O9A.43 Sexual abuse complicating the puerperium

Billable ICD-10-CM code, FY2026.

Applies from O9A.4 Sexual abuse complicating pregnancy, childbirth and the puerperium

Applicable to

• Conditions in T74.21 or T76.21

Use additional code

• code (if applicable):
• to identify any associated current injury due to sexual abuse
• to identify the perpetrator of abuse (Y07.-)

MS-DRG index

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

Approximate ICD-9-CM (GEMs)

• 648.94 Other current conditions classifiable elsewhere of mother, 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 O9A.43

Back-references to O9A.4

• Type 2 Excludes: O9A.2 Injury, poisoning and certain other consequences of external causes complicating pregnancy, childbirth and the puerperium ("physical, sexual and psychological abuse complicating pregnancy, childbirth and the puerperium (O9A.3-, O9A.4-, O9A.5-)")
• Type 2 Excludes: O9A.3 Physical abuse complicating pregnancy, childbirth and the puerperium ("sexual abuse complicating pregnancy, childbirth and the puerperium (O9A.4)")
• Type 1 Excludes: T74 Adult and child abuse, neglect and other maltreatment, confirmed ("abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-)")
• Type 1 Excludes: T76 Adult and child abuse, neglect and other maltreatment, suspected ("suspected abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-)")

Back-references to O9A

• Type 1 Excludes: Z33.1 Pregnant state, incidental ("complications of pregnancy (O00-O9A)")
• Type 1 Excludes: Z34 Encounter for supervision of normal pregnancy ("any complication of pregnancy (O00-O9A)")
• Code First: Z3A Weeks of gestation ("obstetric condition or encounter for delivery (O09-O60, O80-O82, O94-O9A)")

Diagnosis Index entries for O9A.43

• Puerperal, puerperium (complicated by, complications) › trauma, non-obstetric › caused by abuse (physical) (suspected) › sexual (suspected)
• Puerperal, puerperium (complicated by, complications) › trauma, non-obstetric › caused by abuse (physical) (suspected) › sexual (suspected) › confirmed

Nearby codes

• O9A.411 Sexual abuse complicating pregnancy, first trimester
• O9A.412 Sexual abuse complicating pregnancy, second trimester
• O9A.413 Sexual abuse complicating pregnancy, third trimester
• O9A.419 Sexual abuse complicating pregnancy, unspecified trimester
• O9A.42 Sexual abuse complicating childbirth
• O9A.43 Sexual abuse complicating the puerperium (this code)
• O9A.5 Psychological abuse complicating pregnancy, childbirth and the puerperium
• O9A.51 Psychological abuse complicating pregnancy
• O9A.511 Psychological abuse complicating pregnancy, first trimester
• O9A.512 Psychological abuse complicating pregnancy, second trimester
• O9A.513 Psychological abuse complicating pregnancy, third trimester