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    OpenPayerBilling CodesOther obstetric conditions, not elsewhere classifiedICD-10-CM o94-sequelae-of-obstetric-complications
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    ICD-10-CM Code For Sequelae Of Complication Of Pregnancy Childbirth And The Puerperium: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group O94 includes diagnoses for late effects or sequelae of complications that arose during pregnancy, childbirth, or the puerperium, such as persistent pelvic dysfunction or other long-term obstetric-related conditions. These ICD-10-CM diagnosis codes are used to document ongoing care needs, chronic impairments, or secondary conditions resulting from prior obstetric complications that continue to affect the patient. Accurate coding within the ICD-10-CM O94 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM O94: Sequelae Of Complication Of Pregnancy, Childbirth, And The Puerperium Overview

    The ICD-10-CM O94 code group captures sequelae—late effects—of complications that originated during pregnancy, childbirth, or the puerperium and persist after the acute episode. These conditions typically affect the reproductive and related pelvic systems and may involve ongoing functional impairments or secondary conditions. Accurate coding matters for complete clinical documentation and supports appropriate reimbursement for continued care related to the original obstetric complication.

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    When to Use

    Use a code from this group when a patient presents with ongoing signs, symptoms, or conditions that are directly attributable to a previous complication of pregnancy, childbirth, or the puerperium. These codes apply when the current care is for evaluation, management, or treatment of the residual effects rather than the acute obstetric event itself.

    ICD-10-CM Codes

    1 rows

    ICD-10-CM CodeDescription
    O94Sequelae of complication of pregnancy, childbirth, and the puerperium

    DRG Codes

    2 rows

    DRG CodeDescription
    769Postpartum and Post Abortion Diagnoses with O.R. Procedures
    776Postpartum and Post Abortion Diagnoses without O.R. Procedures

    Typical Clinical Scenarios

    • A 32-year-old woman presents to the emergency department six months after an uncomplicated vaginal delivery with sudden onset chest pain and dyspnea; workup reveals a pulmonary embolus attributed to postpartum hypercoagulability and venous thromboembolism related to her recent pregnancy. This is an acute thromboembolic event occurring in the puerperium and a sequela diagnosis from her recent pregnancy is assigned because the embolism is causally linked to the pregnancy period. Typical codes: O94
    • A 27-year-old woman with persistent pelvic pain and intermittent urinary symptoms one year following a complicated cesarean delivery seeks evaluation in a specialty clinic; imaging and exam suggest adhesions and pelvic floor dysfunction believed to be late effects of the prior obstetric surgery. Because these signs and symptoms represent ongoing sequelae attributable to the pregnancy/childbirth event rather than a new unrelated disorder, a sequela diagnosis is recorded. Typical codes: O94
    • A 40-year-old woman presents for routine follow-up after being treated for obstetric fistula repair six months after childbirth; she now reports mild persistent fecal incontinence and requires continued rehabilitative care and monitoring. This represents chronic functional impairment as a complication of childbirth and is coded as a sequela of the prior obstetric complication to capture the relation to the delivery. Typical codes: O94

    Related Codes

    O98-MATERNAL-INFECTIOUS-CONDITIONS

    ICD-10-CM Code For Maternal Infectious And Parasitic Diseases Classifiable Elsewhere But Complicating Pregnancy: Group Overview

    O99-OTHER-MATERNAL-DISEASES

    ICD-10-CM Code For Other Maternal Diseases Classifiable Elsewhere But Complicating Pregnancy Childbirth And The Puerperium: Group Overview

    O9A-MATERNAL-MALIGNANCY-TRAUMATIC-INJURY-ABUSE

    ICD-10-CM Code For Maternal Malignant Neoplasms Traumatic Injuries And Abuse Classifiable Elsewhere But Complicating Pregnancy Childbirth And The Puerperium: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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