O67.0 Intrapartum hemorrhage with coagulation defect

Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis.

Applicable to

• Intrapartum hemorrhage (excessive) associated with afibrinogenemia
• Intrapartum hemorrhage (excessive) associated with disseminated intravascular coagulation
• Intrapartum hemorrhage (excessive) associated with hyperfibrinolysis
• Intrapartum hemorrhage (excessive) associated with hypofibrinogenemia

Applies from O67 Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified

Excludes1 (never code together)

• antepartum hemorrhage NEC (O46.-)
• placenta previa (O44.-)
• premature separation of placenta [abruptio placentae] (O45.-)

Excludes2 (not included here)

• postpartum hemorrhage (O72.-)

MS-DRG index

Defines the logic of DRG(s) 998 in MDC 14.

Approximate ICD-9-CM (GEMs)

• 641.31 Antepartum hemorrhage associated with coagulation defects, delivered, with or without mention of antepartum condition (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Maternity diagnoses (age 9 through 64): Age conflict edit. These diagnoses are clinically expected only in patients age 9 through 64.

Code annotations containing back-references to O67.0

Back-references to O67.0

• Type 1 Excludes: D65 Disseminated intravascular coagulation [defibrination syndrome] ("pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)")
• Type 2 Excludes: D68 Other coagulation defects ("coagulation defects complicating pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)")
• Type 1 Excludes: O99.1 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium ("hemorrhage with coagulation defects (O45.-, O46.0-, O67.0, O72.3)")

Back-references to O67

• Type 1 Excludes: O46 Antepartum hemorrhage, not elsewhere classified ("intrapartum hemorrhage NEC (O67.-)")

Diagnosis Index entries for O67.0

• Defect, defective › coagulation (factor) › intrapartum
• Defibrination (syndrome) › intrapartum
• Delivery (childbirth) (labor) › cesarean (for) › hemorrhage (intrapartum) › with coagulation defect
• Delivery (childbirth) (labor) › complicated › by › hemorrhage (uterine) › associated with › afibrinogenemia
• Delivery (childbirth) (labor) › complicated › by › hemorrhage (uterine) › associated with › coagulation defect
• Delivery (childbirth) (labor) › complicated › by › hemorrhage (uterine) › associated with › hyperfibrinolysis
• Delivery (childbirth) (labor) › complicated › by › hemorrhage (uterine) › associated with › hypofibrinogenemia
• Dyscrasia › blood (with) › intrapartum hemorrhage
• Fibrinolysis (hemorrhagic) (acquired) › intrapartum
• Hemolysis › intravascular › with › hemorrhage › intrapartum
• Hemorrhage, hemorrhagic (concealed) › complicating › delivery › associated with coagulation defect (afibrinogenemia) (DIC) (hyperfibrinolysis)
• Hemorrhage, hemorrhagic (concealed) › due to or associated with › afibrinogenemia or other coagulation defect (conditions in categories D65-D69) › intrapartum

Nearby codes

• O67 Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified
• O67.0 Intrapartum hemorrhage with coagulation defect (this code)
• O67.8 Other intrapartum hemorrhage
• O67.9 Intrapartum hemorrhage, unspecified