O74.4
✓ Billable
Toxic reaction to local anesthesia during labor and delivery
ICD-10-CM · FY2026 · Pregnancy, Childbirth and the Puerperium
Code
O74.4
System
ICD-10-CM
Billable
Yes — valid for submission
Effective
FY2026
Chapter
Pregnancy, Childbirth and the Puerperium
Source
CMS / CDC NCHS
⚠ Verify before billing. Confirm against the current CMS/NCHS ICD-10-CM files and your payer's rules before claims submission.
Frequently asked questions
What is ICD-10 code O74.4?
ICD-10-CM code O74.4 represents Toxic reaction to local anesthesia during labor and delivery. It is a billable diagnosis code in the Pregnancy, Childbirth and the Puerperium chapter, effective October 1, 2025 – September 30, 2026.
Is O74.4 billable?
Yes. O74.4 is a valid billable ICD-10-CM code for insurance claims and clinical documentation.
What chapter is O74.4 in?
O74.4 belongs to the Pregnancy, Childbirth and the Puerperium chapter (O00–O9A) of ICD-10-CM.
Related codes in the O74 category
O74
Complications of anesthesia during labor and delivery
Non-billable
O74.0
Aspiration pneumonitis due to anesthesia during labor and delivery
Billable
O74.1
Other pulmonary complications of anesthesia during labor and delivery
Billable
O74.2
Cardiac complications of anesthesia during labor and delivery
Billable
O74.3
Central nervous system complications of anesthesia during labor and delivery
Billable
O74.5
Spinal and epidural anesthesia-induced headache during labor and delivery
Billable
O74.6
Other complications of spinal and epidural anesthesia during labor and delivery
Billable
O74.7
Failed or difficult intubation for anesthesia during labor and delivery
Billable
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