Intrapartum hemorrhage with coagulation defect

This code signifies bleeding that occurs during labor and delivery, specifically when a pre-existing or newly developed coagulation disorder is identified as a contributing factor. This includes conditions like disseminated intravascular coagulation (DIC), thrombocytopenia, or other clotting factor deficiencies complicating the intrapartum period.

Assign this code when documentation clearly indicates significant hemorrhage during labor or delivery, and laboratory findings or clinical assessment confirm an underlying or co-occurring coagulation defect. This typically applies to cases of excessive blood loss that are exacerbated or caused by impaired clotting mechanisms.

• Always sequence the obstetric code (O-code) as the primary diagnosis when applicable.
• Ensure documentation specifies both the hemorrhage and the coagulation defect; a general "bleeding during labor" is insufficient.
• Consider additional codes for the specific type of coagulation defect (e.g., D65 for DIC) as a secondary diagnosis.