MCMCB Pro
O45

O45Premature separation of placenta [abruptio placentae]

Non-billable headerICD-10-CM

O45 is a non-billable header ICD-10-CM code for premature separation of placenta [abruptio placentae]. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with O45

These codes carry an Excludes1 note pointing at O45. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O45 alone.

  • O46Antepartum hemorrhage, not elsewhere classified
  • O67Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified
  • O99.1Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium
  • D65Disseminated intravascular coagulation [defibrination syndrome]

Risk adjustment

O45 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead O45

3 child codes. Green means billable.

Questions about O45

Is O45 a billable ICD-10-CM code?
No. O45 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does O45 sit in the tabular list?
Pregnancy, childbirth and the puerperium (O00-O9A), in the block Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.