ICD-10-CM 2027
ICD-10 code for episiotomy hematoma
From the official ICD-10-CM alphabetic index entry “Hematoma (traumatic) (skin surface intact) › episiotomy”. Page updated September 29, 2026.
About coding episiotomy hematoma
The ICD-10-CM code for episiotomy hematoma is O90.2 (Hematoma of obstetric wound).
Within O90 (complications of the puerperium, not elsewhere classified), O90.2 is specifically for hematoma of obstetric wound. Related codes cover disruption of cesarean delivery wound (O90.0), disruption of perineal obstetric wound (O90.1), Peripartum cardiomyopathy (O90.3), postpartum acute kidney failure (O90.4), postpartum thyroiditis (O90.5), postpartum mood disturbance (O90.6), other complications of the puerperium, not elsewhere classified (O90.8) and complication of the puerperium, unspecified (O90.9).
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.
Common questions about episiotomy hematoma ICD-10 codes
What is the ICD-10 code for episiotomy hematoma?
- O90.2 — Hematoma of obstetric wound.
Is O90.2 billable?
- Yes. O90.2 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can O90.2 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict O90.2 as a principal diagnosis.
Is O90.2 a CC or MCC?
- No. O90.2 is neither a CC nor an MCC under MS-DRG v44.0.