ICD-10-CM 2027
ICD-10 code for puerperal anuria
Other postpartum acute kidney failure
From the official ICD-10-CM alphabetic index entry “Anuria › puerperal”. Page updated September 29, 2026.
About coding puerperal anuria
The ICD-10-CM code for puerperal anuria is O90.49 (Other postpartum acute kidney failure).
Within O90.4, choose O90.49 (Other postpartum acute kidney failure) only when documentation doesn't support a more specific option: hepatorenal syndrome following labor and delivery (O90.41).
As a secondary diagnosis it is an MCC (major complication or comorbidity), which can move an inpatient stay into the highest-paying "with MCC" MS-DRG of its family, unless the principal diagnosis excludes it.
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 puerperal anuria ICD-10 codes
What is the ICD-10 code for puerperal anuria?
- O90.49 — Other postpartum acute kidney failure.
Is O90.49 billable?
- Yes. O90.49 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can O90.49 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict O90.49 as a principal diagnosis.
Is O90.49 a CC or MCC?
- O90.49 is an MCC (major complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.