October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

O74 Complications of anesthesia during labor and delivery

All 10 codes in the O74 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

10

Can lead a claim

9

Cannot lead a claim

1

What CMS assigns to O74

9 of the 10 codes group to MMTA - Other; 1 is assigned no clinical group. None of the 10 is assigned a comorbidity subgroup. 9 of the 10 can lead a claim.

Every code in O74

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
O74.0Aspiration pneumonitis due to anesthesia during labor and deliveryCMS: Aspirat pneumonitis due to anesth during labor and deliveryCan lead a claimANone
O74.1Other pulmonary complications of anesthesia during labor and deliveryCMS: Oth pulmonary comp of anesthesia during labor and deliveryCan lead a claimANone
O74.2Cardiac complications of anesthesia during labor and deliveryCMS: Cardiac comp of anesthesia during labor and deliveryCan lead a claimANone
O74.3Central nervous system complications of anesthesia during labor and deliveryCMS: Cnsl complications of anesthesia during labor and deliveryCan lead a claimANone
O74.4Toxic reaction to local anesthesia during labor and deliveryCan lead a claimANone
O74.5Spinal and epidural anesthesia-induced headache during labor and deliveryCMS: Spinal and epidur anesthesia-induced hdache dur labr and delCan lead a claimANone
O74.6Other complications of spinal and epidural anesthesia during labor and deliveryCMS: Oth comp of spinal and epidural anesth during labor and delCan lead a claimANone
O74.7Failed or difficult intubation for anesthesia during labor and deliveryCMS: Failed or difficult intubation for anesth dur labor and delCan lead a claimANone
O74.8Other complications of anesthesia during labor and deliveryCan lead a claimANone
O74.9Complication of anesthesia during labor and delivery, unspecifiedCMS: Complication of anesthesia during labor and delivery, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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