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O89 ICD-10-CM Code: Complications of anesthesia during the puerperium

ICD-10-CM Code View

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FY 2026 Apr update / Pregnancy, childbirth and the puerperium (O00-O9A) / Complications predominantly related to the puerperium (O85-O92)

O89

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Complications of anesthesia during the puerperium

Complications of anesthesia during the puerperium

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
O8Complications predominantly related to the puerperium (O85-O92)
O89Complications of anesthesia during the puerperium

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for O89 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for O89 in this effective period.

Related Child Codes

Official
O89.0Pulmonary complications of anesthesia during the puerperium
O89.1Cardiac complications of anesthesia during the puerperium
O89.2Central nervous system complications of anesthesia during the puerperium
O89.3Toxic reaction to local anesthesia during the puerperium
O89.4Spinal and epidural anesthesia-induced headache during the puerperium

Includes

Official
  • maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during the puerperium

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for O89 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for O89 in this effective period.

Use Additional

Official
  • code, if applicable, to identify specific complication

Code Also

Official

ICD-10-CM does not list Code Also instructions for O89 in this effective period.

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.

Coder workflow notes

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What This Code Means

O89 is the ICD-10-CM diagnosis code for complications of anesthesia during the puerperium. O89 sits in the ICD-10-CM chapter for pregnancy, childbirth and the puerperium (o00-o9a), within the section covering complications predominantly related to the puerperium (o85-o92).

Header codes like O89 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 O89'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 O89 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during the puerperium

Use Additional Code

  • code, if applicable, to identify specific complication

Child Codes

Code Hierarchy

O89Complications of anesthesia during the puerperium
O89Complications of anesthesia during the puerperium

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