Complication of anesthesia during labor and delivery, unspecified
O74 MS-DRGs
This code does not group to an MS-DRG as a principal diagnosis.
Other codes that refer to O74
Notes on these codes point to O74.
- O29 Excludes2: complications of anesthesia during labor and delivery (O74.-)
- O75.4 Excludes2: complications of anesthesia during labor and delivery (O74.-)
- T41 Excludes1: complications of anesthesia during labor and delivery (O74.-)
- T88 Excludes2: complications of anesthesia in labor and delivery (O74.-)
- T88.2 Excludes1: labor and delivery (O74.-)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Anesthesia
Anesthesia is the use of medicines, called anesthetics, to prevent pain during surgery and other medical procedures. Medicine may be given by injection, inhalation, topical lotion, spray, eye drops, or a skin patch.
Read more about anesthesia on MedlinePlusChildbirth 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.