ICD-10-CM 2027 diagnosis code
O99.53Diseases of the respiratory system complicating the puerperium
O99.53 is a valid, billable ICD-10-CM code for diseases of the respiratory system complicating the puerperium. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Diseases of the resp sys complicating the puerperium
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 O99.53
O99.53 is the ICD-10-CM diagnosis code for diseases of the respiratory system complicating the puerperium. It belongs to category O99 (other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium), block O94-O9A (other obstetric conditions, not elsewhere classified) 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 O99.5 (diseases of the respiratory system complicating pregnancy, childbirth and the puerperium), O99.53 is specifically for diseases of the respiratory system complicating the puerperium. Related codes cover pregnancy (O99.51) and childbirth (O99.52).
Use an additional code to identify specific condition.
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 648.94 (other current conditions classifiable elsewhere of mother, postpartum condition or complication).
Notes that apply from higher levels
Instructions written at a parent level also apply to O99.53.
› From O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
- conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care
- code to identify specific condition
Broader instructions also apply from Chapter 15: Pregnancy, childbirth and the puerperium.
Alphabetic index entries
1 entriesTerms in the official ICD-10-CM index that lead to O99.53.
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 →- 648.94Other current conditions classifiable elsewhere of mother, 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 O99.53
Is O99.53 billable?
- Yes. O99.53 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can O99.53 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict O99.53 as a principal diagnosis.
Is O99.53 a CC or MCC?
- No. O99.53 is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does O99.53 group to?
- O99.53 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 O99.53?
- The CMS General Equivalence Mappings map O99.53 to ICD-9-CM 648.94.