O75.1 ICD-10-CM Code: Shock during or following labor and delivery
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)
O75.1
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceShock during or following labor and delivery
A dangerous drop in blood pressure and circulation that occurs during or immediately after childbirth, requiring emergency intervention.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
Official- Obstetric shock following labor and delivery
Excludes 2
Official- puerperal (postpartum) infection (O86.-)
- puerperal (postpartum) sepsis (O85)
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for O75.1 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for O75.1 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for O75.1 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for O75.1 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for O75.1 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is O75.1 an HCC code?
No. O75.1 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
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
O75.1 is the ICD-10-CM diagnosis code for shock during or following labor and delivery. A dangerous drop in blood pressure and circulation that occurs during or immediately after childbirth, requiring emergency intervention. O75.1 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).
O75.1 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.
Document the type of shock (cardiogenic, septic, hypovolemic) if specified in the clinical record for more precise coding.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for O75.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Document the type of shock (cardiogenic, septic, hypovolemic) if specified in the clinical record for more precise coding
- •Ensure this code is used only when shock occurs during labor/delivery; use different codes if shock occurs in postpartum period