O43
Non-Billable

Placental disorders

Non-Billable / Non-Specific Code

What is Placental disorders?

ICD-10-CM O43 is the diagnosis code for Placental disorders. This code falls under the section "Maternal care related to the fetus and amniotic cavity and possible delivery problems" within Chapter 15 — Pregnancy, childbirth and the puerperium (O00-O9A). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

â„šī¸ Excludes2

Coding Guidelines for O43

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in O43. If the patient has both, code each condition separately:

  • maternal care for poor fetal growth due to placental insufficiency (O36.5-)
  • placenta previa (O44.-)
  • placental polyp (O90.89)
  • placentitis (O41.14-)
  • premature separation of placenta [abruptio placentae] (O45.-)

ICD-10-CM Code Hierarchy

Understanding where O43 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 5 entries
O43.0Placental transfusion syndromesNon-BillableO43.01Fetomaternal placental transfusion syndromeNon-BillableO43.011Fetomaternal placental transfusion syndrome, first trimesterBillableO43.012Fetomaternal placental transfusion syndrome, second trimesterBillableO43.013Fetomaternal placental transfusion syndrome, third trimesterBillableO43.019Fetomaternal placental transfusion syndrome, unspecified trimesterBillableO43.02Fetus-to-fetus placental transfusion syndromeNon-BillableO43.021Fetus-to-fetus placental transfusion syndrome, first trimesterBillableO43.022Fetus-to-fetus placental transfusion syndrome, second trimesterBillableO43.023Fetus-to-fetus placental transfusion syndrome, third trimesterBillableO43.029Fetus-to-fetus placental transfusion syndrome, unspecified trimesterBillableO43.1Malformation of placentaNon-BillableO43.10Malformation of placenta, unspecifiedNon-BillableO43.101Malformation of placenta, unspecified, first trimesterBillableO43.102Malformation of placenta, unspecified, second trimesterBillableO43.103Malformation of placenta, unspecified, third trimesterBillableO43.109Malformation of placenta, unspecified, unspecified trimesterBillableO43.11Circumvallate placentaNon-BillableO43.111Circumvallate placenta, first trimesterBillableO43.112Circumvallate placenta, second trimesterBillableO43.113Circumvallate placenta, third trimesterBillableO43.119Circumvallate placenta, unspecified trimesterBillableO43.12Velamentous insertion of umbilical cordNon-BillableO43.121Velamentous insertion of umbilical cord, first trimesterBillableO43.122Velamentous insertion of umbilical cord, second trimesterBillableO43.123Velamentous insertion of umbilical cord, third trimesterBillableO43.129Velamentous insertion of umbilical cord, unspecified trimesterBillableO43.19Other malformation of placentaNon-BillableO43.191Other malformation of placenta, first trimesterBillableO43.192Other malformation of placenta, second trimesterBillableO43.193Other malformation of placenta, third trimesterBillableO43.199Other malformation of placenta, unspecified trimesterBillableO43.2Morbidly adherent placentaNon-BillableO43.21Placenta accretaNon-BillableO43.211Placenta accreta, first trimesterBillableO43.212Placenta accreta, second trimesterBillableO43.213Placenta accreta, third trimesterBillableO43.219Placenta accreta, unspecified trimesterBillableO43.22Placenta incretaNon-BillableO43.221Placenta increta, first trimesterBillableO43.222Placenta increta, second trimesterBillableO43.223Placenta increta, third trimesterBillableO43.229Placenta increta, unspecified trimesterBillableO43.23Placenta percretaNon-BillableO43.231Placenta percreta, first trimesterBillableO43.232Placenta percreta, second trimesterBillableO43.233Placenta percreta, third trimesterBillableO43.239Placenta percreta, unspecified trimesterBillableO43.8Other placental disordersNon-BillableO43.81Placental infarctionNon-BillableO43.811Placental infarction, first trimesterBillableO43.812Placental infarction, second trimesterBillableO43.813Placental infarction, third trimesterBillableO43.819Placental infarction, unspecified trimesterBillableO43.89Other placental disordersNon-BillableO43.891Other placental disorders, first trimesterBillableO43.892Other placental disorders, second trimesterBillableO43.893Other placental disorders, third trimesterBillableO43.899Other placental disorders, unspecified trimesterBillableO43.9Unspecified placental disorderNon-BillableO43.90Unspecified placental disorder, unspecified trimesterBillableO43.91Unspecified placental disorder, first trimesterBillableO43.92Unspecified placental disorder, second trimesterBillableO43.93Unspecified placental disorder, third trimesterBillable
Related Codes

Frequently Asked Questions

Is O43 a billable ICD-10-CM code?

No, O43 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does O43 mean?

O43 is the ICD-10-CM diagnosis code for "Placental disorders". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is O43 in?

O43 is located in Section O30-O48 — "Maternal care related to the fetus and amniotic cavity and possible delivery problems" within Chapter 15 of the ICD-10-CM Tabular List.

What are the sub-codes of O43?

O43 has 5 sub-code(s) that provide more specific detail: O43.0, O43.1, O43.2, O43.8, O43.9.

When should I use O43?

Use O43 when the patients documented diagnosis matches "Placental disorders" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Placental disorders?

The ICD-10-CM code for Placental disorders is O43.

Can O43 be used for primary diagnosis?

No, O43 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is O43 in?

O43 is in Chapter 15 of the ICD-10-CM Tabular List.

Is O43 valid for 2026?

Yes, O43 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousO42.92Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of laborNext →O43.0Placental transfusion syndromes
Code Details
O43
Placental disorders
Non-Billable / Non-Specific Code
15 — Pregnancy, childbirth and the puerperium (O00-O9A)
O30-O48 — Maternal care related to the fetus and amniotic cavity and possible delivery problems
2026 ICD-10-CM