Are there age restrictions for ICD-10-CM code O94?

Yes, this code is restricted to patients between the ages of 9 and 64 years.

Is O94 an acceptable principal diagnosis?

No, code O94 is identified as an unacceptable principal diagnosis (Edit 113).

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Medical Coding
ICD-10-CM
Chapter 15
O94

O94 Billable Code

Sequelae of complication of pregnancy, childbirth, and the puerperium

Effective From: 10/01/2016

Chapter Classification

Chapter 15 Pregnancy, childbirth and the puerperium (O00-O9A)

Section Detail

O94-O9A Other obstetric conditions, not elsewhere classified (O94-O9A)

Coding Guidelines & Notes

codeFirst

condition resulting from (sequela) of complication of pregnancy, childbirth, and the puerperium

OPPS Editing Flags

Age Restrictions Ages 9 to 64

External Cause No

Mental Health No

Manifestation (Edit 89) No

Code First Applicable ?This code represents a manifestation of an underlying disease. The underlying condition must be coded first as the principal diagnosis. No

Unacceptable PDX (Edit 113) Yes

PDX Exclusion Logic

OPPS Required: No
Bill Type Override: No

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