ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 O90.89

Billable / Specific

Other complications of the puerperium, not elsewhere classified

O90
Block
1
Synonyms
92
LCDs
5
Payer Policies
0
Linked CPTs

About ICD-10-CM O90.89

ICD-10-CM code O90.89 represents Other complications of the puerperium, not elsewhere classified. This is a billable/specific code in the Pregnancy, Childbirth, and Puerperium chapter (block O90). The 2026 edition of ICD-10-CM O90.89 became effective on October 1, 2025.

Coding Tips for O90.89

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Pregnancy chapter (O00-O9A): trimester required

Most O codes require a 7th character indicating trimester (1 = first, 2 = second, 3 = third). Some require fetus identification character. Code O09 (supervision of high-risk pregnancy) is required as a secondary code when applicable.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under O90.89. Per CMS ICD-10-CM Tabular 2026.

  • Placental polyp

Medicare LCD Coverage for O90.89

Local Coverage Determinations (LCDs) from CMS MACs that list O90.89 as a covered diagnosis.

92 LCDs

Showing top 10 of 92 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 93320 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 76376 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT J0461 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 93306 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 93325 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT J2785 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT A9700 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT Q9955 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 93352 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT J3490 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing O90.89.

5 policies

4 Medicare

Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-56619
Billing and Coding: Transthoracic Echocardiography (TTE)
Policy ID: ART-56781
Billing and Coding: Serum Magnesium
Policy ID: ART-57189
Billing and Coding: Transthoracic Echocardiography (TTE)
Policy ID: ART-57306

1 Aetna

Compression Garments for the Legs
Policy ID: CPB-0482

CPT Codes Commonly Billed with O90.89

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for O90.89

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert O90.89 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
O90.89 64644 10000
O90.89 64684 10000
O90.89 67444 10000
O90.89 67482 10000
O90.89 67484 10000
O90.89 67904 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 O90.89, Billing FAQ

Is ICD-10 code O90.89 billable? +

Yes, O90.89 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to O90.89? +

ICD-10 O90.89 includes: Placental polyp.

What ICD-9 codes does O90.89 map to? +

Per CMS GEMs, O90.89 maps to ICD-9 codes: 64644, 64684, 67444, 67482, 67484. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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