O99.4
Non-Billable

Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium

Non-Billable / Non-Specific Code

What is Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium?

ICD-10-CM O99.4 is the diagnosis code for Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium. This code falls under the section "Other obstetric conditions, not elsewhere classified" 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.

💡 Inclusions
⛔ Excludes1
â„šī¸ Excludes2

Coding Guidelines for O99.4

✅ This Code Includes

  • Conditions in I00-I99

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as O99.4. They are mutually exclusive:

  • peripartum cardiomyopathy (O90.3)

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

The following conditions are not included in O99.4. If the patient has both, code each condition separately:

  • hypertensive disorders (O10-O16)
  • obstetric embolism (O88.-)
  • venous complications and cerebrovenous sinus thrombosis in labor, childbirth and the puerperium (O87.-)
  • venous complications and cerebrovenous sinus thrombosis in pregnancy (O22.-)

ICD-10-CM Code Hierarchy

Understanding where O99.4 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 3 entries
O99.41Diseases of the circulatory system complicating pregnancyNon-BillableO99.411Diseases of the circulatory system complicating pregnancy, first trimesterBillableO99.412Diseases of the circulatory system complicating pregnancy, second trimesterBillableO99.413Diseases of the circulatory system complicating pregnancy, third trimesterBillableO99.419Diseases of the circulatory system complicating pregnancy, unspecified trimesterBillableO99.42Diseases of the circulatory system complicating childbirthBillableO99.43Diseases of the circulatory system complicating the puerperiumBillable
Related Codes

Frequently Asked Questions

Is O99.4 a billable ICD-10-CM code?

No, O99.4 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does O99.4 mean?

O99.4 is the ICD-10-CM diagnosis code for "Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of O99.4?

The parent code of O99.4 is O99 ("Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium"). O99.4 provides a more specific classification within this category.

What section is O99.4 in?

O99.4 is located in Section O94-O9A — "Other obstetric conditions, not elsewhere classified" within Chapter 15 of the ICD-10-CM Tabular List.

What are the sub-codes of O99.4?

O99.4 has 3 sub-code(s) that provide more specific detail: O99.41, O99.42, O99.43.

When should I use O99.4?

Use O99.4 when the patients documented diagnosis matches "Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium" 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 Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium?

The ICD-10-CM code for Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium is O99.4.

Can O99.4 be used for primary diagnosis?

No, O99.4 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is O99.4 in?

O99.4 is in Chapter 15 of the ICD-10-CM Tabular List.

What conditions are excluded from O99.4?

Type 1 Excludes for O99.4 include: peripartum cardiomyopathy (O90.3).

Is O99.4 valid for 2026?

Yes, O99.4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousO99.355Diseases of the nervous system complicating the puerperiumNext →O99.41Diseases of the circulatory system complicating pregnancy
Code Details
O99.4
Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium
Non-Billable / Non-Specific Code
15 — Pregnancy, childbirth and the puerperium (O00-O9A)
O94-O9A — Other obstetric conditions, not elsewhere classified
2026 ICD-10-CM