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ICD-10-CM 2027

ICD-10 code for disease puerperal

O90.9

Complication of the puerperium, unspecified

✓ Billable / specificMaternity · age 9–64Female only

From the official ICD-10-CM alphabetic index entry “Puerperal, puerperium (complicated by, complications) › disease”. Page updated September 29, 2026.

About coding disease puerperal

The ICD-10-CM code for disease puerperal is O90.9 (Complication of the puerperium, unspecified). The official index lists 5 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on O90.9.

Within O90, choose O90.9 (Complication of the puerperium, unspecified) only when documentation doesn't support a more specific option: disruption of cesarean delivery wound (O90.0), disruption of perineal obstetric wound (O90.1), hematoma of obstetric wound (O90.2), Peripartum cardiomyopathy (O90.3), postpartum acute kidney failure (O90.4), postpartum thyroiditis (O90.5), postpartum mood disturbance (O90.6) and other complications of the puerperium, not elsewhere classified (O90.8).

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.

More specific disease puerperal codes (official index)

  • breast NEC O92.29 — Other disorders of breast associated with pregnancy and the puerperium
  • cerebrovascular (acute) O99.43 — Diseases of the circulatory system complicating the puerperium
  • nonobstetric NEC O99.893 — Other specified diseases and conditions complicating puerperium
  • tubo-ovarian O86.19 — Other infection of genital tract following delivery
  • Valsuani's O99.03 — Anemia complicating the puerperium

Common questions about disease puerperal ICD-10 codes

What is the ICD-10 code for disease puerperal?

O90.9 — Complication of the puerperium, unspecified. More specific codes apply when the documentation supports them: O92.29, O99.43, O99.893, O86.19 and others below.

What is the ICD-10 code for breast nec disease puerperal?

O92.29 — Other disorders of breast associated with pregnancy and the puerperium.

What is the ICD-10 code for cerebrovascular disease puerperal?

O99.43 — Diseases of the circulatory system complicating the puerperium.

What is the ICD-10 code for nonobstetric nec disease puerperal?

O99.893 — Other specified diseases and conditions complicating puerperium.

What is the ICD-10 code for tubo-ovarian disease puerperal?

O86.19 — Other infection of genital tract following delivery.

What is the ICD-10 code for valsuani's disease puerperal?

O99.03 — Anemia complicating the puerperium.

Is O90.9 billable?

Yes. O90.9 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can O90.9 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict O90.9 as a principal diagnosis.

Is O90.9 a CC or MCC?

No. O90.9 is neither a CC nor an MCC under MS-DRG v44.0.