2018 ICD-10-CM Diagnosis Code O26.6

Liver and biliary tract disorders in pregnancy, childbirth and 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 to identify the specific disorder
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (O26.6) and the excluded code together.
  • hepatorenal syndrome following labor and delivery (
    ICD-10-CM Diagnosis Code O90.4

    Postpartum acute kidney failure

      2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Hepatorenal syndrome following labor and delivery
The following code(s) above O26.6 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 O26.6:
  • O00-O9A
    2018 ICD-10-CM Range O00-O9A

    Pregnancy, childbirth and the puerperium

    • 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
  • O20-O29
    2018 ICD-10-CM Range O20-O29

    Other maternal disorders predominantly related to pregnancy

    Type 2 Excludes
    • maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
    • maternal diseases classifiable elsewhere but complicating pregnancy, labor and delivery, and the puerperium (O98-O99)
    Other maternal disorders predominantly related to pregnancy
Code History
Code annotations containing back-references to O26.6:
ICD-10-CM Codes Adjacent To O26.6
O26.4 Herpes gestationis
O26.40 …… unspecified trimester
O26.41 …… first trimester
O26.42 …… second trimester
O26.43 …… third trimester
O26.5 Maternal hypotension syndrome
O26.50 …… unspecified trimester
O26.51 …… first trimester
O26.52 …… second trimester
O26.53 …… third trimester
O26.6 Liver and biliary tract disorders in pregnancy, childbirth and the puerperium
O26.61 Liver and biliary tract disorders in pregnancy
O26.611 …… first trimester
O26.612 …… second trimester
O26.613 …… third trimester
O26.619 …… unspecified trimester
O26.62 Liver and biliary tract disorders in childbirth
O26.63 Liver and biliary tract disorders in the puerperium
O26.7 Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium
O26.71 Subluxation of symphysis (pubis) in pregnancy
O26.711 …… first trimester

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