Question 1

What is ICD-10 code O9A.32?

Accepted Answer

O9A.32 is the ICD-10-CM diagnosis code for physical abuse complicating childbirth. A woman is experiencing physical abuse during the labor and delivery process (childbirth). This code documents abuse that occurs at the time of delivery. O9A.32 sits in the ICD-10-CM chapter for pregnancy, childbirth and the puerperium (o00-o9a), within the section covering other obstetric conditions, not elsewhere classified (o94-o9a).

O9A.32 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 applies specifically to abuse occurring during active labor and delivery, not before or after.

Question 2

Is O9A.32 an HCC code?

Accepted Answer

No. O9A.32 is a billable ICD-10-CM code but does not map to any payment HCC category under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can still be reported on Medicare Advantage encounter data submissions, but it does not contribute to the beneficiary's Risk Adjustment Factor (RAF) score and therefore does not affect the risk-adjusted capitation payment to the plan. V28 reached 100% phase-in for payment year 2026.

Question 3

Is O9A.32 billable?

Accepted Answer

Yes. O9A.32 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. O9A.32 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Question 4

What is the V28 vs V24 difference for O9A.32?

Accepted Answer

O9A.32 does not map to a payment HCC under either the CMS-HCC V28 risk adjustment model or the older V24 model. V28 reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition. Because neither model rewards O9A.32 with a risk adjustment factor, it contributes zero to a Medicare Advantage beneficiary's RAF score in either version. Coders should check whether provider documentation supports a more specific child code that does map to a payment HCC.

Question 5

What should coders know when reporting O9A.32?

Accepted Answer

This code applies specifically to abuse occurring during active labor and delivery, not before or after Pair with appropriate abuse confirmation codes (T74 or T76) to indicate the nature and status of the abuse

O9A.32

Is O9A.32 an HCC code?

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