2017/18 ICD-10-CM Diagnosis Code O10.3

Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, childbirth and the puerperium

Applicable To
  • Any condition in
    ICD-10-CM Diagnosis Code I13

    Hypertensive heart and chronic kidney disease

      2016 2017 2018 Non-Billable/Non-Specific Code
    Includes
    • any condition in I11.- with any condition in I12.-
    • cardiorenal disease
    • cardiovascular renal disease
    I13
    specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code from
    ICD-10-CM Diagnosis Code I13

    Hypertensive heart and chronic kidney disease

      2016 2017 2018 Non-Billable/Non-Specific Code
    Includes
    • any condition in I11.- with any condition in I12.-
    • cardiorenal disease
    • cardiovascular renal disease
    I13
    to identify the type of hypertensive heart and chronic kidney disease
The following code(s) above O10.3 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to O10.3:
  • O00-O9A
    2018 ICD-10-CM Range O00-O9A

    Pregnancy, childbirth and the puerperium

    Note
    • CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
    • Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
    • Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
    • 1st trimester- less than 14 weeks 0 days
    • 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
    • 3rd trimester- 28 weeks 0 days until delivery
    Type 1 Excludes
    • supervision of normal pregnancy (Z34.-)
    Type 2 Excludes
    • mental and behavioral disorders associated with the puerperium (F53)
    • obstetrical tetanus (A34)
    • postpartum necrosis of pituitary gland (E23.0)
    • puerperal osteomalacia (M83.0)
    Use Additional
    • code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
    Pregnancy, childbirth and the puerperium
  • O10
    ICD-10-CM Diagnosis Code O10

    Pre-existing hypertension complicating pregnancy, childbirth and the puerperium

      2016 2017 2018 Non-Billable/Non-Specific Code
    Includes
    • pre-existing hypertension with pre-existing proteinuria complicating pregnancy, childbirth and the puerperium
    Type 2 Excludes
    • pre-existing hypertension with superimposed pre-eclampsia complicating pregnancy, childbirth and the puerperium (O11.-)
    Pre-existing hypertension complicating pregnancy, childbirth and the puerperium
Code History
ICD-10-CM Codes Adjacent To O10.3
O10.12 Pre-existing hypertensive heart disease complicating childbirth
O10.13 Pre-existing hypertensive heart disease complicating the puerperium
O10.2 Pre-existing hypertensive chronic kidney disease complicating pregnancy, childbirth and the puerperium
O10.21 Pre-existing hypertensive chronic kidney disease complicating pregnancy
O10.211 …… first trimester
O10.212 …… second trimester
O10.213 …… third trimester
O10.219 …… unspecified trimester
O10.22 Pre-existing hypertensive chronic kidney disease complicating childbirth
O10.23 Pre-existing hypertensive chronic kidney disease complicating the puerperium
O10.3 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, childbirth and the puerperium
O10.31 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy
O10.311 …… first trimester
O10.312 …… second trimester
O10.313 …… third trimester
O10.319 …… unspecified trimester
O10.32 Pre-existing hypertensive heart and chronic kidney disease complicating childbirth
O10.33 Pre-existing hypertensive heart and chronic kidney disease complicating the puerperium
O10.4 Pre-existing secondary hypertension complicating pregnancy, childbirth and the puerperium
O10.41 Pre-existing secondary hypertension complicating pregnancy
O10.411 …… first trimester

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.