ICD-10 · PDGM grouping
O75 Other complications of labor and delivery, not elsewhere classified
All 10 codes in the O75 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.
Codes in family
10
Can lead a claim
8
Cannot lead a claim
2
What CMS assigns to O75
8 of the 10 codes group to MMTA - Other; 2 are assigned no clinical group. None of the 10 is assigned a comorbidity subgroup. 8 of the 10 can lead a claim. CMS attaches a code-first note to 1 of the 10.
Code first
CMS grouper convention 147, on O75.82. Code first:
- cephalopelvic disproportion (normally formed fetus) (O33.9)
- previous cesarean delivery (O34.21-)
- to specify reason for planned cesarean section such as:
Every code in O75
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| O75.0 | Maternal distress during labor and delivery | Can lead a claim | A | None |
| O75.1 | Shock during or following labor and delivery | Can lead a claim | A | None |
| O75.2 | Pyrexia during labor, not elsewhere classified | Can lead a claim | A | None |
| O75.3 | Other infection during labor | Can lead a claim | A | None |
| O75.4 | Other complications of obstetric surgery and procedures | Can lead a claim | A | None |
| O75.5 | Delayed delivery after artificial rupture of membranes | Can lead a claim | A | None |
| O75.8 Other specified complications of labor and delivery | ||||
| O75.81 | Maternal exhaustion complicating labor and delivery | Can lead a claim | A | None |
| O75.82 | Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean sectionCMS: Onset labor 37-39 weeks, w del by (planned) cesarean section | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| O75.89 | Other specified complications of labor and delivery | Can lead a claim | A | None |
| O75.9 | Complication of labor and delivery, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
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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