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O67

Non-Billable (Header)

Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

What This Code Means

O67 is the ICD-10-CM diagnosis code for labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified. O67 sits in the ICD-10-CM chapter for pregnancy, childbirth and the puerperium (o00-o9a), within the section covering complications of labor and delivery (o60-o77).

Header codes like O67 cannot be reported on claims directly — they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at O67's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for O67 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1 — Do NOT code together

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

Excludes 2 — Not included here, may code separately

  • postpartum hemorrhage (O72.-)

Child Codes

Code Hierarchy

O67Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified
O67Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified

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