ICD-10-CM 2027 diagnosis code
O9A.4Sexual abuse complicating pregnancy, childbirth and the puerperium
O9A.4 is a header code, so it can't be reported by itself. Choose one of the 3 more specific codes beneath it.Short description: Sexual abuse compl preg/chldbrth
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 O9A.4
O9A.4 is the ICD-10-CM diagnosis code for sexual abuse complicating pregnancy, childbirth and the puerperium. It belongs to category O9A (maternal malignant neoplasms, traumatic injuries and abuse 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 a header code, so it can't be reported by itself; one of its 3 subcodes must be used instead.
Within O9A (maternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and the puerperium), O9A.4 is specifically for sexual abuse complicating pregnancy, childbirth and the puerperium. Related codes cover malignant neoplasm complicating pregnancy, childbirth and the puerperium (O9A.1), injury, poisoning and certain other consequences of external causes complicating pregnancy, childbirth and the puerperium (O9A.2), physical abuse complicating pregnancy, childbirth and the puerperium (O9A.3) and psychological abuse complicating pregnancy, childbirth and the puerperium (O9A.5).
To report this condition, pick the subcode that matches the documentation: O9A.41 (pregnancy), O9A.42 (childbirth) and O9A.43 (puerperium).
Use an additional code (if applicable): to identify any associated current injury due to sexual abuse and to identify the perpetrator of abuse (Y07.-).
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Specific codes under O9A.4
Coding notes
Notes that apply from higher levels
Instructions written at a parent level also apply to O9A.4.
Broader instructions also apply from Chapter 15: Pregnancy, childbirth and the puerperium.
Codes whose notes reference O9A.4
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 O9A.4
Is O9A.4 billable?
- No. O9A.4 is a header code. Report one of its more specific subcodes instead.