Antepartum hemorrhage, not elsewhere classified (2024)

Table of Contents
Antepartum hemorrhage, not elsewhere classified Pregnancy, childbirth and the puerperiumNoteCODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDSCodes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)Trimesters are counted from the first day of the last menstrual period. They are defined as follows:1st trimester- less than 14 weeks 0 days2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days3rd trimester- 28 weeks 0 days until deliveryType 1 Excludessupervision of normal pregnancy (Z34.-)Type 2 Excludesmental and behavioral disorders associated with the puerperium (F53.-)obstetrical tetanus (A34)postpartum necrosis of pituitary gland (E23.0)puerperal osteomalacia (M83.0)Use Additionalcode, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known. Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified FAQs
  1. ICD-10-CM Codes
    2. ›
  2. O00-O9A
    3. ›
  3. O30-O48
    4. ›
  4. O46-
    5. ›
  5. 2024 ICD-10-CM Diagnosis Code O46

Antepartum hemorrhage, not elsewhere classified (1)

Antepartum hemorrhage, not elsewhere classified

    2016 2017 2018 2019 2020 2021 2022 2023 2024 Non-Billable/Non-Specific Code
  • O46 should not be used for reimbursem*nt purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2024 edition of ICD-10-CM O46 became effective on October 1, 2023.
  • This is the American ICD-10-CM version of O46 - other international versions of ICD-10 O46 may differ.

Type 1 Excludes

Type 1 Excludes Help

A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as O46. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

  • hemorrhage in early pregnancy (

    ICD-10-CM Diagnosis Code O20

    • O20 Hemorrhage in early pregnancy
      • O20.0 Threatened abortion
      • O20.8 Other hemorrhage in early pregnancy
      • O20.9 Hemorrhage in early pregnancy, unspecified
    O20.-)
  • intrapartum hemorrhage NEC (

    ICD-10-CM Diagnosis Code O67

    • O67 Labor and delivery complicated by intrapartum...
      • O67.0 Intrapartum hemorrhage with coagulation defec...
      • O67.8 Other intrapartum hemorrhage
      • O67.9 Intrapartum hemorrhage, unspecified
    O67.-)
  • placenta previa (

    ICD-10-CM Diagnosis Code O44

    • O44 Placenta previa
      • O44.0 Complete placenta previa NOS or without hemor...
        • O44.00 Complete placenta previa NOS or without hemor...
        • O44.01 Complete placenta previa NOS or without hemor...
        • O44.02 Complete placenta previa NOS or without hemor...
        • O44.03 Complete placenta previa NOS or without hemor...
      • O44.1 Complete placenta previa with hemorrhage
        • O44.10 Complete placenta previa with hemorrhage, uns...
        • O44.11 Complete placenta previa with hemorrhage, fir...
        • O44.12 Complete placenta previa with hemorrhage, sec...
        • O44.13 Complete placenta previa with hemorrhage, thi...
      • O44.2 Partial placenta previa without hemorrhage
        • O44.20 Partial placenta previa NOS or without hemorr...
        • O44.21 Partial placenta previa NOS or without hemorr...
        • O44.22 Partial placenta previa NOS or without hemorr...
        • O44.23 Partial placenta previa NOS or without hemorr...
      • O44.3 Partial placenta previa with hemorrhage
        • O44.30 Partial placenta previa with hemorrhage, unsp...
        • O44.31 Partial placenta previa with hemorrhage, firs...
        • O44.32 Partial placenta previa with hemorrhage, seco...
        • O44.33 Partial placenta previa with hemorrhage, thir...
      • O44.4 Low lying placenta NOS or without hemorrhage
        • O44.40 Low lying placenta NOS or without hemorrhage,...
        • O44.41 Low lying placenta NOS or without hemorrhage,...
        • O44.42 Low lying placenta NOS or without hemorrhage,...
        • O44.43 Low lying placenta NOS or without hemorrhage,...
      • O44.5 Low lying placenta with hemorrhage
        • O44.50 Low lying placenta with hemorrhage, unspecifi...
        • O44.51 Low lying placenta with hemorrhage, first tri...
        • O44.52 Low lying placenta with hemorrhage, second tr...
        • O44.53 Low lying placenta with hemorrhage, third tri...
    O44.-)
  • premature separation of placenta [abruptio placentae] (

    ICD-10-CM Diagnosis Code O45

    • O45 Premature separation of placenta [abruptio pl...
      • O45.0 Premature separation of placenta with coagula...
        • O45.00 Premature separation of placenta with coagula...
          • O45.001 Premature separation of placenta with coagula...
          • O45.002 Premature separation of placenta with coagula...
          • O45.003 Premature separation of placenta with coagula...
          • O45.009 Premature separation of placenta with coagula...
        • O45.01 Premature separation of placenta with afibrin...
          • O45.011 Premature separation of placenta with afibrin...
          • O45.012 Premature separation of placenta with afibrin...
          • O45.013 Premature separation of placenta with afibrin...
          • O45.019 Premature separation of placenta with afibrin...
        • O45.02 Premature separation of placenta with dissemi...
          • O45.021 Premature separation of placenta with dissemi...
          • O45.022 Premature separation of placenta with dissemi...
          • O45.023 Premature separation of placenta with dissemi...
          • O45.029 Premature separation of placenta with dissemi...
        • O45.09 Premature separation of placenta with other c...
          • O45.091 Premature separation of placenta with other c...
          • O45.092 Premature separation of placenta with other c...
          • O45.093 Premature separation of placenta with other c...
          • O45.099 Premature separation of placenta with other c...
      • O45.8 Other premature separation of placenta
        • O45.8X Other premature separation of placenta
          • O45.8X1 Other premature separation of placenta, first...
          • O45.8X2 Other premature separation of placenta, secon...
          • O45.8X3 Other premature separation of placenta, third...
          • O45.8X9 Other premature separation of placenta, unspe...
      • O45.9 Premature separation of placenta, unspecified...
        • O45.90 Premature separation of placenta, unspecified...
        • O45.91 Premature separation of placenta, unspecified...
        • O45.92 Premature separation of placenta, unspecified...
        • O45.93 Premature separation of placenta, unspecified...
    O45.-)

The following code(s) above O46 contain annotation back-references

See Also
Antepartum hemorrhage, not elsewhere classified

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations

that may be applicable to O46:

  • O00-O9A

    2024 ICD-10-CM Range O00-O9A

    Pregnancy, childbirth and the puerperium

    Note

    • CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
    • Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
    • Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
    • 1st trimester- less than 14 weeks 0 days
    • 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
    • 3rd trimester- 28 weeks 0 days until delivery

    Type 1 Excludes

    • supervision of normal pregnancy (Z34.-)

    Type 2 Excludes

    • mental and behavioral disorders associated with the puerperium (F53.-)
    • obstetrical tetanus (A34)
    • postpartum necrosis of pituitary gland (E23.0)
    • puerperal osteomalacia (M83.0)

    Use Additional

    • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

    Pregnancy, childbirth and the puerperium

Code History

  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
  • 2024 (effective 10/1/2023): No change

Code annotations containing back-references to O46:

  • Type 1 Excludes: O67

    ICD-10-CM Diagnosis Code O67

    Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified

      2016 2017 2018 2019 2020 2021 2022 2023 2024 Non-Billable/Non-Specific Code

    Type 1 Excludes

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

    Type 2 Excludes

    • postpartum hemorrhage (O72.-)

ICD-10-CM Codes Adjacent To O46

O45.8X Other premature separation of placenta

O45.8X1 …… first trimester

O45.8X2 …… second trimester

O45.8X3 …… third trimester

O45.8X9 …… unspecified trimester

O45.9 Premature separation of placenta, unspecified

O45.90 …… unspecified trimester

O45.91 …… first trimester

O45.92 …… second trimester

O45.93 …… third trimester

O46 Antepartum hemorrhage, not elsewhere classified

O46.0 Antepartum hemorrhage with coagulation defect

O46.00 Antepartum hemorrhage with coagulation defect, unspecified

O46.001 …… first trimester

O46.002 …… second trimester

O46.003 …… third trimester

O46.009 …… unspecified trimester

O46.01 Antepartum hemorrhage with afibrinogenemia

O46.011 …… first trimester

O46.012 …… second trimester

O46.013 …… third trimester

Reimbursem*nt claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Antepartum hemorrhage, not elsewhere classified (2024)

FAQs

What is the ICD-10 for antepartum haemorrhage not elsewhere classified? ›

ICD-10 code O46. 90 for Antepartum hemorrhage, unspecified, unspecified trimester is a medical classification as listed by WHO under the range - Pregnancy, childbirth and the puerperium .

Discover More Details ›
What are the classifications of antepartum haemorrhage? ›

These are mild (grade 1): not recognized clinically before delivery and usually diagnosed by the presence of a retroplacental clot; moderate (grade 2): intermediate, the classical signs of abruption are present but the fetus is still alive; and severe (grade 3): the fetus is dead and coagulopathy may be present.

Read More ›
What are 4 causes of antepartum haemorrhage? ›

Table 1. Causes of APH
Placental siteGenital tract
Placenta praeviaShow
Placental abruptionCervix – cervicitis, polyp, ectropion, carcinoma
Marginal – sinus ruptureTrauma
Vulvovagin*l varicosities
3 more rows
Nov 27, 2018

Discover More ›
What is diagnosis code O46 90? ›

O46. 90 - Antepartum hemorrhage, unspecified, unspecified trimester. ICD-10-CM. Centers for Medicare and Medicaid Services and the National Center for Health Statistics; 2018.

Get More Info Here ›
What is the ICD-10 code for hemorrhage not elsewhere classified? ›

R58 - Hemorrhage, not elsewhere classified. ICD-10-CM.

See Details ›
What does APH mean in pregnancy? ›

Purpose and scope. Antepartum haemorrhage (APH) is defined as bleeding from or in to the genital tract, occurring from 24+0 weeks of pregnancy and prior to the birth of the baby. The most important causes of APH are placenta praevia and placental abruption, although these are not the most common.

Keep Reading ›
Is an antepartum hemorrhage considered an emergency? ›

Use of aspirin before 16 weeks of pregnancy to prevent pre-eclampsia also appears effective at preventing antepartum bleeding. In regard to treatment, it should be considered a medical emergency (regardless of whether there is pain), as if it is left untreated it can lead to death of the mother or baby.

Get More Info ›
What does antepartum mean in pregnancy? ›

Prenatal – a term meaning 'before birth' (alternative terms are 'antenatal' and 'antepartum').

View More ›
What are antepartum haemorrhage cases? ›

Introduction. Antepartum haemorrhage can be defined as bleeding from the genital tract between 20 weeks' gestation and term. It represents an important cause of maternal and fetal morbidity and mortality complicating 2–5% of all pregnancies.

Learn More Now ›
How do you treat antepartum haemorrhage? ›

The mainstays of management of massive haemorrhage are effective communication between clinical staff, resuscitation, monitoring and accurate diagnosis of the underlying cause. The bleeding will be arrested by delivery of the fetus. Severe bleeding: the mother's life should take priority.

Discover More Details ›

Can a baby survive after placental abruption? ›

People often ask: How long can an unborn baby survive after placental abruption? The answer to this can vary according to the severity and the overall health of the developing fetus. If the abruption is mild, then it's possible for the baby to develop normally with proper care.

Show Me More ›
What are the complications of antepartum pregnancy? ›

Some common complications of pregnancy include, but are not limited to, the following.
  • High Blood Pressure. ...
  • Gestational Diabetes. ...
  • Infections. ...
  • Preeclampsia. ...
  • Preterm Labor. ...
  • Depression & Anxiety. ...
  • Pregnancy Loss/Miscarriage. ...
  • Stillbirth.
May 29, 2024

Tell Me More ›
What is the ICD-10 code for Antepartum hemorrhage in pregnancy? ›

Antepartum hemorrhage, unspecified, unspecified trimester

O46. 90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursem*nt purposes.

Tell Me More ›
What is diagnosis code K04 90? ›

2024 ICD-10-CM Diagnosis Code K04. 90: Unspecified diseases of pulp and periapical tissues.

Discover More ›
What is diagnosis code K40 90? ›

ICD-10 code: K40. 90 Unilateral or unspecified inguinal hernia, without obstruction or gangrene Not specified as recurrent hernia.

See More ›
What is the diagnosis code for antepartum care only? ›

Antepartum care only.

59425: Antepartum care only, 4-6 visits. 59426: Antepartum care only, 7 or more visits; E/M visit if only providing 1-3 visits.

Keep Reading ›
What is the ICD-9 code for Antepartum hemorrhage unspecified? ›

ICD-9 code 641.90 for Unspecified antepartum hemorrhage, unspecified as to episode of care or not applicable is a medical classification as listed by WHO under the range -COMPLICATIONS MAINLY RELATED TO PREGNANCY (640-649).

Read More ›
What is the ICD-10 code for O46 8X3? ›

2024 ICD-10-CM Diagnosis Code O46. 8X3: Other antepartum hemorrhage, third trimester.

Tell Me More ›
What is the ICD-10 hemorrhage in early pregnancy unspecified? ›

ICD-10 code: O20. 9 Haemorrhage in early pregnancy, unspecified.

Find Out More ›
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