O75.4 Other complications of obstetric surgery and procedures

Billable ICD-10-CM code, FY2026.

Applicable to

• Cardiac arrest following obstetric surgery or procedures
• Cardiac failure following obstetric surgery or procedures
• Cerebral anoxia following obstetric surgery or procedures
• Pulmonary edema following obstetric surgery or procedures

Excludes2 (not included here)

• complications of anesthesia during labor and delivery (O74.-)
• disruption of obstetrical (surgical) wound (O90.0-O90.1)
• hematoma of obstetrical (surgical) wound (O90.2)
• infection of obstetrical (surgical) wound (O86.0-)

Use additional code

• code to identify specific complication

Applies from O75 Other complications of labor and delivery, not elsewhere classified

Excludes2 (not included here)

• puerperal (postpartum) infection (O86.-)
• puerperal (postpartum) sepsis (O85)

MS-DRG index

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

Approximate ICD-9-CM (GEMs)

• 669.41 Other complications of obstetrical surgery and procedures, delivered, with or without mention of antepartum condition (approximate)
• 669.42 Other complications of obstetrical surgery and procedures, delivered, with mention of postpartum complication (approximate)
• 669.44 Other complications of obstetrical surgery and procedures, 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 O75.4

Back-references to O75.4

• Code First: I47 Paroxysmal tachycardia ("obstetric surgery and procedures (O75.4)")
• Code First: I49 Other cardiac arrhythmias ("obstetric surgery and procedures (O75.4)")
• Code First: I50 Heart failure ("obstetric surgery and procedures (O75.4)")
• Type 2 Excludes: T88 Other complications of surgical and medical care, not elsewhere classified ("complications of obstetric surgery and procedure (O75.4)")

Diagnosis Index entries for O75.4

• Anoxia (pathological) › cerebral › complicating › delivery (cesarean) (instrumental)
• Arrest, arrested › cardiac › complicating › delivery (cesarean) (instrumental)
• Arrest, arrested › cardiac › postprocedural › obstetric procedure
• Complication (s) (from) (of) › delivery › procedure (instrumental) (manual) (surgical)
• Complication (s) (from) (of) › obstetric › procedure (instrumental) (manual) (surgical) specified NEC
• Failure, failed › heart (acute) (senile) (sudden) › complicating › delivery (cesarean) (instrumental)

Nearby codes

• O75 Other complications of labor and delivery, not elsewhere classified
• O75.0 Maternal distress during labor and delivery
• O75.1 Shock during or following labor and delivery
• O75.2 Pyrexia during labor, not elsewhere classified
• O75.3 Other infection during labor
• O75.4 Other complications of obstetric surgery and procedures (this code)
• O75.5 Delayed delivery after artificial rupture of membranes
• O75.8 Other specified complications of labor and delivery
• O75.81 Maternal exhaustion complicating labor and delivery
• O75.82 Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section
• O75.89 Other specified complications of labor and delivery