O71.7 Obstetric hematoma of pelvis

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

Applicable to

• Obstetric hematoma of perineum
• Obstetric hematoma of vagina
• Obstetric hematoma of vulva

Applies from O71 Other obstetric trauma

Includes

• obstetric damage from instruments

MS-DRG index

Defines the logic of DRG(s) 769 in MDC 14.

Approximate ICD-9-CM (GEMs)

• 664.51 Vulvar and perineal hematoma, delivered, with or without mention of antepartum condition (approximate)
• 664.54 Vulvar and perineal hematoma, postpartum condition or complication (approximate)
• 665.71 Pelvic hematoma, delivered, with or without mention of antepartum condition (approximate)
• 665.72 Pelvic hematoma, delivered with mention of postpartum complication (approximate)
• 665.74 Pelvic hematoma, postpartum condition or complication (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 O71.7

Back-references to O71.7

• Type 1 Excludes: N89.8 Other specified noninflammatory disorders of vagina ("current obstetric trauma (O70.-, O71.4, O71.7-O71.8)")
• Type 1 Excludes: N90 Other noninflammatory disorders of vulva and perineum ("current obstetric trauma (O70.-, O71.7-O71.8)")

Back-references to O71

• Type 1 Excludes: S37 Injury of urinary and pelvic organs ("obstetric trauma to pelvic organs (O71.-)")
• Type 1 Excludes: S37.6 Injury of uterus ("injury to uterus during delivery (O71.-)")

Diagnosis Index entries for O71.7

• Delivery (childbirth) (labor) › complicated › by › hematoma
• Delivery (childbirth) (labor) › complicated › by › hematoma › ischial spine
• Delivery (childbirth) (labor) › complicated › by › hematoma › pelvic
• Delivery (childbirth) (labor) › complicated › by › hematoma › vagina
• Delivery (childbirth) (labor) › complicated › by › hematoma › vulva or perineum
• Hematoma (traumatic) (skin surface intact) › complicating delivery (perineal) (pelvic) (vagina) (vulva)
• Hematoma (traumatic) (skin surface intact) › pelvis (female) (nontraumatic) (nonobstetric) › obstetric
• Hematoma (traumatic) (skin surface intact) › perineal › complicating delivery
• Hematoma (traumatic) (skin surface intact) › vagina (ruptured) (nontraumatic) › complicating delivery
• Hematoma (traumatic) (skin surface intact) › vulva (nontraumatic) (nonobstetric) › complicating delivery

Nearby codes

• O71.2 Postpartum inversion of uterus
• O71.3 Obstetric laceration of cervix
• O71.4 Obstetric high vaginal laceration alone
• O71.5 Other obstetric injury to pelvic organs
• O71.6 Obstetric damage to pelvic joints and ligaments
• O71.7 Obstetric hematoma of pelvis (this code)
• O71.8 Other specified obstetric trauma
• O71.81 Laceration of uterus, not elsewhere classified
• O71.82 Other specified trauma to perineum and vulva
• O71.89 Other specified obstetric trauma
• O71.9 Obstetric trauma, unspecified