O72.1 ICD-10-CM Code: Other immediate postpartum hemorrhage
HCC Buddy Code Card
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FY 2026 Apr update / Pregnancy, childbirth and the puerperium (O00-O9A) / Complications of labor and delivery (O60-O77)
O72.1
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOther immediate postpartum hemorrhage
Excessive bleeding from the uterus immediately after delivery of the baby and placenta, typically occurring within the first 24 hours postpartum.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
MappedHCC 208
Varies by metal level
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
Official- Hemorrhage following delivery of placenta
- Postpartum hemorrhage (atonic) NOS
- Uterine atony with hemorrhage
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for O72.1 in this effective period.
Related Child Codes
Includes
Official- hemorrhage after delivery of fetus or infant
Excludes 1
Official- uterine atony NOS (O62.2)
- uterine atony without hemorrhage (O62.2)
- postpartum atony of uterus without hemorrhage (O75.89)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for O72.1 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for O72.1 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for O72.1 in this effective period.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is O72.1 an HCC code?
No. O72.1 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- O72.1
- Description
- Other immediate postpartum hemorrhage
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
O72.1 is the ICD-10-CM diagnosis code for other immediate postpartum hemorrhage. Excessive bleeding from the uterus immediately after delivery of the baby and placenta, typically occurring within the first 24 hours postpartum. O72.1 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).
O72.1 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
This code is for immediate postpartum hemorrhage not classified as third-stage; document timing and volume of blood loss.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for O72.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code is for immediate postpartum hemorrhage not classified as third-stage; document timing and volume of blood loss
- •Distinguish from delayed postpartum hemorrhage (O72.2) which occurs after 24 hours