ICD-10-CM 2027 diagnosis code
O90.89Other complications of the puerperium, not elsewhere classified
O90.89 is a valid, billable ICD-10-CM code for other complications of the puerperium, not elsewhere classified. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Oth complications of the puerperium, NEC
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About O90.89
O90.89 is the ICD-10-CM diagnosis code for other complications of the puerperium, not elsewhere classified. It belongs to category O90 (complications of the puerperium, not elsewhere classified), block O85-O92 (complications predominantly related to the puerperium) and chapter 15 (pregnancy, childbirth and the puerperium). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Within O90.8, choose O90.89 (Other complications of the puerperium, not elsewhere classified) only when documentation doesn't support a more specific option: anemia of the puerperium (O90.81).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 769 (Postpartum and Post Abortion Diagnoses with O.R. Procedures, relative weight 1.6673) and DRG 776 (Postpartum and Post Abortion Diagnoses without O.R. Procedures, relative weight 0.6721), in MDC 14 (Pregnancy, Childbirth and the Puerperium), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
The Medicare Code Editor treats this as a maternity diagnosis, expected only for patients age 9 through 64.
It is on the CMS list of diagnoses consistent only with female patients (the sex-conflict edit itself was retired in FY2025).
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 646.44 (peripheral neuritis in pregnancy, postpartum condition or complication), 646.84 (other specified complications of pregnancy, postpartum condition or complication), 674.44 (placental polyp, postpartum condition or complication) and 3 more.
Coding notes
- Placental polyp
Notes that apply from higher levels
Instructions written at a parent level also apply to O90.89.
Broader instructions also apply from O85-O92 Complications predominantly related to the puerperium and Chapter 15: Pregnancy, childbirth and the puerperium.
Alphabetic index entries
16 entriesTerms in the official ICD-10-CM index that lead to O90.89.
- Adhesions, adhesive (postinfective) › cervicovaginal › postpartal
- Complication (s) (from) (of) › cesarean delivery wound NEC
- Complication (s) (from) (of) › obstetric › surgical wound NEC
- Complication (s) (from) (of) › perineal repair (obstetrical) NEC
- Disease, diseased › puerperal
- Edema, edematous (infectious) (pitting) (toxic) › cervix (uteri) (acute) › puerperal, postpartum
- Hypertrophy, hypertrophic › uterus › puerperal
- Polyp, polypus › placenta
- Puerperal, puerperium (complicated by, complications) › complications › specified NEC
- Puerperal, puerperium (complicated by, complications) › neuritis
- Puerperal, puerperium (complicated by, complications) › paralysis › bladder (sphincter)
- Puerperal, puerperium (complicated by, complications) › placental polyp
- Puerperal, puerperium (complicated by, complications) › renal › disease NEC
- Puerperal, puerperium (complicated by, complications) › subinvolution (uterus)
- Subinvolution › puerperal
- Subinvolution › uterus (chronic) (nonpuerperal) › puerperal
Codes whose notes reference O90.89
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 14 · Pregnancy, Childbirth and the Puerperium
MDC 14 · Pregnancy, Childbirth and the Puerperium
ICD-9-CM equivalent
Converter →- 646.44Peripheral neuritis in pregnancy, postpartum condition or complicationapproximate
- 646.84Other specified complications of pregnancy, postpartum condition or complicationapproximate
- 674.44Placental polyp, postpartum condition or complicationapproximate
- 674.82Other complications of puerperium, delivered, with mention of postpartum complicationapproximate
- 674.84Other complications of puerperium, postpartum condition or complicationapproximate
- 679.04Maternal complications from in utero procedure, postpartum condition or complicationapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about O90.89
Is O90.89 billable?
- Yes. O90.89 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can O90.89 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict O90.89 as a principal diagnosis.
Is O90.89 a CC or MCC?
- No. O90.89 is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does O90.89 group to?
- O90.89 is used in the MS-DRG v44.0 logic for MS-DRG 769 (Postpartum and Post Abortion Diagnoses with O.R. Procedures) and MS-DRG 776 (Postpartum and Post Abortion Diagnoses without O.R. Procedures). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for O90.89?
- The CMS General Equivalence Mappings map O90.89 to ICD-9-CM 646.44, 646.84, 674.44, 674.82 and 2 more.