Pregnancy (single) (uterine) - see also Delivery and Puerperal

• abdominal (ectopic) O00.00
  ICD-10-CM Diagnosis Code O00.00

  Abdominal pregnancy without intrauterine pregnancy

  2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

  Applicable To

  • Abdominal pregnancy NOS
  • with intrauterine pregnancy O00.01
    ICD-10-CM Diagnosis Code O00.01

    Abdominal pregnancy with intrauterine pregnancy

    2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • with viable fetus O36.7-
    ICD-10-CM Diagnosis Code O36.7-

    Maternal care for viable fetus in abdominal pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
• ampullar O00.10-
  ICD-10-CM Diagnosis Code O00.10-

  Tubal pregnancy without intrauterine pregnancy

  2017 - New Code 2018 - Converted to Parent Code 2019 2020 Non-Billable/Non-Specific Code

  Applicable To

  • Tubal pregnancy NOS
  • with intrauterine pregnancy O00.11-
    ICD-10-CM Diagnosis Code O00.11-

    Tubal pregnancy with intrauterine pregnancy

    2017 - New Code 2018 - Converted to Parent Code 2019 2020 Non-Billable/Non-Specific Code
• biochemical O02.81
  ICD-10-CM Diagnosis Code O02.81

  Inappropriate change in quantitative human chorionic gonadotropin (hCG) in early pregnancy

  2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

  Applicable To

  • Biochemical pregnancy
  • Chemical pregnancy
  • Inappropriate level of quantitative human chorionic gonadotropin (hCG) for gestational age in early pregnancy
• broad ligament O00.80
  ICD-10-CM Diagnosis Code O00.80

  Other ectopic pregnancy without intrauterine pregnancy

  2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

  Applicable To

  • Other ectopic pregnancy NOS
  • with intrauterine pregnancy O00.81
    ICD-10-CM Diagnosis Code O00.81

    Other ectopic pregnancy with intrauterine pregnancy

    2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
• cervical O00.80
  ICD-10-CM Diagnosis Code O00.80

  Other ectopic pregnancy without intrauterine pregnancy

  2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

  Applicable To

  • Other ectopic pregnancy NOS
  • with intrauterine pregnancy O00.81
    ICD-10-CM Diagnosis Code O00.81

    Other ectopic pregnancy with intrauterine pregnancy

    2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
• chemical O02.81
  ICD-10-CM Diagnosis Code O02.81

  Inappropriate change in quantitative human chorionic gonadotropin (hCG) in early pregnancy

  2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

  Applicable To

  • Biochemical pregnancy
  • Chemical pregnancy
  • Inappropriate level of quantitative human chorionic gonadotropin (hCG) for gestational age in early pregnancy
• complicated by (care of) (management affected by)
  • abnormal, abnormality
    • cervix O34.4-
      ICD-10-CM Diagnosis Code O34.4-

      Maternal care for other abnormalities of cervix

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • causing obstructed labor O65.5
        ICD-10-CM Diagnosis Code O65.5

        Obstructed labor due to abnormality of maternal pelvic organs

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

        Applicable To

        • Obstructed labor due to conditions listed in O34.-

        Use Additional

        • code to identify abnormality of pelvic organs O34.-
    • cord O69.9
      (umbilical)
      ICD-10-CM Diagnosis Code O69.9

      Labor and delivery complicated by cord complication, unspecified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • fetal heart rate or rhythm O36.83-
      ICD-10-CM Diagnosis Code O36.83-

      Maternal care for abnormalities of the fetal heart rate or rhythm

      2018 - New Code 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for depressed fetal heart rate tones
      • Maternal care for fetal bradycardia
      • Maternal care for fetal heart rate abnormal variability
      • Maternal care for fetal heart rate decelerations
      • Maternal care for fetal heart rate irregularity
      • Maternal care for fetal tachycardia
      • Maternal care for non-reassuring fetal heart rate or rhythm
    • findings on antenatal screening of mother O28.9
      ICD-10-CM Diagnosis Code O28.9

      Unspecified abnormal findings on antenatal screening of mother

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
      • biochemical O28.1
        ICD-10-CM Diagnosis Code O28.1

        Abnormal biochemical finding on antenatal screening of mother

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
      • chromosomal O28.5
        ICD-10-CM Diagnosis Code O28.5

        Abnormal chromosomal and genetic finding on antenatal screening of mother

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
      • cytological O28.2
        ICD-10-CM Diagnosis Code O28.2

        Abnormal cytological finding on antenatal screening of mother

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
      • genetic O28.5
        ICD-10-CM Diagnosis Code O28.5

        Abnormal chromosomal and genetic finding on antenatal screening of mother

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
      • hematological O28.0
        ICD-10-CM Diagnosis Code O28.0

        Abnormal hematological finding on antenatal screening of mother

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
      • radiological O28.4
        ICD-10-CM Diagnosis Code O28.4

        Abnormal radiological finding on antenatal screening of mother

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
      • specified NEC O28.8
        ICD-10-CM Diagnosis Code O28.8

        Other abnormal findings on antenatal screening of mother

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
      • ultrasonic O28.3
        ICD-10-CM Diagnosis Code O28.3

        Abnormal ultrasonic finding on antenatal screening of mother

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • glucose O99.810
      (tolerance)
      ICD-10-CM Diagnosis Code O99.810

      Abnormal glucose complicating pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • pelvic organs O34.9-
      ICD-10-CM Diagnosis Code O34.9-

      Maternal care for abnormality of pelvic organ, unspecified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • specified NEC O34.8-
        ICD-10-CM Diagnosis Code O34.8-

        Maternal care for other abnormalities of pelvic organs

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
        • causing obstructed labor O65.5
          ICD-10-CM Diagnosis Code O65.5

          Obstructed labor due to abnormality of maternal pelvic organs

          2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

          Applicable To

          • Obstructed labor due to conditions listed in O34.-

          Use Additional

          • code to identify abnormality of pelvic organs O34.-
    • pelvis O33.0
      (bony) (major)
      ICD-10-CM Diagnosis Code O33.0

      Maternal care for disproportion due to deformity of maternal pelvic bones

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Maternal care for disproportion due to pelvic deformity causing disproportion NOS
    • perineum O34.7-
      ICD-10-CM Diagnosis Code O34.7-

      Maternal care for abnormality of vulva and perineum

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Type 2 Excludes

      • maternal care for perineal and vulval varices in pregnancy (O22.1-)
    • position
      • placenta O44.0-
        ICD-10-CM Diagnosis Code O44.0-

        Complete placenta previa NOS or without hemorrhage

        2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Placenta previa NOS
        • with hemorrhage O44.1-
          ICD-10-CM Diagnosis Code O44.1-

          Complete placenta previa with hemorrhage

          2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code

          Type 1 Excludes

          • labor and delivery complicated by hemorrhage from vasa previa (O69.4)
      • uterus O34.59-
        ICD-10-CM Diagnosis Code O34.59-

        Maternal care for other abnormalities of gravid uterus

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • uterus O34.59-
      ICD-10-CM Diagnosis Code O34.59-

      Maternal care for other abnormalities of gravid uterus

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • causing obstructed labor O65.5
        ICD-10-CM Diagnosis Code O65.5

        Obstructed labor due to abnormality of maternal pelvic organs

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

        Applicable To

        • Obstructed labor due to conditions listed in O34.-

        Use Additional

        • code to identify abnormality of pelvic organs O34.-
      • congenital O34.0-
        ICD-10-CM Diagnosis Code O34.0-

        Maternal care for congenital malformation of uterus

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Maternal care for double uterus
        • Maternal care for uterus bicornis
    • vagina O34.6-
      ICD-10-CM Diagnosis Code O34.6-

      Maternal care for abnormality of vagina

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Type 2 Excludes

      • maternal care for vaginal varices in pregnancy (O22.1-)
      • causing obstructed labor O65.5
        ICD-10-CM Diagnosis Code O65.5

        Obstructed labor due to abnormality of maternal pelvic organs

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

        Applicable To

        • Obstructed labor due to conditions listed in O34.-

        Use Additional

        • code to identify abnormality of pelvic organs O34.-
    • vulva O34.7-
      ICD-10-CM Diagnosis Code O34.7-

      Maternal care for abnormality of vulva and perineum

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Type 2 Excludes

      • maternal care for perineal and vulval varices in pregnancy (O22.1-)
      • causing obstructed labor O65.5
        ICD-10-CM Diagnosis Code O65.5

        Obstructed labor due to abnormality of maternal pelvic organs

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

        Applicable To

        • Obstructed labor due to conditions listed in O34.-

        Use Additional

        • code to identify abnormality of pelvic organs O34.-
  • abruptio placentae - see Abruptio placentae
  • abscess or cellulitis
    • bladder O23.1-
      ICD-10-CM Diagnosis Code O23.1-

      Infections of bladder in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • breast O91.11-
      ICD-10-CM Diagnosis Code O91.11-

      Abscess of breast associated with pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Gestational mammary abscess
      • Gestational purulent mastitis
      • Gestational subareolar abscess
    • genital organ or tract O23.9-
      ICD-10-CM Diagnosis Code O23.9-

      Unspecified genitourinary tract infection in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Genitourinary tract infection in pregnancy NOS
  • abuse
    • physical O9A.31-
      ICD-10-CM Diagnosis Code O9A.31-

      Physical abuse complicating pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • psychological O9A.51-
      ICD-10-CM Diagnosis Code O9A.51-

      Psychological abuse complicating pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • sexual O9A.41-
      ICD-10-CM Diagnosis Code O9A.41-

      Sexual abuse complicating pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • adverse effect anesthesia O29.9-
    ICD-10-CM Diagnosis Code O29.9-

    Unspecified complication of anesthesia during pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • aspiration pneumonitis O29.01-
      ICD-10-CM Diagnosis Code O29.01-

      Aspiration pneumonitis due to anesthesia during pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Inhalation of stomach contents or secretions NOS due to anesthesia during pregnancy
      • Mendelson's syndrome due to anesthesia during pregnancy
    • cardiac arrest O29.11-
      ICD-10-CM Diagnosis Code O29.11-

      Cardiac arrest due to anesthesia during pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • cardiac complication NEC O29.19-
      ICD-10-CM Diagnosis Code O29.19-

      Other cardiac complications of anesthesia during pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • cardiac failure O29.12-
      ICD-10-CM Diagnosis Code O29.12-

      Cardiac failure due to anesthesia during pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • central nervous system complication NEC O29.29-
      ICD-10-CM Diagnosis Code O29.29-

      Other central nervous system complications of anesthesia during pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • cerebral anoxia O29.21-
      ICD-10-CM Diagnosis Code O29.21-

      Cerebral anoxia due to anesthesia during pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • failed or difficult intubation O29.6-
      ICD-10-CM Diagnosis Code O29.6-

      Failed or difficult intubation for anesthesia during pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • inhalation of stomach contents or secretions NOS O29.01-
      ICD-10-CM Diagnosis Code O29.01-

      Aspiration pneumonitis due to anesthesia during pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Inhalation of stomach contents or secretions NOS due to anesthesia during pregnancy
      • Mendelson's syndrome due to anesthesia during pregnancy
    • local, toxic reaction O29.3X
      ICD-10-CM Diagnosis Code O29.3X

      Toxic reaction to local anesthesia during pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • Mendelson's syndrome O29.01-
      ICD-10-CM Diagnosis Code O29.01-

      Aspiration pneumonitis due to anesthesia during pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Inhalation of stomach contents or secretions NOS due to anesthesia during pregnancy
      • Mendelson's syndrome due to anesthesia during pregnancy
    • pressure collapse of lung O29.02-
      ICD-10-CM Diagnosis Code O29.02-

      Pressure collapse of lung due to anesthesia during pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • pulmonary complications NEC O29.09-
      ICD-10-CM Diagnosis Code O29.09-

      Other pulmonary complications of anesthesia during pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • specified NEC O29.8X-
      ICD-10-CM Diagnosis Code O29.8X-

      Other complications of anesthesia during pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • spinal and epidural type NEC O29.5X
      ICD-10-CM Diagnosis Code O29.5X

      Other complications of spinal and epidural anesthesia during pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • induced headache O29.4-
        ICD-10-CM Diagnosis Code O29.4-

        Spinal and epidural anesthesia induced headache during pregnancy

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • albuminuria O12.1-
    - see also Proteinuria, gestational
    ICD-10-CM Diagnosis Code O12.1-

    Gestational proteinuria

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • alcohol use O99.31-
    ICD-10-CM Diagnosis Code O99.31-

    Alcohol use complicating pregnancy, childbirth, and the puerperium

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Use Additional

    • code(s) from F10 to identify manifestations of the alcohol use
  • amnionitis O41.12-
    ICD-10-CM Diagnosis Code O41.12-

    Chorioamnionitis

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • anaphylactoid syndrome of pregnancy O88.01-
    ICD-10-CM Diagnosis Code O88.01-

    Obstetric air embolism in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • anemia (conditions in D50-D64) (pre-existing) O99.01-
    ICD-10-CM Diagnosis Code O99.01-

    Anemia complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • complicating the puerperium O99.03
      ICD-10-CM Diagnosis Code O99.03

      Anemia complicating the puerperium

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Type 1 Excludes

      • postpartum anemia not pre-existing prior to delivery (O90.81)
  • antepartum hemorrhage O46.9-
    ICD-10-CM Diagnosis Code O46.9-

    Antepartum hemorrhage, unspecified

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • specified NEC O46.8X-
      ICD-10-CM Diagnosis Code O46.8X-

      Other antepartum hemorrhage

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • with coagulation defect - see Hemorrhage, antepartum, with coagulation defect
  • appendicitis O99.61-
    ICD-10-CM Diagnosis Code O99.61-

    Diseases of the digestive system complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • atrophy O26.61-
    (yellow) (acute) liver (subacute)
    ICD-10-CM Diagnosis Code O26.61-

    Liver and biliary tract disorders in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • bariatric surgery status O99.84-
    ICD-10-CM Diagnosis Code O99.84-

    Bariatric surgery status complicating pregnancy, childbirth and the puerperium

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Gastric banding status complicating pregnancy, childbirth and the puerperium
    • Gastric bypass status for obesity complicating pregnancy, childbirth and the puerperium
    • Obesity surgery status complicating pregnancy, childbirth and the puerperium
  • bicornis or bicornuate uterus O34.0-
    ICD-10-CM Diagnosis Code O34.0-

    Maternal care for congenital malformation of uterus

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Maternal care for double uterus
    • Maternal care for uterus bicornis
  • biliary tract problems O26.61-
    ICD-10-CM Diagnosis Code O26.61-

    Liver and biliary tract disorders in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • breech presentation O32.1
    ICD-10-CM Diagnosis Code O32.1

    Maternal care for breech presentation

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Maternal care for buttocks presentation
    • Maternal care for complete breech
    • Maternal care for frank breech

    Type 1 Excludes

    • footling presentation (O32.8)
    • incomplete breech (O32.8)
  • cardiovascular diseases O99.41-
    (conditions in I00-I09, I20-I52, I70-I99)
    ICD-10-CM Diagnosis Code O99.41-

    Diseases of the circulatory system complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • cerebrovascular disorders O99.41-
    (conditions in I60-I69)
    ICD-10-CM Diagnosis Code O99.41-

    Diseases of the circulatory system complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • cervical shortening O26.87-
    ICD-10-CM Diagnosis Code O26.87-

    Cervical shortening

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Type 1 Excludes

    • encounter for suspected cervical shortening ruled out (Z03.75)
  • cervicitis O23.51-
    ICD-10-CM Diagnosis Code O23.51-

    Infection of cervix in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • chloasma O26.89-
    (gravidarum)
    ICD-10-CM Diagnosis Code O26.89-

    Other specified pregnancy related conditions

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • cholecystitis O99.61-
    ICD-10-CM Diagnosis Code O99.61-

    Diseases of the digestive system complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • cholestasis O26.61-
    (intrahepatic)
    ICD-10-CM Diagnosis Code O26.61-

    Liver and biliary tract disorders in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • chorioamnionitis O41.12-
    ICD-10-CM Diagnosis Code O41.12-

    Chorioamnionitis

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • circulatory system disorder (conditions in I00-I09, I20-I99, O99.41-)
  • compound presentation O32.6
    ICD-10-CM Diagnosis Code O32.6

    Maternal care for compound presentation

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • conjoined twins O30.02-
    ICD-10-CM Diagnosis Code O30.02-

    Conjoined twin pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • connective system disorders O99.89
    (conditions in M00-M99)
    ICD-10-CM Diagnosis Code O99.89

    Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • contracted pelvis (general) O33.1
    ICD-10-CM Diagnosis Code O33.1

    Maternal care for disproportion due to generally contracted pelvis

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Maternal care for disproportion due to contracted pelvis NOS causing disproportion
    • inlet O33.2
      ICD-10-CM Diagnosis Code O33.2

      Maternal care for disproportion due to inlet contraction of pelvis

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Maternal care for disproportion due to inlet contraction (pelvis) causing disproportion
    • outlet O33.3
      ICD-10-CM Diagnosis Code O33.3

      Maternal care for disproportion due to outlet contraction of pelvis

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for disproportion due to mid-cavity contraction (pelvis)
      • Maternal care for disproportion due to outlet contraction (pelvis)
  • convulsions O15.9-
    (eclamptic) (uremic) - see also Eclampsia
    ICD-10-CM Diagnosis Code O15.9-

    Eclampsia, unspecified as to time period

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Eclampsia NOS
  • cracked nipple O92.11-
    ICD-10-CM Diagnosis Code O92.11-

    Cracked nipple associated with pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • cystitis O23.1-
    ICD-10-CM Diagnosis Code O23.1-

    Infections of bladder in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • cystocele O34.8-
    ICD-10-CM Diagnosis Code O34.8-

    Maternal care for other abnormalities of pelvic organs

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • death of fetus (near term) O36.4
    ICD-10-CM Diagnosis Code O36.4

    Maternal care for intrauterine death

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Maternal care for intrauterine fetal death NOS
    • Maternal care for intrauterine fetal death after completion of 20 weeks of gestation
    • Maternal care for late fetal death
    • Maternal care for missed delivery

    Type 1 Excludes

    • missed abortion (O02.1)
    • stillbirth (P95)
    • early pregnancy O02.1
      ICD-10-CM Diagnosis Code O02.1

      Missed abortion

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Early fetal death, before completion of 20 weeks of gestation, with retention of dead fetus

      Type 1 Excludes

      • failed induced abortion (O07.-)
      • fetal death (intrauterine) (late) (O36.4)
      • missed abortion with blighted ovum (O02.0)
      • missed abortion with hydatidiform mole (O01.-)
      • missed abortion with nonhydatidiform (O02.0)
      • missed abortion with other abnormal products of conception (O02.8-)
      • missed delivery (O36.4)
      • stillbirth (P95)
    • of one fetus or more in multiple gestation O31.2-
      ICD-10-CM Diagnosis Code O31.2-

      Continuing pregnancy after intrauterine death of one fetus or more

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • deciduitis O41.14-
    ICD-10-CM Diagnosis Code O41.14-

    Placentitis

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • decreased fetal movement O36.81-
    ICD-10-CM Diagnosis Code O36.81-

    Decreased fetal movements

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • dental problems O99.61-
    ICD-10-CM Diagnosis Code O99.61-

    Diseases of the digestive system complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • diabetes (mellitus) O24.91-
    ICD-10-CM Diagnosis Code O24.91-

    Unspecified diabetes mellitus in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • gestational (pregnancy induced) - see Diabetes, gestational
    • pre-existing O24.31-
      ICD-10-CM Diagnosis Code O24.31-

      Unspecified pre-existing diabetes mellitus in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • specified NEC O24.81-
        ICD-10-CM Diagnosis Code O24.81-

        Other pre-existing diabetes mellitus in pregnancy

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • type 1 O24.01-
        ICD-10-CM Diagnosis Code O24.01-

        Pre-existing type 1 diabetes mellitus, in pregnancy

        2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code
      • type 2 O24.11-
        ICD-10-CM Diagnosis Code O24.11-

        Pre-existing type 2 diabetes mellitus, in pregnancy

        2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code
  • digestive system disorders O99.61-
    (conditions in K00-K93)
    ICD-10-CM Diagnosis Code O99.61-

    Diseases of the digestive system complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • diseases of - see Pregnancy, complicated by, specified body system disease
    • biliary tract O26.61-
      ICD-10-CM Diagnosis Code O26.61-

      Liver and biliary tract disorders in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • blood NEC O99.11-
      (conditions in D65-D77)
      ICD-10-CM Diagnosis Code O99.11-

      Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • liver O26.61-
      ICD-10-CM Diagnosis Code O26.61-

      Liver and biliary tract disorders in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • specified NEC O99.89
      ICD-10-CM Diagnosis Code O99.89

      Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • disorders of - see Pregnancy, complicated by, specified body system disorder
    • amniotic fluid and membranes O41.9-
      ICD-10-CM Diagnosis Code O41.9-

      Disorder of amniotic fluid and membranes, unspecified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • specified NEC O41.8X-
        ICD-10-CM Diagnosis Code O41.8X-

        Other specified disorders of amniotic fluid and membranes

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • biliary tract O26.61-
      ICD-10-CM Diagnosis Code O26.61-

      Liver and biliary tract disorders in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • ear and mastoid process O99.89
      (conditions in H60-H95)
      ICD-10-CM Diagnosis Code O99.89

      Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • eye and adnexa O99.89
      (conditions in H00-H59)
      ICD-10-CM Diagnosis Code O99.89

      Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • liver O26.61-
      ICD-10-CM Diagnosis Code O26.61-

      Liver and biliary tract disorders in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • skin O99.71-
      (conditions in L00-L99)
      ICD-10-CM Diagnosis Code O99.71-

      Diseases of the skin and subcutaneous tissue complicating pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • specified NEC O99.89
      ICD-10-CM Diagnosis Code O99.89

      Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • displacement, uterus NEC O34.59-
    ICD-10-CM Diagnosis Code O34.59-

    Maternal care for other abnormalities of gravid uterus

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • causing obstructed labor O65.5
      ICD-10-CM Diagnosis Code O65.5

      Obstructed labor due to abnormality of maternal pelvic organs

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Obstructed labor due to conditions listed in O34.-

      Use Additional

      • code to identify abnormality of pelvic organs O34.-
  • disproportion (due to) O33.9
    ICD-10-CM Diagnosis Code O33.9

    Maternal care for disproportion, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Maternal care for disproportion due to cephalopelvic disproportion NOS
    • Maternal care for disproportion due to fetopelvic disproportion NOS
    • fetal O33.7
      (ascites) (hydrops) (meningomyelocele) (sacral teratoma) (tumor)
      ICD-10-CM Diagnosis Code O33.7

      Maternal care for disproportion due to other fetal deformities

      2016 2017 - Converted to Parent Code 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for disproportion due to fetal ascites
      • Maternal care for disproportion due to fetal hydrops
      • Maternal care for disproportion due to fetal meningomyelocele
      • Maternal care for disproportion due to fetal sacral teratoma
      • Maternal care for disproportion due to fetal tumor

      Type 1 Excludes

      • obstructed labor due to other fetal deformities (O66.3)
    • generally contracted pelvis O33.1
      ICD-10-CM Diagnosis Code O33.1

      Maternal care for disproportion due to generally contracted pelvis

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Maternal care for disproportion due to contracted pelvis NOS causing disproportion
    • hydrocephalic fetus O33.6
      ICD-10-CM Diagnosis Code O33.6

      Maternal care for disproportion due to hydrocephalic fetus

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • inlet contraction of pelvis O33.2
      ICD-10-CM Diagnosis Code O33.2

      Maternal care for disproportion due to inlet contraction of pelvis

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Maternal care for disproportion due to inlet contraction (pelvis) causing disproportion
    • mixed maternal and fetal origin O33.4
      ICD-10-CM Diagnosis Code O33.4

      Maternal care for disproportion of mixed maternal and fetal origin

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • specified NEC O33.8
      ICD-10-CM Diagnosis Code O33.8

      Maternal care for disproportion of other origin

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • double uterus O34.0-
    ICD-10-CM Diagnosis Code O34.0-

    Maternal care for congenital malformation of uterus

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Maternal care for double uterus
    • Maternal care for uterus bicornis
    • causing obstructed labor O65.5
      ICD-10-CM Diagnosis Code O65.5

      Obstructed labor due to abnormality of maternal pelvic organs

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Obstructed labor due to conditions listed in O34.-

      Use Additional

      • code to identify abnormality of pelvic organs O34.-
  • drug use O99.32-
    (conditions in F11-F19)
    ICD-10-CM Diagnosis Code O99.32-

    Drug use complicating pregnancy, childbirth, and the puerperium

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Use Additional

    • code(s) from F11-F16 and F18-F19 to identify manifestations of the drug use
  • eclampsia, eclamptic (coma) (convulsions) (delirium) (nephritis) (uremia) - see also Eclampsia
  • ectopic pregnancy - see Pregnancy, ectopic
  • edema O12.0-
    ICD-10-CM Diagnosis Code O12.0-

    Gestational edema

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • with
      • gestational hypertension, mild O14.0-
        - see also Pre-eclampsia
        ICD-10-CM Diagnosis Code O14.0-

        Mild to moderate pre-eclampsia

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • proteinuria O12.2-
        ICD-10-CM Diagnosis Code O12.2-

        Gestational edema with proteinuria

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • effusion, amniotic fluid - see Pregnancy, complicated by, premature rupture of membranes
  • elderly
    • multigravida O09.52-
      ICD-10-CM Diagnosis Code O09.52-

      Supervision of elderly multigravida

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • primigravida O09.51-
      ICD-10-CM Diagnosis Code O09.51-

      Supervision of elderly primigravida

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • embolism - see also Embolism, obstetric, pregnancy
  • endocrine diseases NEC O99.28-
    ICD-10-CM Diagnosis Code O99.28-

    Other endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • endometritis O86.12
    ICD-10-CM Diagnosis Code O86.12

    Endometritis following delivery

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • excessive weight gain O26.0-
    ICD-10-CM Diagnosis Code O26.0-

    Excessive weight gain in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Type 2 Excludes

    • gestational edema (O12.0, O12.2)
  • exhaustion O26.81-
    ICD-10-CM Diagnosis Code O26.81-

    Pregnancy related exhaustion and fatigue

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • during labor and delivery O75.81
      ICD-10-CM Diagnosis Code O75.81

      Maternal exhaustion complicating labor and delivery

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • face presentation O32.3
    ICD-10-CM Diagnosis Code O32.3

    Maternal care for face, brow and chin presentation

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • failed induction of labor O61.9
    ICD-10-CM Diagnosis Code O61.9

    Failed induction of labor, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • instrumental O61.1
      ICD-10-CM Diagnosis Code O61.1

      Failed instrumental induction of labor

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Failed mechanical induction (of labor)
      • Failed surgical induction (of labor)
    • mechanical O61.1
      ICD-10-CM Diagnosis Code O61.1

      Failed instrumental induction of labor

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Failed mechanical induction (of labor)
      • Failed surgical induction (of labor)
    • medical O61.0
      ICD-10-CM Diagnosis Code O61.0

      Failed medical induction of labor

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Failed induction (of labor) by oxytocin
      • Failed induction (of labor) by prostaglandins
    • specified NEC O61.8
      ICD-10-CM Diagnosis Code O61.8

      Other failed induction of labor

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • surgical O61.1
      ICD-10-CM Diagnosis Code O61.1

      Failed instrumental induction of labor

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Failed mechanical induction (of labor)
      • Failed surgical induction (of labor)
  • failed or difficult intubation for anesthesia O29.6-
    ICD-10-CM Diagnosis Code O29.6-

    Failed or difficult intubation for anesthesia during pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • false labor (pains) O47.9
    ICD-10-CM Diagnosis Code O47.9

    False labor, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • at or after 37 completed weeks of pregnancy O47.1
      ICD-10-CM Diagnosis Code O47.1

      False labor at or after 37 completed weeks of gestation

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • before 37 completed weeks of pregnancy O47.0-
      ICD-10-CM Diagnosis Code O47.0-

      False labor before 37 completed weeks of gestation

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • fatigue O26.81-
    ICD-10-CM Diagnosis Code O26.81-

    Pregnancy related exhaustion and fatigue

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • during labor and delivery O75.81
      ICD-10-CM Diagnosis Code O75.81

      Maternal exhaustion complicating labor and delivery

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • fatty metamorphosis of liver O26.61-
    ICD-10-CM Diagnosis Code O26.61-

    Liver and biliary tract disorders in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • female genital mutilation O34.8-
    ICD-10-CM Diagnosis Code O34.8-

    Maternal care for other abnormalities of pelvic organs

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • fetal (maternal care for)
    • abnormality or damage O35.9
      ICD-10-CM Diagnosis Code O35.9

      Maternal care for (suspected) fetal abnormality and damage, unspecified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • acid-base balance O68
        ICD-10-CM Diagnosis Code O68

        Labor and delivery complicated by abnormality of fetal acid-base balance

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

        Applicable To

        • Fetal acidemia complicating labor and delivery
        • Fetal acidosis complicating labor and delivery
        • Fetal alkalosis complicating labor and delivery
        • Fetal metabolic acidemia complicating labor and delivery

        Type 1 Excludes

        • fetal stress NOS (O77.9)
        • labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
        • labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)

        Type 2 Excludes

        • abnormality in fetal heart rate or rhythm (O76)
        • labor and delivery complicated by meconium in amniotic fluid (O77.0)
      • specified type NEC O35.8
        ICD-10-CM Diagnosis Code O35.8

        Maternal care for other (suspected) fetal abnormality and damage

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Maternal care for damage to fetus from maternal listeriosis
        • Maternal care for damage to fetus from maternal toxoplasmosis
    • acidemia O68
      ICD-10-CM Diagnosis Code O68

      Labor and delivery complicated by abnormality of fetal acid-base balance

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

      Applicable To

      • Fetal acidemia complicating labor and delivery
      • Fetal acidosis complicating labor and delivery
      • Fetal alkalosis complicating labor and delivery
      • Fetal metabolic acidemia complicating labor and delivery

      Type 1 Excludes

      • fetal stress NOS (O77.9)
      • labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
      • labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)

      Type 2 Excludes

      • abnormality in fetal heart rate or rhythm (O76)
      • labor and delivery complicated by meconium in amniotic fluid (O77.0)
    • acidosis O68
      ICD-10-CM Diagnosis Code O68

      Labor and delivery complicated by abnormality of fetal acid-base balance

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

      Applicable To

      • Fetal acidemia complicating labor and delivery
      • Fetal acidosis complicating labor and delivery
      • Fetal alkalosis complicating labor and delivery
      • Fetal metabolic acidemia complicating labor and delivery

      Type 1 Excludes

      • fetal stress NOS (O77.9)
      • labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
      • labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)

      Type 2 Excludes

      • abnormality in fetal heart rate or rhythm (O76)
      • labor and delivery complicated by meconium in amniotic fluid (O77.0)
    • alkalosis O68
      ICD-10-CM Diagnosis Code O68

      Labor and delivery complicated by abnormality of fetal acid-base balance

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

      Applicable To

      • Fetal acidemia complicating labor and delivery
      • Fetal acidosis complicating labor and delivery
      • Fetal alkalosis complicating labor and delivery
      • Fetal metabolic acidemia complicating labor and delivery

      Type 1 Excludes

      • fetal stress NOS (O77.9)
      • labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
      • labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)

      Type 2 Excludes

      • abnormality in fetal heart rate or rhythm (O76)
      • labor and delivery complicated by meconium in amniotic fluid (O77.0)
    • anemia and thrombocytopenia O36.82-
      ICD-10-CM Diagnosis Code O36.82-

      Fetal anemia and thrombocytopenia

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • anencephaly O35.0
      ICD-10-CM Diagnosis Code O35.0

      Maternal care for (suspected) central nervous system malformation in fetus

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for fetal anencephaly
      • Maternal care for fetal hydrocephalus
      • Maternal care for fetal spina bifida

      Type 2 Excludes

      • chromosomal abnormality in fetus (O35.1)
    • bradycardia O36.83-
      ICD-10-CM Diagnosis Code O36.83-

      Maternal care for abnormalities of the fetal heart rate or rhythm

      2018 - New Code 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for depressed fetal heart rate tones
      • Maternal care for fetal bradycardia
      • Maternal care for fetal heart rate abnormal variability
      • Maternal care for fetal heart rate decelerations
      • Maternal care for fetal heart rate irregularity
      • Maternal care for fetal tachycardia
      • Maternal care for non-reassuring fetal heart rate or rhythm
    • chromosomal abnormality O35.1
      (conditions in Q90-Q99)
      ICD-10-CM Diagnosis Code O35.1

      Maternal care for (suspected) chromosomal abnormality in fetus

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • conjoined twins O30.02-
      ICD-10-CM Diagnosis Code O30.02-

      Conjoined twin pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • damage from
      • amniocentesis O35.7
        ICD-10-CM Diagnosis Code O35.7

        Maternal care for (suspected) damage to fetus by other medical procedures

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Maternal care for damage to fetus by amniocentesis
        • Maternal care for damage to fetus by biopsy procedures
        • Maternal care for damage to fetus by hematological investigation
        • Maternal care for damage to fetus by intrauterine contraceptive device
        • Maternal care for damage to fetus by intrauterine surgery
      • biopsy procedures O35.7
        ICD-10-CM Diagnosis Code O35.7

        Maternal care for (suspected) damage to fetus by other medical procedures

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Maternal care for damage to fetus by amniocentesis
        • Maternal care for damage to fetus by biopsy procedures
        • Maternal care for damage to fetus by hematological investigation
        • Maternal care for damage to fetus by intrauterine contraceptive device
        • Maternal care for damage to fetus by intrauterine surgery
      • drug addiction O35.5
        ICD-10-CM Diagnosis Code O35.5

        Maternal care for (suspected) damage to fetus by drugs

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Maternal care for damage to fetus from drug addiction
      • hematological investigation O35.7
        ICD-10-CM Diagnosis Code O35.7

        Maternal care for (suspected) damage to fetus by other medical procedures

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Maternal care for damage to fetus by amniocentesis
        • Maternal care for damage to fetus by biopsy procedures
        • Maternal care for damage to fetus by hematological investigation
        • Maternal care for damage to fetus by intrauterine contraceptive device
        • Maternal care for damage to fetus by intrauterine surgery
      • intrauterine contraceptive device O35.7
        ICD-10-CM Diagnosis Code O35.7

        Maternal care for (suspected) damage to fetus by other medical procedures

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Maternal care for damage to fetus by amniocentesis
        • Maternal care for damage to fetus by biopsy procedures
        • Maternal care for damage to fetus by hematological investigation
        • Maternal care for damage to fetus by intrauterine contraceptive device
        • Maternal care for damage to fetus by intrauterine surgery
      • maternal
        • alcohol addiction O35.4
          ICD-10-CM Diagnosis Code O35.4

          Maternal care for (suspected) damage to fetus from alcohol

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
        • cytomegalovirus infection O35.3
          ICD-10-CM Diagnosis Code O35.3

          Maternal care for (suspected) damage to fetus from viral disease in mother

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

          Applicable To

          • Maternal care for damage to fetus from maternal cytomegalovirus infection
          • Maternal care for damage to fetus from maternal rubella
        • disease NEC O35.8
          ICD-10-CM Diagnosis Code O35.8

          Maternal care for other (suspected) fetal abnormality and damage

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

          Applicable To

          • Maternal care for damage to fetus from maternal listeriosis
          • Maternal care for damage to fetus from maternal toxoplasmosis
        • drug addiction O35.5
          ICD-10-CM Diagnosis Code O35.5

          Maternal care for (suspected) damage to fetus by drugs

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

          Applicable To

          • Maternal care for damage to fetus from drug addiction
        • listeriosis O35.8
          ICD-10-CM Diagnosis Code O35.8

          Maternal care for other (suspected) fetal abnormality and damage

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

          Applicable To

          • Maternal care for damage to fetus from maternal listeriosis
          • Maternal care for damage to fetus from maternal toxoplasmosis
        • rubella O35.3
          ICD-10-CM Diagnosis Code O35.3

          Maternal care for (suspected) damage to fetus from viral disease in mother

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

          Applicable To

          • Maternal care for damage to fetus from maternal cytomegalovirus infection
          • Maternal care for damage to fetus from maternal rubella
        • toxoplasmosis O35.8
          ICD-10-CM Diagnosis Code O35.8

          Maternal care for other (suspected) fetal abnormality and damage

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

          Applicable To

          • Maternal care for damage to fetus from maternal listeriosis
          • Maternal care for damage to fetus from maternal toxoplasmosis
        • viral infection O35.3
          ICD-10-CM Diagnosis Code O35.3

          Maternal care for (suspected) damage to fetus from viral disease in mother

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

          Applicable To

          • Maternal care for damage to fetus from maternal cytomegalovirus infection
          • Maternal care for damage to fetus from maternal rubella
      • medical procedure NEC O35.7
        ICD-10-CM Diagnosis Code O35.7

        Maternal care for (suspected) damage to fetus by other medical procedures

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Maternal care for damage to fetus by amniocentesis
        • Maternal care for damage to fetus by biopsy procedures
        • Maternal care for damage to fetus by hematological investigation
        • Maternal care for damage to fetus by intrauterine contraceptive device
        • Maternal care for damage to fetus by intrauterine surgery
      • radiation O35.6
        ICD-10-CM Diagnosis Code O35.6

        Maternal care for (suspected) damage to fetus by radiation

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • death (near term) O36.4
      ICD-10-CM Diagnosis Code O36.4

      Maternal care for intrauterine death

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for intrauterine fetal death NOS
      • Maternal care for intrauterine fetal death after completion of 20 weeks of gestation
      • Maternal care for late fetal death
      • Maternal care for missed delivery

      Type 1 Excludes

      • missed abortion (O02.1)
      • stillbirth (P95)
      • early pregnancy O02.1
        ICD-10-CM Diagnosis Code O02.1

        Missed abortion

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

        Applicable To

        • Early fetal death, before completion of 20 weeks of gestation, with retention of dead fetus

        Type 1 Excludes

        • failed induced abortion (O07.-)
        • fetal death (intrauterine) (late) (O36.4)
        • missed abortion with blighted ovum (O02.0)
        • missed abortion with hydatidiform mole (O01.-)
        • missed abortion with nonhydatidiform (O02.0)
        • missed abortion with other abnormal products of conception (O02.8-)
        • missed delivery (O36.4)
        • stillbirth (P95)
    • decreased movement O36.81-
      ICD-10-CM Diagnosis Code O36.81-

      Decreased fetal movements

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • depressed heart rate tones O36.83-
      ICD-10-CM Diagnosis Code O36.83-

      Maternal care for abnormalities of the fetal heart rate or rhythm

      2018 - New Code 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for depressed fetal heart rate tones
      • Maternal care for fetal bradycardia
      • Maternal care for fetal heart rate abnormal variability
      • Maternal care for fetal heart rate decelerations
      • Maternal care for fetal heart rate irregularity
      • Maternal care for fetal tachycardia
      • Maternal care for non-reassuring fetal heart rate or rhythm
    • disproportion due to deformity O33.7
      (fetal)
      ICD-10-CM Diagnosis Code O33.7

      Maternal care for disproportion due to other fetal deformities

      2016 2017 - Converted to Parent Code 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for disproportion due to fetal ascites
      • Maternal care for disproportion due to fetal hydrops
      • Maternal care for disproportion due to fetal meningomyelocele
      • Maternal care for disproportion due to fetal sacral teratoma
      • Maternal care for disproportion due to fetal tumor

      Type 1 Excludes

      • obstructed labor due to other fetal deformities (O66.3)
    • excessive growth O36.6-
      (large for dates)
      ICD-10-CM Diagnosis Code O36.6-

      Maternal care for excessive fetal growth

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for known or suspected large-for-dates
    • growth retardation O36.59-
      ICD-10-CM Diagnosis Code O36.59-

      Maternal care for other known or suspected poor fetal growth

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for known or suspected light-for-dates NOS
      • Maternal care for known or suspected small-for-dates NOS
      • light for dates O36.59-
        ICD-10-CM Diagnosis Code O36.59-

        Maternal care for other known or suspected poor fetal growth

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Maternal care for known or suspected light-for-dates NOS
        • Maternal care for known or suspected small-for-dates NOS
      • small for dates O36.59-
        ICD-10-CM Diagnosis Code O36.59-

        Maternal care for other known or suspected poor fetal growth

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Maternal care for known or suspected light-for-dates NOS
        • Maternal care for known or suspected small-for-dates NOS
    • heart rate irregularity O36.83-
      (abnormal variability) (bradycardia) (decelerations) (tachycardia)
      ICD-10-CM Diagnosis Code O36.83-

      Maternal care for abnormalities of the fetal heart rate or rhythm

      2018 - New Code 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for depressed fetal heart rate tones
      • Maternal care for fetal bradycardia
      • Maternal care for fetal heart rate abnormal variability
      • Maternal care for fetal heart rate decelerations
      • Maternal care for fetal heart rate irregularity
      • Maternal care for fetal tachycardia
      • Maternal care for non-reassuring fetal heart rate or rhythm
    • hereditary disease O35.2
      ICD-10-CM Diagnosis Code O35.2

      Maternal care for (suspected) hereditary disease in fetus

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Type 2 Excludes

      • chromosomal abnormality in fetus (O35.1)
    • hydrocephalus O35.0
      ICD-10-CM Diagnosis Code O35.0

      Maternal care for (suspected) central nervous system malformation in fetus

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for fetal anencephaly
      • Maternal care for fetal hydrocephalus
      • Maternal care for fetal spina bifida

      Type 2 Excludes

      • chromosomal abnormality in fetus (O35.1)
    • intrauterine death O36.4
      ICD-10-CM Diagnosis Code O36.4

      Maternal care for intrauterine death

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for intrauterine fetal death NOS
      • Maternal care for intrauterine fetal death after completion of 20 weeks of gestation
      • Maternal care for late fetal death
      • Maternal care for missed delivery

      Type 1 Excludes

      • missed abortion (O02.1)
      • stillbirth (P95)
    • non-reassuring heart rate or rhythm O36.83-
      ICD-10-CM Diagnosis Code O36.83-

      Maternal care for abnormalities of the fetal heart rate or rhythm

      2018 - New Code 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for depressed fetal heart rate tones
      • Maternal care for fetal bradycardia
      • Maternal care for fetal heart rate abnormal variability
      • Maternal care for fetal heart rate decelerations
      • Maternal care for fetal heart rate irregularity
      • Maternal care for fetal tachycardia
      • Maternal care for non-reassuring fetal heart rate or rhythm
    • poor growth O36.59-
      ICD-10-CM Diagnosis Code O36.59-

      Maternal care for other known or suspected poor fetal growth

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for known or suspected light-for-dates NOS
      • Maternal care for known or suspected small-for-dates NOS
      • light for dates O36.59-
        ICD-10-CM Diagnosis Code O36.59-

        Maternal care for other known or suspected poor fetal growth

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Maternal care for known or suspected light-for-dates NOS
        • Maternal care for known or suspected small-for-dates NOS
      • small for dates O36.59-
        ICD-10-CM Diagnosis Code O36.59-

        Maternal care for other known or suspected poor fetal growth

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Maternal care for known or suspected light-for-dates NOS
        • Maternal care for known or suspected small-for-dates NOS
    • problem O36.9-
      ICD-10-CM Diagnosis Code O36.9-

      Maternal care for fetal problem, unspecified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • specified NEC O36.89-
        ICD-10-CM Diagnosis Code O36.89-

        Maternal care for other specified fetal problems

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • reduction O31.3-
      (elective)
      ICD-10-CM Diagnosis Code O31.3-

      Continuing pregnancy after elective fetal reduction of one fetus or more

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Continuing pregnancy after selective termination of one fetus or more
    • selective termination O31.3-
      ICD-10-CM Diagnosis Code O31.3-

      Continuing pregnancy after elective fetal reduction of one fetus or more

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Continuing pregnancy after selective termination of one fetus or more
    • spina bifida O35.0
      ICD-10-CM Diagnosis Code O35.0

      Maternal care for (suspected) central nervous system malformation in fetus

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for fetal anencephaly
      • Maternal care for fetal hydrocephalus
      • Maternal care for fetal spina bifida

      Type 2 Excludes

      • chromosomal abnormality in fetus (O35.1)
    • thrombocytopenia O36.82-
      ICD-10-CM Diagnosis Code O36.82-

      Fetal anemia and thrombocytopenia

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • fibroid O34.1-
    (tumor) (uterus)
    ICD-10-CM Diagnosis Code O34.1-

    Maternal care for benign tumor of corpus uteri

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Type 2 Excludes

    • maternal care for benign tumor of cervix (O34.4-)
    • maternal care for malignant neoplasm of uterus (O9A.1-)
  • fissure of nipple O92.11-
    ICD-10-CM Diagnosis Code O92.11-

    Cracked nipple associated with pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • gallstones O99.61-
    ICD-10-CM Diagnosis Code O99.61-

    Diseases of the digestive system complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • gastric banding status O99.84-
    ICD-10-CM Diagnosis Code O99.84-

    Bariatric surgery status complicating pregnancy, childbirth and the puerperium

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Gastric banding status complicating pregnancy, childbirth and the puerperium
    • Gastric bypass status for obesity complicating pregnancy, childbirth and the puerperium
    • Obesity surgery status complicating pregnancy, childbirth and the puerperium
  • gastric bypass status O99.84-
    ICD-10-CM Diagnosis Code O99.84-

    Bariatric surgery status complicating pregnancy, childbirth and the puerperium

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Gastric banding status complicating pregnancy, childbirth and the puerperium
    • Gastric bypass status for obesity complicating pregnancy, childbirth and the puerperium
    • Obesity surgery status complicating pregnancy, childbirth and the puerperium
  • genital herpes O98.3-
    (asymptomatic) (history of) (inactive)
    ICD-10-CM Diagnosis Code O98.3-

    Other infections with a predominantly sexual mode of transmission complicating pregnancy, childbirth and the puerperium

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Conditions in A55-A64
  • genital tract infection O23.9-
    ICD-10-CM Diagnosis Code O23.9-

    Unspecified genitourinary tract infection in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Genitourinary tract infection in pregnancy NOS
  • glomerular diseases (conditions in N00-N07) O26.83-
    ICD-10-CM Diagnosis Code O26.83-

    Pregnancy related renal disease

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Use Additional

    • code to identify the specific disorder
    • with hypertension, pre-existing - see Hypertension, complicating, pregnancy, pre-existing, with, renal disease
  • gonorrhea O98.21-
    ICD-10-CM Diagnosis Code O98.21-

    Gonorrhea complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • grand multiparity O09.4
    ICD-10-CM Diagnosis Code O09.4

    Supervision of pregnancy with grand multiparity

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • habitual aborter - see Pregnancy, complicated by, recurrent pregnancy loss
  • HELLP syndrome O14.2-
    (hemolysis, elevated liver enzymes and low platelet count)
    ICD-10-CM Diagnosis Code O14.2-

    HELLP syndrome

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Severe pre-eclampsia with hemolysis, elevated liver enzymes and low platelet count (HELLP)
  • hemorrhage
    • antepartum - see Hemorrhage, antepartum
    • before 20 completed weeks gestation O20.9
      ICD-10-CM Diagnosis Code O20.9

      Hemorrhage in early pregnancy, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
      • specified NEC O20.8
        ICD-10-CM Diagnosis Code O20.8

        Other hemorrhage in early pregnancy

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • due to premature separation, placenta O45.9-
      - see also Abruptio placentae
      ICD-10-CM Diagnosis Code O45.9-

      Premature separation of placenta, unspecified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Abruptio placentae NOS
    • early O20.9
      ICD-10-CM Diagnosis Code O20.9

      Hemorrhage in early pregnancy, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
      • specified NEC O20.8
        ICD-10-CM Diagnosis Code O20.8

        Other hemorrhage in early pregnancy

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • threatened abortion O20.0
      ICD-10-CM Diagnosis Code O20.0

      Threatened abortion

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Hemorrhage specified as due to threatened abortion
  • hemorrhoids O22.4-
    ICD-10-CM Diagnosis Code O22.4-

    Hemorrhoids in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • hepatitis O98.41-
    (viral)
    ICD-10-CM Diagnosis Code O98.41-

    Viral hepatitis complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • herniation of uterus O34.59-
    ICD-10-CM Diagnosis Code O34.59-

    Maternal care for other abnormalities of gravid uterus

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • high
    • head at term O32.4
      ICD-10-CM Diagnosis Code O32.4

      Maternal care for high head at term

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for failure of head to enter pelvic brim
    • risk - see Supervision (of) (for), high-risk
  • history of in utero procedure during previous pregnancy O09.82-
    ICD-10-CM Diagnosis Code O09.82-

    Supervision of pregnancy with history of in utero procedure during previous pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • HIV O98.71-
    ICD-10-CM Diagnosis Code O98.71-

    Human immunodeficiency virus [HIV] disease complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • human immunodeficiency virus O98.71-
    (HIV)
    ICD-10-CM Diagnosis Code O98.71-

    Human immunodeficiency virus [HIV] disease complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • hydatidiform mole O01.9-
    - see also Mole, hydatidiform
    ICD-10-CM Diagnosis Code O01.9-

    Hydatidiform mole, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Trophoblastic disease NOS
    • Vesicular mole NOS
  • hydramnios
  • hydrocephalic fetus O33.6
    (disproportion)
    ICD-10-CM Diagnosis Code O33.6

    Maternal care for disproportion due to hydrocephalic fetus

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • hydrops
    • amnii
    • fetalis O36.2-
      ICD-10-CM Diagnosis Code O36.2-

      Maternal care for hydrops fetalis

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for hydrops fetalis NOS
      • Maternal care for hydrops fetalis not associated with isoimmunization

      Type 1 Excludes

      • hydrops fetalis associated with ABO isoimmunization (O36.1-)
      • hydrops fetalis associated with rhesus isoimmunization (O36.0-)
      • associated with isoimmunization O36.11-
        - see also Pregnancy, complicated by, isoimmunization
        ICD-10-CM Diagnosis Code O36.11-

        Maternal care for Anti-A sensitization

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Maternal care for isoimmunization NOS (with hydrops fetalis)
  • hydrorrhea O42.90
    ICD-10-CM Diagnosis Code O42.90

    Premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, unspecified weeks of gestation

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • hyperemesis O21.0-
    (gravidarum) (mild) - see also Hyperemesis, gravidarum
    ICD-10-CM Diagnosis Code O21.0-

    Mild hyperemesis gravidarum

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Hyperemesis gravidarum, mild or unspecified, starting before the end of the 20th week of gestation
  • hypertension - see Hypertension, complicating pregnancy
  • hypertensive
    • heart and renal disease, pre-existing - see Hypertension, complicating, pregnancy, pre-existing, with, heart disease, with renal disease
    • heart disease, pre-existing - see Hypertension, complicating, pregnancy, pre-existing, with, heart disease
    • renal disease, pre-existing - see Hypertension, complicating, pregnancy, pre-existing, with, renal disease
  • hypotension O26.5-
    ICD-10-CM Diagnosis Code O26.5-

    Maternal hypotension syndrome

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Supine hypotensive syndrome
  • immune disorders NEC O99.11-
    (conditions in D80-D89)
    ICD-10-CM Diagnosis Code O99.11-

    Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • incarceration, uterus O34.51-
    ICD-10-CM Diagnosis Code O34.51-

    Maternal care for incarceration of gravid uterus

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • incompetent cervix O34.3-
    ICD-10-CM Diagnosis Code O34.3-

    Maternal care for cervical incompetence

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Maternal care for cerclage with or without cervical incompetence
    • Maternal care for Shirodkar suture with or without cervical incompetence
  • inconclusive fetal viability O36.80
    ICD-10-CM Diagnosis Code O36.80

    Pregnancy with inconclusive fetal viability

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Encounter to determine fetal viability of pregnancy
  • infection(s) O98.91-
    ICD-10-CM Diagnosis Code O98.91-

    Unspecified maternal infectious and parasitic disease complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • amniotic fluid or sac O41.10-
      ICD-10-CM Diagnosis Code O41.10-

      Infection of amniotic sac and membranes, unspecified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • bladder O23.1-
      ICD-10-CM Diagnosis Code O23.1-

      Infections of bladder in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • carrier state NEC O99.830
      ICD-10-CM Diagnosis Code O99.830

      Other infection carrier state complicating pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
      • streptococcus B O99.820
        ICD-10-CM Diagnosis Code O99.820

        Streptococcus B carrier state complicating pregnancy

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • genital organ or tract O23.9-
      ICD-10-CM Diagnosis Code O23.9-

      Unspecified genitourinary tract infection in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Genitourinary tract infection in pregnancy NOS
      • specified NEC O23.59-
        ICD-10-CM Diagnosis Code O23.59-

        Infection of other part of genital tract in pregnancy

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • genitourinary tract O23.9-
      ICD-10-CM Diagnosis Code O23.9-

      Unspecified genitourinary tract infection in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Genitourinary tract infection in pregnancy NOS
    • gonorrhea O98.21-
      ICD-10-CM Diagnosis Code O98.21-

      Gonorrhea complicating pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • hepatitis O98.41-
      (viral)
      ICD-10-CM Diagnosis Code O98.41-

      Viral hepatitis complicating pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • HIV O98.71-
      ICD-10-CM Diagnosis Code O98.71-

      Human immunodeficiency virus [HIV] disease complicating pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • human immunodeficiency virus O98.71-
      (HIV)
      ICD-10-CM Diagnosis Code O98.71-

      Human immunodeficiency virus [HIV] disease complicating pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • kidney O23.0-
      ICD-10-CM Diagnosis Code O23.0-

      Infections of kidney in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Pyelonephritis in pregnancy
    • nipple O91.01-
      ICD-10-CM Diagnosis Code O91.01-

      Infection of nipple associated with pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Gestational abscess of nipple
    • parasitic disease O98.91-
      ICD-10-CM Diagnosis Code O98.91-

      Unspecified maternal infectious and parasitic disease complicating pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • specified NEC O98.81-
        ICD-10-CM Diagnosis Code O98.81-

        Other maternal infectious and parasitic diseases complicating pregnancy

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • protozoal disease O98.61-
      ICD-10-CM Diagnosis Code O98.61-

      Protozoal diseases complicating pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • sexually transmitted NEC O98.31-
      ICD-10-CM Diagnosis Code O98.31-

      Other infections with a predominantly sexual mode of transmission complicating pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • specified type NEC O98.81-
      ICD-10-CM Diagnosis Code O98.81-

      Other maternal infectious and parasitic diseases complicating pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • syphilis O98.11-
      ICD-10-CM Diagnosis Code O98.11-

      Syphilis complicating pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • tuberculosis O98.01-
      ICD-10-CM Diagnosis Code O98.01-

      Tuberculosis complicating pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • urethra O23.2-
      ICD-10-CM Diagnosis Code O23.2-

      Infections of urethra in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • urinary (tract) O23.4-
      ICD-10-CM Diagnosis Code O23.4-

      Unspecified infection of urinary tract in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • specified NEC O23.3-
        ICD-10-CM Diagnosis Code O23.3-

        Infections of other parts of urinary tract in pregnancy

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • viral disease O98.51-
      ICD-10-CM Diagnosis Code O98.51-

      Other viral diseases complicating pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • injury or poisoning (conditions in S00-T88) O9A.21-
    ICD-10-CM Diagnosis Code O9A.21-

    Injury, poisoning and certain other consequences of external causes complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • due to abuse
      • physical O9A.31-
        ICD-10-CM Diagnosis Code O9A.31-

        Physical abuse complicating pregnancy

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • psychological O9A.51-
        ICD-10-CM Diagnosis Code O9A.51-

        Psychological abuse complicating pregnancy

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • sexual O9A.41-
        ICD-10-CM Diagnosis Code O9A.41-

        Sexual abuse complicating pregnancy

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • insufficient
    • prenatal care O09.3-
      ICD-10-CM Diagnosis Code O09.3-

      Supervision of pregnancy with insufficient antenatal care

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Supervision of concealed pregnancy
      • Supervision of hidden pregnancy
    • weight gain O26.1-
      ICD-10-CM Diagnosis Code O26.1-

      Low weight gain in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • insulin resistance O26.89
    ICD-10-CM Diagnosis Code O26.89

    Other specified pregnancy related conditions

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • intrauterine fetal death (near term) O36.4
    ICD-10-CM Diagnosis Code O36.4

    Maternal care for intrauterine death

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Maternal care for intrauterine fetal death NOS
    • Maternal care for intrauterine fetal death after completion of 20 weeks of gestation
    • Maternal care for late fetal death
    • Maternal care for missed delivery

    Type 1 Excludes

    • missed abortion (O02.1)
    • stillbirth (P95)
    • early pregnancy O02.1
      ICD-10-CM Diagnosis Code O02.1

      Missed abortion

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Early fetal death, before completion of 20 weeks of gestation, with retention of dead fetus

      Type 1 Excludes

      • failed induced abortion (O07.-)
      • fetal death (intrauterine) (late) (O36.4)
      • missed abortion with blighted ovum (O02.0)
      • missed abortion with hydatidiform mole (O01.-)
      • missed abortion with nonhydatidiform (O02.0)
      • missed abortion with other abnormal products of conception (O02.8-)
      • missed delivery (O36.4)
      • stillbirth (P95)
    • multiple gestation O31.2-
      (one fetus or more)
      ICD-10-CM Diagnosis Code O31.2-

      Continuing pregnancy after intrauterine death of one fetus or more

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • isoimmunization O36.11-
    ICD-10-CM Diagnosis Code O36.11-

    Maternal care for Anti-A sensitization

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Maternal care for isoimmunization NOS (with hydrops fetalis)
    • anti-A sensitization O36.11-
      ICD-10-CM Diagnosis Code O36.11-

      Maternal care for Anti-A sensitization

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for isoimmunization NOS (with hydrops fetalis)
    • anti-B sensitization O36.19-
      ICD-10-CM Diagnosis Code O36.19-

      Maternal care for other isoimmunization

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for Anti-B sensitization
    • Rh O36.09-
      ICD-10-CM Diagnosis Code O36.09-

      Maternal care for other rhesus isoimmunization

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • anti-D antibody O36.01-
        ICD-10-CM Diagnosis Code O36.01-

        Maternal care for anti-D [Rh] antibodies

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • specified NEC O36.19-
      ICD-10-CM Diagnosis Code O36.19-

      Maternal care for other isoimmunization

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for Anti-B sensitization
  • laceration of uterus NEC O71.81
    ICD-10-CM Diagnosis Code O71.81

    Laceration of uterus, not elsewhere classified

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • malformation
    • placenta, placental (vessel) O43.10-
      ICD-10-CM Diagnosis Code O43.10-

      Malformation of placenta, unspecified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Abnormal placenta NOS
      • specified NEC O43.19-
        ICD-10-CM Diagnosis Code O43.19-

        Other malformation of placenta

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • uterus O34.0-
      (congenital)
      ICD-10-CM Diagnosis Code O34.0-

      Maternal care for congenital malformation of uterus

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for double uterus
      • Maternal care for uterus bicornis
  • malnutrition O25.1-
    (conditions in E40-E46)
    ICD-10-CM Diagnosis Code O25.1-

    Malnutrition in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • maternal hypotension syndrome O26.5-
    ICD-10-CM Diagnosis Code O26.5-

    Maternal hypotension syndrome

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Supine hypotensive syndrome
  • mental disorders (conditions in F01-F09, F20-F99) O99.34-
    ICD-10-CM Diagnosis Code O99.34-

    Other mental disorders complicating pregnancy, childbirth, and the puerperium

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Conditions in F01-F09, F20-F99 and F54-F99

    Type 2 Excludes

    • postpartum mood disturbance (O90.6)
    • postnatal psychosis (F53.1)
    • puerperal psychosis (F53.1)
    • alcohol use O99.31-
      ICD-10-CM Diagnosis Code O99.31-

      Alcohol use complicating pregnancy, childbirth, and the puerperium

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Use Additional

      • code(s) from F10 to identify manifestations of the alcohol use
    • drug use O99.32-
      ICD-10-CM Diagnosis Code O99.32-

      Drug use complicating pregnancy, childbirth, and the puerperium

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Use Additional

      • code(s) from F11-F16 and F18-F19 to identify manifestations of the drug use
    • smoking O99.33-
      ICD-10-CM Diagnosis Code O99.33-

      Tobacco use disorder complicating pregnancy, childbirth, and the puerperium

      2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Smoking complicating pregnancy, childbirth, and the puerperium

      Use Additional

      • code from category F17 to identify type of tobacco nicotine dependence
  • mentum presentation O32.3
    ICD-10-CM Diagnosis Code O32.3

    Maternal care for face, brow and chin presentation

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • metabolic disorders O99.28-
    ICD-10-CM Diagnosis Code O99.28-

    Other endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • missed
    • abortion O02.1
      ICD-10-CM Diagnosis Code O02.1

      Missed abortion

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Early fetal death, before completion of 20 weeks of gestation, with retention of dead fetus

      Type 1 Excludes

      • failed induced abortion (O07.-)
      • fetal death (intrauterine) (late) (O36.4)
      • missed abortion with blighted ovum (O02.0)
      • missed abortion with hydatidiform mole (O01.-)
      • missed abortion with nonhydatidiform (O02.0)
      • missed abortion with other abnormal products of conception (O02.8-)
      • missed delivery (O36.4)
      • stillbirth (P95)
    • delivery O36.4
      ICD-10-CM Diagnosis Code O36.4

      Maternal care for intrauterine death

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternal care for intrauterine fetal death NOS
      • Maternal care for intrauterine fetal death after completion of 20 weeks of gestation
      • Maternal care for late fetal death
      • Maternal care for missed delivery

      Type 1 Excludes

      • missed abortion (O02.1)
      • stillbirth (P95)
  • multiple gestations O30.9-
    ICD-10-CM Diagnosis Code O30.9-

    Multiple gestation, unspecified

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Multiple pregnancy NOS
    • conjoined twins O30.02-
      ICD-10-CM Diagnosis Code O30.02-

      Conjoined twin pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • quadruplet - see Pregnancy, quadruplet
    • specified complication NEC O31.8X-
      ICD-10-CM Diagnosis Code O31.8X-

      Other complications specific to multiple gestation

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • specified number of multiples NEC - see Pregnancy, multiple (gestation), specified NEC
    • triplet - see Pregnancy, triplet
    • twin - see Pregnancy, twin
  • musculoskeletal condition O99.89
    (conditions is M00-M99)
    ICD-10-CM Diagnosis Code O99.89

    Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • necrosis, liver O26.61-
    (conditions in K72)
    ICD-10-CM Diagnosis Code O26.61-

    Liver and biliary tract disorders in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • neoplasm
    • benign
      • cervix O34.4-
        ICD-10-CM Diagnosis Code O34.4-

        Maternal care for other abnormalities of cervix

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • corpus uteri O34.1-
        ICD-10-CM Diagnosis Code O34.1-

        Maternal care for benign tumor of corpus uteri

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Type 2 Excludes

        • maternal care for benign tumor of cervix (O34.4-)
        • maternal care for malignant neoplasm of uterus (O9A.1-)
      • uterus O34.1-
        ICD-10-CM Diagnosis Code O34.1-

        Maternal care for benign tumor of corpus uteri

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Type 2 Excludes

        • maternal care for benign tumor of cervix (O34.4-)
        • maternal care for malignant neoplasm of uterus (O9A.1-)
    • malignant O9A.11-
      ICD-10-CM Diagnosis Code O9A.11-

      Malignant neoplasm complicating pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • nephropathy NEC O26.83-
    ICD-10-CM Diagnosis Code O26.83-

    Pregnancy related renal disease

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Use Additional

    • code to identify the specific disorder
  • nervous system condition O99.35-
    (conditions in G00-G99)
    ICD-10-CM Diagnosis Code O99.35-

    Diseases of the nervous system complicating pregnancy, childbirth, and the puerperium

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Conditions in G00-G99

    Type 2 Excludes

    • pregnancy related peripheral neuritis (O26.8-)
  • nutritional diseases NEC O99.28-
    ICD-10-CM Diagnosis Code O99.28-

    Other endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • obesity O99.21-
    (pre-existing)
    ICD-10-CM Diagnosis Code O99.21-

    Obesity complicating pregnancy, childbirth, and the puerperium

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Use Additional

    • code to identify the type of obesity (E66.-)
  • obesity surgery status O99.84-
    ICD-10-CM Diagnosis Code O99.84-

    Bariatric surgery status complicating pregnancy, childbirth and the puerperium

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Gastric banding status complicating pregnancy, childbirth and the puerperium
    • Gastric bypass status for obesity complicating pregnancy, childbirth and the puerperium
    • Obesity surgery status complicating pregnancy, childbirth and the puerperium
  • oblique lie or presentation O32.2
    ICD-10-CM Diagnosis Code O32.2

    Maternal care for transverse and oblique lie

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Maternal care for oblique presentation
    • Maternal care for transverse presentation
  • older mother - see Pregnancy, complicated by, elderly
  • oligohydramnios O41.0-
    ICD-10-CM Diagnosis Code O41.0-

    Oligohydramnios

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Oligohydramnios without rupture of membranes
    • with premature rupture of membranes - see also Pregnancy, complicated by, premature rupture of membranes
  • onset O75.82
    (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned)
    ICD-10-CM Diagnosis Code O75.82

    Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Delivery by (planned) cesarean section occurring after 37 completed weeks of gestation but before 39 completed weeks gestation due to (spontaneous) onset of labor

    Code First

    • to specify reason for planned cesarean section such as:
    • cephalopelvic disproportion (normally formed fetus) (O33.9)
    • previous cesarean delivery (O34.21)
  • oophoritis O23.52-
    ICD-10-CM Diagnosis Code O23.52-

    Salpingo-oophoritis in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Oophoritis in pregnancy
    • Salpingitis in pregnancy
  • overdose, drug O9A.21-
    - see also Table of Drugs and Chemicals, by drug, poisoning
    ICD-10-CM Diagnosis Code O9A.21-

    Injury, poisoning and certain other consequences of external causes complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • oversize fetus O33.5
    ICD-10-CM Diagnosis Code O33.5

    Maternal care for disproportion due to unusually large fetus

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Maternal care for disproportion due to disproportion of fetal origin with normally formed fetus
    • Maternal care for disproportion due to fetal disproportion NOS
  • papyraceous fetus O31.0-
    ICD-10-CM Diagnosis Code O31.0-

    Papyraceous fetus

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Fetus compressus
  • pelvic inflammatory disease O99.89
    ICD-10-CM Diagnosis Code O99.89

    Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • periodontal disease O99.61-
    ICD-10-CM Diagnosis Code O99.61-

    Diseases of the digestive system complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • peripheral neuritis O26.82-
    ICD-10-CM Diagnosis Code O26.82-

    Pregnancy related peripheral neuritis

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • peritoneal O99.89
    (pelvic)
    ICD-10-CM Diagnosis Code O99.89

    Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • phlebitis O22.9-
    ICD-10-CM Diagnosis Code O22.9-

    Venous complication in pregnancy, unspecified

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Gestational phlebitis NOS
    • Gestational phlebopathy NOS
    • Gestational thrombosis NOS
  • phlebopathy O22.9-
    ICD-10-CM Diagnosis Code O22.9-

    Venous complication in pregnancy, unspecified

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Gestational phlebitis NOS
    • Gestational phlebopathy NOS
    • Gestational thrombosis NOS
  • phlebothrombosis (superficial) O22.2-
    ICD-10-CM Diagnosis Code O22.2-

    Superficial thrombophlebitis in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Phlebitis in pregnancy NOS
    • Thrombophlebitis of legs in pregnancy
    • Thrombosis in pregnancy NOS

    Use Additional

    • code to identify the superficial thrombophlebitis (I80.0-)
    • deep O22.3-
      ICD-10-CM Diagnosis Code O22.3-

      Deep phlebothrombosis in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Deep vein thrombosis, antepartum

      Use Additional

      • code to identify the deep vein thrombosis (I82.4-, I82.5-, I82.62-. I82.72-)
  • placenta accreta O43.21-
    ICD-10-CM Diagnosis Code O43.21-

    Placenta accreta

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • placenta increta O43.22-
    ICD-10-CM Diagnosis Code O43.22-

    Placenta increta

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • placenta percreta O43.23-
    ICD-10-CM Diagnosis Code O43.23-

    Placenta percreta

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • placenta previa O44.0-
    ICD-10-CM Diagnosis Code O44.0-

    Complete placenta previa NOS or without hemorrhage

    2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Placenta previa NOS
    • complete O44.0-
      ICD-10-CM Diagnosis Code O44.0-

      Complete placenta previa NOS or without hemorrhage

      2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Placenta previa NOS
      • with hemorrhage O44.1-
        ICD-10-CM Diagnosis Code O44.1-

        Complete placenta previa with hemorrhage

        2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code

        Type 1 Excludes

        • labor and delivery complicated by hemorrhage from vasa previa (O69.4)
    • marginal O44.2-
      ICD-10-CM Diagnosis Code O44.2-

      Partial placenta previa without hemorrhage

      2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Marginal placenta previa, NOS or without hemorrhage
      • with hemorrhage O44.3-
        ICD-10-CM Diagnosis Code O44.3-

        Partial placenta previa with hemorrhage

        2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Marginal placenta previa with hemorrhage
    • partial O44.2-
      ICD-10-CM Diagnosis Code O44.2-

      Partial placenta previa without hemorrhage

      2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Marginal placenta previa, NOS or without hemorrhage
      • with hemorrhage O44.3-
        ICD-10-CM Diagnosis Code O44.3-

        Partial placenta previa with hemorrhage

        2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Marginal placenta previa with hemorrhage
  • placental disorder O43.9-
    ICD-10-CM Diagnosis Code O43.9-

    Unspecified placental disorder

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • specified NEC O43.89-
      ICD-10-CM Diagnosis Code O43.89-

      Other placental disorders

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Placental dysfunction
  • placental dysfunction O43.89-
    ICD-10-CM Diagnosis Code O43.89-

    Other placental disorders

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Placental dysfunction
  • placental infarction O43.81-
    ICD-10-CM Diagnosis Code O43.81-

    Placental infarction

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • placental insufficiency O36.51-
    ICD-10-CM Diagnosis Code O36.51-

    Maternal care for known or suspected placental insufficiency

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • placental transfusion syndromes
    • fetomaternal O43.01-
      ICD-10-CM Diagnosis Code O43.01-

      Fetomaternal placental transfusion syndrome

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternofetal placental transfusion syndrome
    • fetus to fetus O43.02-
      ICD-10-CM Diagnosis Code O43.02-

      Fetus-to-fetus placental transfusion syndrome

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • maternofetal O43.01-
      ICD-10-CM Diagnosis Code O43.01-

      Fetomaternal placental transfusion syndrome

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Maternofetal placental transfusion syndrome
  • placentitis O41.14-
    ICD-10-CM Diagnosis Code O41.14-

    Placentitis

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • pneumonia O99.51-
    ICD-10-CM Diagnosis Code O99.51-

    Diseases of the respiratory system complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • poisoning O9A.21-
    - see also Table of Drugs and Chemicals
    ICD-10-CM Diagnosis Code O9A.21-

    Injury, poisoning and certain other consequences of external causes complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • polyhydramnios O40-
    ICD-10-CM Diagnosis Code O40-
    • O40 Polyhydramnios
      • O40.1 Polyhydramnios, first trimester
        • O40.1XX0 Polyhydramnios, first trimester, not applicab...
        • O40.1XX1 …… fetus 1
        • O40.1XX2 …… fetus 2
        • O40.1XX3 …… fetus 3
        • O40.1XX4 …… fetus 4
        • O40.1XX5 …… fetus 5
        • O40.1XX9 …… other fetus
      • O40.2 Polyhydramnios, second trimester
        • O40.2XX0 Polyhydramnios, second trimester, not applica...
        • O40.2XX1 …… fetus 1
        • O40.2XX2 …… fetus 2
        • O40.2XX3 …… fetus 3
        • O40.2XX4 …… fetus 4
        • O40.2XX5 …… fetus 5
        • O40.2XX9 Polyhydramnios, second trimester, other fetus...
      • O40.3 Polyhydramnios, third trimester
        • O40.3XX0 Polyhydramnios, third trimester, not applicab...
        • O40.3XX1 …… fetus 1
        • O40.3XX2 …… fetus 2
        • O40.3XX3 …… fetus 3
        • O40.3XX4 …… fetus 4
        • O40.3XX5 …… fetus 5
        • O40.3XX9 …… other fetus
      • O40.9 Polyhydramnios, unspecified trimester
        • O40.9XX0 Polyhydramnios, unspecified trimester, not ap...
        • O40.9XX1 Polyhydramnios, unspecified trimester, fetus ...
        • O40.9XX2 Polyhydramnios, unspecified trimester, fetus ...
        • O40.9XX3 Polyhydramnios, unspecified trimester, fetus ...
        • O40.9XX4 Polyhydramnios, unspecified trimester, fetus ...
        • O40.9XX5 Polyhydramnios, unspecified trimester, fetus ...
        • O40.9XX9 Polyhydramnios, unspecified trimester, other ...
  • polymorphic eruption of pregnancy O26.86
    ICD-10-CM Diagnosis Code O26.86

    Pruritic urticarial papules and plaques of pregnancy (PUPPP)

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Polymorphic eruption of pregnancy
  • poor obstetric history NEC O09.29-
    ICD-10-CM Diagnosis Code O09.29-

    Supervision of pregnancy with other poor reproductive or obstetric history

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Supervision of pregnancy with history of neonatal death
    • Supervision of pregnancy with history of stillbirth
  • postmaturity (post-term) (40 to 42 weeks) O48.0
    ICD-10-CM Diagnosis Code O48.0

    Post-term pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Pregnancy over 40 completed weeks to 42 completed weeks gestation
    • more than 42 completed weeks gestation O48.1
      (prolonged)
      ICD-10-CM Diagnosis Code O48.1

      Prolonged pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Pregnancy which has advanced beyond 42 completed weeks gestation
  • pre-eclampsia O14.9-
    ICD-10-CM Diagnosis Code O14.9-

    Unspecified pre-eclampsia

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • mild O14.0-
      ICD-10-CM Diagnosis Code O14.0-

      Mild to moderate pre-eclampsia

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • moderate O14.0-
      ICD-10-CM Diagnosis Code O14.0-

      Mild to moderate pre-eclampsia

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • severe O14.1-
      ICD-10-CM Diagnosis Code O14.1-

      Severe pre-eclampsia

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Type 1 Excludes

      • HELLP syndrome (O14.2-)
      • with hemolysis, elevated liver enzymes and low platelet count O14.2-
        (HELLP)
        ICD-10-CM Diagnosis Code O14.2-

        HELLP syndrome

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Severe pre-eclampsia with hemolysis, elevated liver enzymes and low platelet count (HELLP)
  • premature labor - see Pregnancy, complicated by, preterm labor
  • premature rupture of membranes O42.90
    ICD-10-CM Diagnosis Code O42.90

    Premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, unspecified weeks of gestation

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • at or after 37 weeks gestation, unspecified as to length of time between rupture and onset of labor O42.92
      ICD-10-CM Diagnosis Code O42.92

      Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Premature rupture of membranes at or after 37 completed weeks of gestation, unspecified as to length of time between rupture and onset of labor
    • full-term, unspecified as to length of time between rupture and onset of labor O42.92
      ICD-10-CM Diagnosis Code O42.92

      Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Premature rupture of membranes at or after 37 completed weeks of gestation, unspecified as to length of time between rupture and onset of labor
    • pre-term O42.91-
      (before 37 completed weeks of gestation)
      ICD-10-CM Diagnosis Code O42.91-

      Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Premature rupture of membranes before 37 completed weeks of gestation
    • with onset of labor
      • after 24 hours O42.10
        ICD-10-CM Diagnosis Code O42.10

        Premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified weeks of gestation

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
        • at or after 37 weeks gestation, onset of labor more than 24 hours following rupture O42.12
          ICD-10-CM Diagnosis Code O42.12

          Full-term premature rupture of membranes, onset of labor more than 24 hours following rupture

          2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

          Applicable To

          • Premature rupture of membranes at or after 37 completed weeks of gestation, onset of labor more than 24 hours following rupture
        • pre-term O42.11-
          (before 37 completed weeks of gestation)
          ICD-10-CM Diagnosis Code O42.11-

          Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

          Applicable To

          • Premature rupture of membranes before 37 completed weeks of gestation
      • within 24 hours O42.00
        ICD-10-CM Diagnosis Code O42.00

        Premature rupture of membranes, onset of labor within 24 hours of rupture, unspecified weeks of gestation

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
        • at or after 37 weeks gestation, onset of labor within 24 hours of rupture O42.02
          ICD-10-CM Diagnosis Code O42.02

          Full-term premature rupture of membranes, onset of labor within 24 hours of rupture

          2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

          Applicable To

          • Premature rupture of membranes at or after 37 completed weeks of gestation, onset of labor within 24 hours of rupture
        • pre-term O42.01-
          (before 37 completed weeks of gestation)
          ICD-10-CM Diagnosis Code O42.01-

          Preterm premature rupture of membranes, onset of labor within 24 hours of rupture

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

          Applicable To

          • Premature rupture of membranes before 37 completed weeks of gestation
  • premature separation of placenta O45.9-
    - see also Abruptio placentae
    ICD-10-CM Diagnosis Code O45.9-

    Premature separation of placenta, unspecified

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Abruptio placentae NOS
  • presentation, fetal - see Delivery, complicated by, malposition
  • preterm delivery O60.10
    ICD-10-CM Diagnosis Code O60.10

    Preterm labor with preterm delivery, unspecified trimester

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Preterm labor with delivery NOS
  • preterm labor
    • second trimester
      • with preterm delivery
        • second trimester O60.12
          ICD-10-CM Diagnosis Code O60.12

          Preterm labor second trimester with preterm delivery second trimester

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code 2nd Trimester (14-28 weeks)
        • third trimester O60.13
          ICD-10-CM Diagnosis Code O60.13

          Preterm labor second trimester with preterm delivery third trimester

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code 2nd Trimester (14-28 weeks)
      • with term delivery O60.22
        ICD-10-CM Diagnosis Code O60.22

        Term delivery with preterm labor, second trimester

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code 2nd Trimester (14-28 weeks)
      • without delivery O60.02
        ICD-10-CM Diagnosis Code O60.02

        Preterm labor without delivery, second trimester

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) 2nd Trimester (14-28 weeks)
    • third trimester
      • with term delivery O60.23
        ICD-10-CM Diagnosis Code O60.23

        Term delivery with preterm labor, third trimester

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code 3rd Trimester (28+ weeks)
      • with third trimester preterm delivery O60.14
        ICD-10-CM Diagnosis Code O60.14

        Preterm labor third trimester with preterm delivery third trimester

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code 3rd Trimester (28+ weeks)
      • without delivery O60.03
        ICD-10-CM Diagnosis Code O60.03

        Preterm labor without delivery, third trimester

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) 3rd Trimester (28+ weeks)
    • with delivery O60.10
      ICD-10-CM Diagnosis Code O60.10

      Preterm labor with preterm delivery, unspecified trimester

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Preterm labor with delivery NOS
      • preterm O60.10
        ICD-10-CM Diagnosis Code O60.10

        Preterm labor with preterm delivery, unspecified trimester

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Preterm labor with delivery NOS
      • term O60.20
        ICD-10-CM Diagnosis Code O60.20

        Term delivery with preterm labor, unspecified trimester

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • without delivery O60.00
      ICD-10-CM Diagnosis Code O60.00

      Preterm labor without delivery, unspecified trimester

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
      • second trimester O60.02
        ICD-10-CM Diagnosis Code O60.02

        Preterm labor without delivery, second trimester

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) 2nd Trimester (14-28 weeks)
      • third trimester O60.03
        ICD-10-CM Diagnosis Code O60.03

        Preterm labor without delivery, third trimester

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) 3rd Trimester (28+ weeks)
  • previous history of - see Pregnancy, supervision of, high-risk
  • prolapse, uterus O34.52-
    ICD-10-CM Diagnosis Code O34.52-

    Maternal care for prolapse of gravid uterus

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • proteinuria (gestational) O12.1-
    - see also Proteinuria, gestational
    ICD-10-CM Diagnosis Code O12.1-

    Gestational proteinuria

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • with edema O12.2-
      ICD-10-CM Diagnosis Code O12.2-

      Gestational edema with proteinuria

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • pruritic urticarial papules and plaques of pregnancy O26.86
    (PUPPP)
    ICD-10-CM Diagnosis Code O26.86

    Pruritic urticarial papules and plaques of pregnancy (PUPPP)

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Polymorphic eruption of pregnancy
  • pruritus O26.89-
    (neurogenic)
    ICD-10-CM Diagnosis Code O26.89-

    Other specified pregnancy related conditions

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • psychosis or psychoneurosis F53.1
    (puerperal)
    ICD-10-CM Diagnosis Code F53.1

    Puerperal psychosis

    2019 - New Code 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Postpartum psychosis
    • Puerperal psychosis, NOS
  • ptyalism O26.89-
    ICD-10-CM Diagnosis Code O26.89-

    Other specified pregnancy related conditions

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • PUPPP O26.86
    (pruritic urticarial papules and plaques of pregnancy)
    ICD-10-CM Diagnosis Code O26.86

    Pruritic urticarial papules and plaques of pregnancy (PUPPP)

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Polymorphic eruption of pregnancy
  • pyelitis O23.0-
    ICD-10-CM Diagnosis Code O23.0-

    Infections of kidney in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Pyelonephritis in pregnancy
  • recurrent pregnancy loss O26.2-
    ICD-10-CM Diagnosis Code O26.2-

    Pregnancy care for patient with recurrent pregnancy loss

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • renal disease or failure NEC O26.83-
    ICD-10-CM Diagnosis Code O26.83-

    Pregnancy related renal disease

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Use Additional

    • code to identify the specific disorder
    • hypertensive, pre-existing - see Hypertension, complicating, pregnancy, pre-existing, with, renal disease
    • with secondary hypertension, pre-existing - see Hypertension, complicating, pregnancy, pre-existing, secondary
  • respiratory condition O99.51-
    (conditions in J00-J99)
    ICD-10-CM Diagnosis Code O99.51-

    Diseases of the respiratory system complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • retained, retention
    • dead ovum O02.0
      ICD-10-CM Diagnosis Code O02.0

      Blighted ovum and nonhydatidiform mole

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Carneous mole
      • Fleshy mole
      • Intrauterine mole NOS
      • Molar pregnancy NEC
      • Pathological ovum
    • intrauterine contraceptive device O26.3-
      ICD-10-CM Diagnosis Code O26.3-

      Retained intrauterine contraceptive device in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • retroversion, uterus O34.53-
    ICD-10-CM Diagnosis Code O34.53-

    Maternal care for retroversion of gravid uterus

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • Rh immunization, incompatibility or sensitization NEC O36.09-
    ICD-10-CM Diagnosis Code O36.09-

    Maternal care for other rhesus isoimmunization

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • anti-D antibody O36.01-
      ICD-10-CM Diagnosis Code O36.01-

      Maternal care for anti-D [Rh] antibodies

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • rupture
    • amnion O42-
      (premature) - see also Pregnancy, complicated by, premature rupture of membranes
      ICD-10-CM Diagnosis Code O42-
      • O42 Premature rupture of membranes
        • O42.0 Premature rupture of membranes, onset of labo...
          • O42.00 Premature rupture of membranes, onset of labo...
          • O42.01 Preterm premature rupture of membranes, onset...
            • O42.011 Preterm premature rupture of membranes, onset...
            • O42.012 Preterm premature rupture of membranes, onset...
            • O42.013 Preterm premature rupture of membranes, onset...
            • O42.019 Preterm premature rupture of membranes, onset...
          • O42.02 Full-term premature rupture of membranes, ons...
        • O42.1 Premature rupture of membranes, onset of labo...
          • O42.10 Premature rupture of membranes, onset of labo...
          • O42.11 Preterm premature rupture of membranes, onset...
            • O42.111 Preterm premature rupture of membranes, onset...
            • O42.112 Preterm premature rupture of membranes, onset...
            • O42.113 Preterm premature rupture of membranes, onset...
            • O42.119 Preterm premature rupture of membranes, onset...
          • O42.12 Full-term premature rupture of membranes, ons...
        • O42.9 Premature rupture of membranes, unspecified a...
          • O42.90 Premature rupture of membranes, unspecified a...
          • O42.91 Preterm premature rupture of membranes, unspe...
            • O42.911 Preterm premature rupture of membranes, unspe...
            • O42.912 Preterm premature rupture of membranes, unspe...
            • O42.913 Preterm premature rupture of membranes, unspe...
            • O42.919 Preterm premature rupture of membranes, unspe...
          • O42.92 Full-term premature rupture of membranes, uns...
    • membranes O42-
      (premature) - see also Pregnancy, complicated by, premature rupture of membranes
      ICD-10-CM Diagnosis Code O42-
      • O42 Premature rupture of membranes
        • O42.0 Premature rupture of membranes, onset of labo...
          • O42.00 Premature rupture of membranes, onset of labo...
          • O42.01 Preterm premature rupture of membranes, onset...
            • O42.011 Preterm premature rupture of membranes, onset...
            • O42.012 Preterm premature rupture of membranes, onset...
            • O42.013 Preterm premature rupture of membranes, onset...
            • O42.019 Preterm premature rupture of membranes, onset...
          • O42.02 Full-term premature rupture of membranes, ons...
        • O42.1 Premature rupture of membranes, onset of labo...
          • O42.10 Premature rupture of membranes, onset of labo...
          • O42.11 Preterm premature rupture of membranes, onset...
            • O42.111 Preterm premature rupture of membranes, onset...
            • O42.112 Preterm premature rupture of membranes, onset...
            • O42.113 Preterm premature rupture of membranes, onset...
            • O42.119 Preterm premature rupture of membranes, onset...
          • O42.12 Full-term premature rupture of membranes, ons...
        • O42.9 Premature rupture of membranes, unspecified a...
          • O42.90 Premature rupture of membranes, unspecified a...
          • O42.91 Preterm premature rupture of membranes, unspe...
            • O42.911 Preterm premature rupture of membranes, unspe...
            • O42.912 Preterm premature rupture of membranes, unspe...
            • O42.913 Preterm premature rupture of membranes, unspe...
            • O42.919 Preterm premature rupture of membranes, unspe...
          • O42.92 Full-term premature rupture of membranes, uns...
    • uterus (during labor) O71.1
      ICD-10-CM Diagnosis Code O71.1

      Rupture of uterus during labor

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Rupture of uterus not stated as occurring before onset of labor

      Type 1 Excludes

      • disruption of cesarean delivery wound (O90.0)
      • laceration of uterus, NEC (O71.81)
      • before onset of labor O71.0-
        ICD-10-CM Diagnosis Code O71.0-

        Rupture of uterus (spontaneous) before onset of labor

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Type 1 Excludes

        • disruption of (current) cesarean delivery wound (O90.0)
        • laceration of uterus, NEC (O71.81)
  • salivation O26.89-
    (excessive)
    ICD-10-CM Diagnosis Code O26.89-

    Other specified pregnancy related conditions

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • salpingitis O23.52-
    ICD-10-CM Diagnosis Code O23.52-

    Salpingo-oophoritis in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Oophoritis in pregnancy
    • Salpingitis in pregnancy
  • salpingo-oophoritis O23.52-
    ICD-10-CM Diagnosis Code O23.52-

    Salpingo-oophoritis in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Oophoritis in pregnancy
    • Salpingitis in pregnancy
  • sepsis O98.81-
    (conditions in A40, A41)
    ICD-10-CM Diagnosis Code O98.81-

    Other maternal infectious and parasitic diseases complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • size date discrepancy O26.84-
    (uterine)
    ICD-10-CM Diagnosis Code O26.84-

    Uterine size-date discrepancy complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Type 1 Excludes

    • encounter for suspected problem with fetal growth ruled out (Z03.74)
  • skin condition O99.71-
    (conditions in L00-L99)
    ICD-10-CM Diagnosis Code O99.71-

    Diseases of the skin and subcutaneous tissue complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • smoking O99.33-
    (tobacco)
    ICD-10-CM Diagnosis Code O99.33-

    Tobacco use disorder complicating pregnancy, childbirth, and the puerperium

    2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Smoking complicating pregnancy, childbirth, and the puerperium

    Use Additional

    • code from category F17 to identify type of tobacco nicotine dependence
  • social problem O09.7-
    ICD-10-CM Diagnosis Code O09.7-

    Supervision of high risk pregnancy due to social problems

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • specified condition NEC O26.89-
    ICD-10-CM Diagnosis Code O26.89-

    Other specified pregnancy related conditions

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • spotting O26.85-
    ICD-10-CM Diagnosis Code O26.85-

    Spotting complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • streptococcus group B O99.820
    (GBS)
    ICD-10-CM Diagnosis Code O99.820

    Streptococcus B carrier state complicating pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • subluxation of symphysis O26.71-
    (pubis)
    ICD-10-CM Diagnosis Code O26.71-

    Subluxation of symphysis (pubis) in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • syphilis O98.11-
    (conditions in A50-A53)
    ICD-10-CM Diagnosis Code O98.11-

    Syphilis complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • threatened
    • abortion O20.0
      ICD-10-CM Diagnosis Code O20.0

      Threatened abortion

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Hemorrhage specified as due to threatened abortion
    • labor O47.9
      ICD-10-CM Diagnosis Code O47.9

      False labor, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
      • at or after 37 completed weeks of gestation O47.1
        ICD-10-CM Diagnosis Code O47.1

        False labor at or after 37 completed weeks of gestation

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
      • before 37 completed weeks of gestation O47.0-
        ICD-10-CM Diagnosis Code O47.0-

        False labor before 37 completed weeks of gestation

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • thrombophlebitis O22.2-
    (superficial)
    ICD-10-CM Diagnosis Code O22.2-

    Superficial thrombophlebitis in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Phlebitis in pregnancy NOS
    • Thrombophlebitis of legs in pregnancy
    • Thrombosis in pregnancy NOS

    Use Additional

    • code to identify the superficial thrombophlebitis (I80.0-)
  • thrombosis O22.9-
    ICD-10-CM Diagnosis Code O22.9-

    Venous complication in pregnancy, unspecified

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Gestational phlebitis NOS
    • Gestational phlebopathy NOS
    • Gestational thrombosis NOS
    • cerebral venous O22.5-
      ICD-10-CM Diagnosis Code O22.5-

      Cerebral venous thrombosis in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Cerebrovenous sinus thrombosis in pregnancy
    • cerebrovenous sinus O22.5-
      ICD-10-CM Diagnosis Code O22.5-

      Cerebral venous thrombosis in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Cerebrovenous sinus thrombosis in pregnancy
    • deep O22.3-
      ICD-10-CM Diagnosis Code O22.3-

      Deep phlebothrombosis in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Deep vein thrombosis, antepartum

      Use Additional

      • code to identify the deep vein thrombosis (I82.4-, I82.5-, I82.62-. I82.72-)
  • tobacco use disorder O99.33-
    (smoking)
    ICD-10-CM Diagnosis Code O99.33-

    Tobacco use disorder complicating pregnancy, childbirth, and the puerperium

    2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Smoking complicating pregnancy, childbirth, and the puerperium

    Use Additional

    • code from category F17 to identify type of tobacco nicotine dependence
  • torsion of uterus O34.59-
    ICD-10-CM Diagnosis Code O34.59-

    Maternal care for other abnormalities of gravid uterus

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • toxemia O14.9-
    ICD-10-CM Diagnosis Code O14.9-

    Unspecified pre-eclampsia

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • transverse lie or presentation O32.2
    ICD-10-CM Diagnosis Code O32.2

    Maternal care for transverse and oblique lie

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Maternal care for oblique presentation
    • Maternal care for transverse presentation
  • tuberculosis O98.01-
    (conditions in A15-A19)
    ICD-10-CM Diagnosis Code O98.01-

    Tuberculosis complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • tumor (benign)
    • cervix O34.4-
      ICD-10-CM Diagnosis Code O34.4-

      Maternal care for other abnormalities of cervix

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • malignant O9A.11-
      ICD-10-CM Diagnosis Code O9A.11-

      Malignant neoplasm complicating pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • uterus O34.1-
      ICD-10-CM Diagnosis Code O34.1-

      Maternal care for benign tumor of corpus uteri

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Type 2 Excludes

      • maternal care for benign tumor of cervix (O34.4-)
      • maternal care for malignant neoplasm of uterus (O9A.1-)
  • unstable lie O32.0
    ICD-10-CM Diagnosis Code O32.0

    Maternal care for unstable lie

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • upper respiratory infection O99.51-
    ICD-10-CM Diagnosis Code O99.51-

    Diseases of the respiratory system complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • urethritis O23.2-
    ICD-10-CM Diagnosis Code O23.2-

    Infections of urethra in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • uterine size date discrepancy O26.84-
    ICD-10-CM Diagnosis Code O26.84-

    Uterine size-date discrepancy complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Type 1 Excludes

    • encounter for suspected problem with fetal growth ruled out (Z03.74)
  • vaginitis or vulvitis O23.59-
    ICD-10-CM Diagnosis Code O23.59-

    Infection of other part of genital tract in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • varicose veins (lower extremities) O22.0-
    ICD-10-CM Diagnosis Code O22.0-

    Varicose veins of lower extremity in pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Varicose veins NOS in pregnancy
    • genitals O22.1-
      ICD-10-CM Diagnosis Code O22.1-

      Genital varices in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Perineal varices in pregnancy
      • Vaginal varices in pregnancy
      • Vulval varices in pregnancy
    • legs O22.0-
      ICD-10-CM Diagnosis Code O22.0-

      Varicose veins of lower extremity in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Varicose veins NOS in pregnancy
    • perineal O22.1-
      ICD-10-CM Diagnosis Code O22.1-

      Genital varices in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Perineal varices in pregnancy
      • Vaginal varices in pregnancy
      • Vulval varices in pregnancy
    • vaginal or vulval O22.1-
      ICD-10-CM Diagnosis Code O22.1-

      Genital varices in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Perineal varices in pregnancy
      • Vaginal varices in pregnancy
      • Vulval varices in pregnancy
  • venereal disease NEC O98.31-
    (conditions in A63.8)
    ICD-10-CM Diagnosis Code O98.31-

    Other infections with a predominantly sexual mode of transmission complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • venous disorders O22.9-
    ICD-10-CM Diagnosis Code O22.9-

    Venous complication in pregnancy, unspecified

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Gestational phlebitis NOS
    • Gestational phlebopathy NOS
    • Gestational thrombosis NOS
    • specified NEC O22.8X-
      ICD-10-CM Diagnosis Code O22.8X-

      Other venous complications in pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • very young mother - see Pregnancy, complicated by, young mother
  • viral diseases O98.51-
    (conditions in A80-B09, B25-B34)
    ICD-10-CM Diagnosis Code O98.51-

    Other viral diseases complicating pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • vomiting O21.9
    ICD-10-CM Diagnosis Code O21.9

    Vomiting of pregnancy, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • due to diseases classified elsewhere O21.8
      ICD-10-CM Diagnosis Code O21.8

      Other vomiting complicating pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Vomiting due to diseases classified elsewhere, complicating pregnancy

      Use Additional

      • code, to identify cause.
    • hyperemesis gravidarum O21.0-
      (mild) - see also Hyperemesis, gravidarum
      ICD-10-CM Diagnosis Code O21.0-

      Mild hyperemesis gravidarum

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Hyperemesis gravidarum, mild or unspecified, starting before the end of the 20th week of gestation
    • late O21.2
      (occurring after 20 weeks of gestation)
      ICD-10-CM Diagnosis Code O21.2

      Late vomiting of pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Excessive vomiting starting after 20 completed weeks of gestation
  • young mother
    • multigravida O09.62-
      ICD-10-CM Diagnosis Code O09.62-

      Supervision of young multigravida

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • primigravida O09.61-
      ICD-10-CM Diagnosis Code O09.61-

      Supervision of young primigravida

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
• complicated NOS O26.9-
  ICD-10-CM Diagnosis Code O26.9-

  Pregnancy related conditions, unspecified

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
• concealed O09.3-
  ICD-10-CM Diagnosis Code O09.3-

  Supervision of pregnancy with insufficient antenatal care

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

  Applicable To

  • Supervision of concealed pregnancy
  • Supervision of hidden pregnancy
• continuing following
  • elective fetal reduction of one or more fetus O31.3-
    ICD-10-CM Diagnosis Code O31.3-

    Continuing pregnancy after elective fetal reduction of one fetus or more

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Continuing pregnancy after selective termination of one fetus or more
  • intrauterine death of one or more fetus O31.2-
    ICD-10-CM Diagnosis Code O31.2-

    Continuing pregnancy after intrauterine death of one fetus or more

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • spontaneous abortion of one or more fetus O31.1-
    ICD-10-CM Diagnosis Code O31.1-

    Continuing pregnancy after spontaneous abortion of one fetus or more

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
• cornual O00.80
  ICD-10-CM Diagnosis Code O00.80

  Other ectopic pregnancy without intrauterine pregnancy

  2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

  Applicable To

  • Other ectopic pregnancy NOS
  • with intrauterine pregnancy O00.81
    ICD-10-CM Diagnosis Code O00.81

    Other ectopic pregnancy with intrauterine pregnancy

    2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
• ectopic (ruptured) O00.90
  ICD-10-CM Diagnosis Code O00.90

  Unspecified ectopic pregnancy without intrauterine pregnancy

  2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

  Applicable To

  • Ectopic pregnancy NOS
  • abdominal O00.00
    ICD-10-CM Diagnosis Code O00.00

    Abdominal pregnancy without intrauterine pregnancy

    2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Abdominal pregnancy NOS
    • with
      • intrauterine pregnancy O00.01
        ICD-10-CM Diagnosis Code O00.01

        Abdominal pregnancy with intrauterine pregnancy

        2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
      • viable fetus O36.7-
        ICD-10-CM Diagnosis Code O36.7-

        Maternal care for viable fetus in abdominal pregnancy

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • cervical O00.80
    ICD-10-CM Diagnosis Code O00.80

    Other ectopic pregnancy without intrauterine pregnancy

    2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Other ectopic pregnancy NOS
    • with intrauterine pregnancy O00.81
      ICD-10-CM Diagnosis Code O00.81

      Other ectopic pregnancy with intrauterine pregnancy

      2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • complicated (by) O08.9
    ICD-10-CM Diagnosis Code O08.9

    Unspecified complication following an ectopic and molar pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • afibrinogenemia O08.1
      ICD-10-CM Diagnosis Code O08.1

      Delayed or excessive hemorrhage following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Afibrinogenemia following ectopic and molar pregnancy
      • Defibrination syndrome following ectopic and molar pregnancy
      • Hemolysis following ectopic and molar pregnancy
      • Intravascular coagulation following ectopic and molar pregnancy

      Type 1 Excludes

      • delayed or excessive hemorrhage due to incomplete abortion (O03.1)
    • cardiac arrest O08.81
      ICD-10-CM Diagnosis Code O08.81

      Cardiac arrest following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • chemical damage of pelvic organ O08.6
      (s)
      ICD-10-CM Diagnosis Code O08.6

      Damage to pelvic organs and tissues following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Laceration, perforation, tear or chemical damage of bladder following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of bowel following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of broad ligament following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of cervix following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of periurethral tissue following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of uterus following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of vagina following an ectopic and molar pregnancy
    • circulatory collapse O08.3
      ICD-10-CM Diagnosis Code O08.3

      Shock following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Circulatory collapse following ectopic and molar pregnancy
      • Shock (postprocedural) following ectopic and molar pregnancy

      Type 1 Excludes

      • shock due to infection following ectopic and molar pregnancy (O08.82)
    • defibrination syndrome O08.1
      ICD-10-CM Diagnosis Code O08.1

      Delayed or excessive hemorrhage following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Afibrinogenemia following ectopic and molar pregnancy
      • Defibrination syndrome following ectopic and molar pregnancy
      • Hemolysis following ectopic and molar pregnancy
      • Intravascular coagulation following ectopic and molar pregnancy

      Type 1 Excludes

      • delayed or excessive hemorrhage due to incomplete abortion (O03.1)
    • electrolyte imbalance O08.5
      ICD-10-CM Diagnosis Code O08.5

      Metabolic disorders following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • embolism O08.2
      (amniotic fluid) (blood clot) (pulmonary) (septic)
      ICD-10-CM Diagnosis Code O08.2

      Embolism following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Air embolism following ectopic and molar pregnancy
      • Amniotic fluid embolism following ectopic and molar pregnancy
      • Blood-clot embolism following ectopic and molar pregnancy
      • Embolism NOS following ectopic and molar pregnancy
      • Fat embolism following ectopic and molar pregnancy
      • Pulmonary embolism following ectopic and molar pregnancy
      • Pyemic embolism following ectopic and molar pregnancy
      • Septic or septicopyemic embolism following ectopic and molar pregnancy
      • Soap embolism following ectopic and molar pregnancy
    • endometritis O08.0
      ICD-10-CM Diagnosis Code O08.0

      Genital tract and pelvic infection following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Endometritis following ectopic and molar pregnancy
      • Oophoritis following ectopic and molar pregnancy
      • Parametritis following ectopic and molar pregnancy
      • Pelvic peritonitis following ectopic and molar pregnancy
      • Salpingitis following ectopic and molar pregnancy
      • Salpingo-oophoritis following ectopic and molar pregnancy

      Type 1 Excludes

      • sepsis following ectopic and molar pregnancy (O08.82)
      • urinary tract infection (O08.83)
    • genital tract and pelvic infection O08.0
      ICD-10-CM Diagnosis Code O08.0

      Genital tract and pelvic infection following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Endometritis following ectopic and molar pregnancy
      • Oophoritis following ectopic and molar pregnancy
      • Parametritis following ectopic and molar pregnancy
      • Pelvic peritonitis following ectopic and molar pregnancy
      • Salpingitis following ectopic and molar pregnancy
      • Salpingo-oophoritis following ectopic and molar pregnancy

      Type 1 Excludes

      • sepsis following ectopic and molar pregnancy (O08.82)
      • urinary tract infection (O08.83)
    • hemorrhage O08.1
      (delayed) (excessive)
      ICD-10-CM Diagnosis Code O08.1

      Delayed or excessive hemorrhage following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Afibrinogenemia following ectopic and molar pregnancy
      • Defibrination syndrome following ectopic and molar pregnancy
      • Hemolysis following ectopic and molar pregnancy
      • Intravascular coagulation following ectopic and molar pregnancy

      Type 1 Excludes

      • delayed or excessive hemorrhage due to incomplete abortion (O03.1)
    • infection
      • genital tract or pelvic O08.0
        ICD-10-CM Diagnosis Code O08.0

        Genital tract and pelvic infection following ectopic and molar pregnancy

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

        Applicable To

        • Endometritis following ectopic and molar pregnancy
        • Oophoritis following ectopic and molar pregnancy
        • Parametritis following ectopic and molar pregnancy
        • Pelvic peritonitis following ectopic and molar pregnancy
        • Salpingitis following ectopic and molar pregnancy
        • Salpingo-oophoritis following ectopic and molar pregnancy

        Type 1 Excludes

        • sepsis following ectopic and molar pregnancy (O08.82)
        • urinary tract infection (O08.83)
      • kidney 008.83
      • urinary tract O08.83
        ICD-10-CM Diagnosis Code O08.83

        Urinary tract infection following an ectopic and molar pregnancy

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

        Applicable To

        • Cystitis following an ectopic and molar pregnancy
    • intravascular coagulation O08.1
      ICD-10-CM Diagnosis Code O08.1

      Delayed or excessive hemorrhage following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Afibrinogenemia following ectopic and molar pregnancy
      • Defibrination syndrome following ectopic and molar pregnancy
      • Hemolysis following ectopic and molar pregnancy
      • Intravascular coagulation following ectopic and molar pregnancy

      Type 1 Excludes

      • delayed or excessive hemorrhage due to incomplete abortion (O03.1)
    • laceration of pelvic organ O08.6
      (s)
      ICD-10-CM Diagnosis Code O08.6

      Damage to pelvic organs and tissues following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Laceration, perforation, tear or chemical damage of bladder following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of bowel following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of broad ligament following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of cervix following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of periurethral tissue following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of uterus following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of vagina following an ectopic and molar pregnancy
    • metabolic disorder O08.5
      ICD-10-CM Diagnosis Code O08.5

      Metabolic disorders following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • oliguria O08.4
      ICD-10-CM Diagnosis Code O08.4

      Renal failure following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Kidney failure (acute) following ectopic and molar pregnancy
      • Oliguria following ectopic and molar pregnancy
      • Renal shutdown following ectopic and molar pregnancy
      • Renal tubular necrosis following ectopic and molar pregnancy
      • Uremia following ectopic and molar pregnancy
    • oophoritis O08.0
      ICD-10-CM Diagnosis Code O08.0

      Genital tract and pelvic infection following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Endometritis following ectopic and molar pregnancy
      • Oophoritis following ectopic and molar pregnancy
      • Parametritis following ectopic and molar pregnancy
      • Pelvic peritonitis following ectopic and molar pregnancy
      • Salpingitis following ectopic and molar pregnancy
      • Salpingo-oophoritis following ectopic and molar pregnancy

      Type 1 Excludes

      • sepsis following ectopic and molar pregnancy (O08.82)
      • urinary tract infection (O08.83)
    • parametritis O08.0
      ICD-10-CM Diagnosis Code O08.0

      Genital tract and pelvic infection following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Endometritis following ectopic and molar pregnancy
      • Oophoritis following ectopic and molar pregnancy
      • Parametritis following ectopic and molar pregnancy
      • Pelvic peritonitis following ectopic and molar pregnancy
      • Salpingitis following ectopic and molar pregnancy
      • Salpingo-oophoritis following ectopic and molar pregnancy

      Type 1 Excludes

      • sepsis following ectopic and molar pregnancy (O08.82)
      • urinary tract infection (O08.83)
    • pelvic peritonitis O08.0
      ICD-10-CM Diagnosis Code O08.0

      Genital tract and pelvic infection following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Endometritis following ectopic and molar pregnancy
      • Oophoritis following ectopic and molar pregnancy
      • Parametritis following ectopic and molar pregnancy
      • Pelvic peritonitis following ectopic and molar pregnancy
      • Salpingitis following ectopic and molar pregnancy
      • Salpingo-oophoritis following ectopic and molar pregnancy

      Type 1 Excludes

      • sepsis following ectopic and molar pregnancy (O08.82)
      • urinary tract infection (O08.83)
    • perforation of pelvic organ O08.6
      (s)
      ICD-10-CM Diagnosis Code O08.6

      Damage to pelvic organs and tissues following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Laceration, perforation, tear or chemical damage of bladder following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of bowel following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of broad ligament following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of cervix following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of periurethral tissue following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of uterus following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of vagina following an ectopic and molar pregnancy
    • renal failure or shutdown O08.4
      ICD-10-CM Diagnosis Code O08.4

      Renal failure following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Kidney failure (acute) following ectopic and molar pregnancy
      • Oliguria following ectopic and molar pregnancy
      • Renal shutdown following ectopic and molar pregnancy
      • Renal tubular necrosis following ectopic and molar pregnancy
      • Uremia following ectopic and molar pregnancy
    • salpingitis or salpingo-oophoritis O08.0
      ICD-10-CM Diagnosis Code O08.0

      Genital tract and pelvic infection following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Endometritis following ectopic and molar pregnancy
      • Oophoritis following ectopic and molar pregnancy
      • Parametritis following ectopic and molar pregnancy
      • Pelvic peritonitis following ectopic and molar pregnancy
      • Salpingitis following ectopic and molar pregnancy
      • Salpingo-oophoritis following ectopic and molar pregnancy

      Type 1 Excludes

      • sepsis following ectopic and molar pregnancy (O08.82)
      • urinary tract infection (O08.83)
    • sepsis O08.82
      ICD-10-CM Diagnosis Code O08.82

      Sepsis following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Type 1 Excludes

      • septic or septicopyemic embolism following ectopic and molar pregnancy (O08.2)

      Use Additional

      • code (B95-B97), to identify infectious agent
    • shock O08.83
      ICD-10-CM Diagnosis Code O08.83

      Urinary tract infection following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Cystitis following an ectopic and molar pregnancy
      • septic O08.82
        ICD-10-CM Diagnosis Code O08.82

        Sepsis following ectopic and molar pregnancy

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

        Type 1 Excludes

        • septic or septicopyemic embolism following ectopic and molar pregnancy (O08.2)

        Use Additional

        • code (B95-B97), to identify infectious agent
    • specified condition NEC O08.89
      ICD-10-CM Diagnosis Code O08.89

      Other complications following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • tubular necrosis O08.4
      (renal)
      ICD-10-CM Diagnosis Code O08.4

      Renal failure following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Kidney failure (acute) following ectopic and molar pregnancy
      • Oliguria following ectopic and molar pregnancy
      • Renal shutdown following ectopic and molar pregnancy
      • Renal tubular necrosis following ectopic and molar pregnancy
      • Uremia following ectopic and molar pregnancy
    • uremia O08.4
      ICD-10-CM Diagnosis Code O08.4

      Renal failure following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Kidney failure (acute) following ectopic and molar pregnancy
      • Oliguria following ectopic and molar pregnancy
      • Renal shutdown following ectopic and molar pregnancy
      • Renal tubular necrosis following ectopic and molar pregnancy
      • Uremia following ectopic and molar pregnancy
    • urinary infection O08.83
      ICD-10-CM Diagnosis Code O08.83

      Urinary tract infection following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Cystitis following an ectopic and molar pregnancy
    • venous complication NEC O08.7
      ICD-10-CM Diagnosis Code O08.7

      Other venous complications following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
      • embolism O08.2
        ICD-10-CM Diagnosis Code O08.2

        Embolism following ectopic and molar pregnancy

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

        Applicable To

        • Air embolism following ectopic and molar pregnancy
        • Amniotic fluid embolism following ectopic and molar pregnancy
        • Blood-clot embolism following ectopic and molar pregnancy
        • Embolism NOS following ectopic and molar pregnancy
        • Fat embolism following ectopic and molar pregnancy
        • Pulmonary embolism following ectopic and molar pregnancy
        • Pyemic embolism following ectopic and molar pregnancy
        • Septic or septicopyemic embolism following ectopic and molar pregnancy
        • Soap embolism following ectopic and molar pregnancy
  • cornual O00.80
    ICD-10-CM Diagnosis Code O00.80

    Other ectopic pregnancy without intrauterine pregnancy

    2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Other ectopic pregnancy NOS
    • with intrauterine pregnancy O00.81
      ICD-10-CM Diagnosis Code O00.81

      Other ectopic pregnancy with intrauterine pregnancy

      2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • intraligamentous O00.80
    ICD-10-CM Diagnosis Code O00.80

    Other ectopic pregnancy without intrauterine pregnancy

    2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Other ectopic pregnancy NOS
    • with intrauterine pregnancy O00.81
      ICD-10-CM Diagnosis Code O00.81

      Other ectopic pregnancy with intrauterine pregnancy

      2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • mural O00.80
    ICD-10-CM Diagnosis Code O00.80

    Other ectopic pregnancy without intrauterine pregnancy

    2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Other ectopic pregnancy NOS
    • with intrauterine pregnancy O00.81
      ICD-10-CM Diagnosis Code O00.81

      Other ectopic pregnancy with intrauterine pregnancy

      2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • ovarian O00.20-
    ICD-10-CM Diagnosis Code O00.20-

    Ovarian pregnancy without intrauterine pregnancy

    2017 - New Code 2018 - Converted to Parent Code 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Ovarian pregnancy NOS
    • with intrauterine pregnancy O00.21-
      ICD-10-CM Diagnosis Code O00.21-

      Ovarian pregnancy with intrauterine pregnancy

      2017 - New Code 2018 - Converted to Parent Code 2019 2020 Non-Billable/Non-Specific Code
  • specified site NEC O00.80
    ICD-10-CM Diagnosis Code O00.80

    Other ectopic pregnancy without intrauterine pregnancy

    2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Other ectopic pregnancy NOS
    • with intrauterine pregnancy O00.81
      ICD-10-CM Diagnosis Code O00.81

      Other ectopic pregnancy with intrauterine pregnancy

      2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • tubal (ruptured) O00.10-
    ICD-10-CM Diagnosis Code O00.10-

    Tubal pregnancy without intrauterine pregnancy

    2017 - New Code 2018 - Converted to Parent Code 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Tubal pregnancy NOS
    • with intrauterine pregnancy O00.11-
      ICD-10-CM Diagnosis Code O00.11-

      Tubal pregnancy with intrauterine pregnancy

      2017 - New Code 2018 - Converted to Parent Code 2019 2020 Non-Billable/Non-Specific Code
  • with intrauterine pregnancy O00.91
    ICD-10-CM Diagnosis Code O00.91

    Unspecified ectopic pregnancy with intrauterine pregnancy

    2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
• examination (normal) Z34.9-
  ICD-10-CM Diagnosis Code Z34.9-

  Encounter for supervision of normal pregnancy, unspecified

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • first Z34.0-
    ICD-10-CM Diagnosis Code Z34.0-

    Encounter for supervision of normal first pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • high-risk - see Pregnancy, supervision of, high-risk
  • specified Z34.8-
    ICD-10-CM Diagnosis Code Z34.8-

    Encounter for supervision of other normal pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
• extrauterine - see Pregnancy, ectopic
• fallopian O00.10-
  ICD-10-CM Diagnosis Code O00.10-

  Tubal pregnancy without intrauterine pregnancy

  2017 - New Code 2018 - Converted to Parent Code 2019 2020 Non-Billable/Non-Specific Code

  Applicable To

  • Tubal pregnancy NOS
  • with intrauterine pregnancy O00.11-
    ICD-10-CM Diagnosis Code O00.11-

    Tubal pregnancy with intrauterine pregnancy

    2017 - New Code 2018 - Converted to Parent Code 2019 2020 Non-Billable/Non-Specific Code
• false F45.8
  ICD-10-CM Diagnosis Code F45.8

  Other somatoform disorders

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Psychogenic dysmenorrhea
  • Psychogenic dysphagia, including 'globus hystericus'
  • Psychogenic pruritus
  • Psychogenic torticollis
  • Somatoform autonomic dysfunction
  • Teeth grinding

  Type 1 Excludes

  • sleep related teeth grinding (G47.63)
• gestational carrier Z33.3
  ICD-10-CM Diagnosis Code Z33.3

  Pregnant state, gestational carrier

  2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt

  Type 1 Excludes

  • encounter for procreative management and counseling for gestational carrier (Z31.7)
• heptachorionic, hepta-amniotic O30.83-
  (septuplets)
  ICD-10-CM Diagnosis Code O30.83-

  Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses

  2019 - New Code 2020 Non-Billable/Non-Specific Code

  Applicable To

  • Pentachorionic, penta-amniotic pregnancy (quintuplets)
  • Hexachorionic, hexa-amniotic pregnancy (sextuplets)
  • Heptachorionic, hepta-amniotic pregnancy (septuplets)
• hexachorionic, hexa-amniotic O30.83-
  (sextuplets)
  ICD-10-CM Diagnosis Code O30.83-

  Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses

  2019 - New Code 2020 Non-Billable/Non-Specific Code

  Applicable To

  • Pentachorionic, penta-amniotic pregnancy (quintuplets)
  • Hexachorionic, hexa-amniotic pregnancy (sextuplets)
  • Heptachorionic, hepta-amniotic pregnancy (septuplets)
• hidden O09.3-
  ICD-10-CM Diagnosis Code O09.3-

  Supervision of pregnancy with insufficient antenatal care

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

  Applicable To

  • Supervision of concealed pregnancy
  • Supervision of hidden pregnancy
• high-risk - see Pregnancy, supervision of, high-risk
• incidental finding Z33.1
  ICD-10-CM Diagnosis Code Z33.1

  Pregnant state, incidental

  2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

  Applicable To

  • Pregnant state NOS

  Type 1 Excludes

  • complications of pregnancy (O00-O9A)
  • pregnant state, gestational carrier (Z33.3)
• interstitial O00.80
  ICD-10-CM Diagnosis Code O00.80

  Other ectopic pregnancy without intrauterine pregnancy

  2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

  Applicable To

  • Other ectopic pregnancy NOS
  • with intrauterine pregnancy O00.81
    ICD-10-CM Diagnosis Code O00.81

    Other ectopic pregnancy with intrauterine pregnancy

    2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
• intraligamentous O00.80
  ICD-10-CM Diagnosis Code O00.80

  Other ectopic pregnancy without intrauterine pregnancy

  2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

  Applicable To

  • Other ectopic pregnancy NOS
  • with intrauterine pregnancy O00.81
    ICD-10-CM Diagnosis Code O00.81

    Other ectopic pregnancy with intrauterine pregnancy

    2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
• intramural O00.80
  ICD-10-CM Diagnosis Code O00.80

  Other ectopic pregnancy without intrauterine pregnancy

  2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

  Applicable To

  • Other ectopic pregnancy NOS
  • with intrauterine pregnancy O00.81
    ICD-10-CM Diagnosis Code O00.81

    Other ectopic pregnancy with intrauterine pregnancy

    2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
• intraperitoneal O00.00
  ICD-10-CM Diagnosis Code O00.00

  Abdominal pregnancy without intrauterine pregnancy

  2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

  Applicable To

  • Abdominal pregnancy NOS
  • with intrauterine pregnancy O00.01
    ICD-10-CM Diagnosis Code O00.01

    Abdominal pregnancy with intrauterine pregnancy

    2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
• isthmian O00.10-
  ICD-10-CM Diagnosis Code O00.10-

  Tubal pregnancy without intrauterine pregnancy

  2017 - New Code 2018 - Converted to Parent Code 2019 2020 Non-Billable/Non-Specific Code

  Applicable To

  • Tubal pregnancy NOS
  • with intrauterine pregnancy O00.11-
    ICD-10-CM Diagnosis Code O00.11-

    Tubal pregnancy with intrauterine pregnancy

    2017 - New Code 2018 - Converted to Parent Code 2019 2020 Non-Billable/Non-Specific Code
• mesometric (mural) O00.80
  ICD-10-CM Diagnosis Code O00.80

  Other ectopic pregnancy without intrauterine pregnancy

  2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

  Applicable To

  • Other ectopic pregnancy NOS
  • with intrauterine pregnancy O00.81
    ICD-10-CM Diagnosis Code O00.81

    Other ectopic pregnancy with intrauterine pregnancy

    2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
• molar NEC O02.0
  ICD-10-CM Diagnosis Code O02.0

  Blighted ovum and nonhydatidiform mole

  2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

  Applicable To

  • Carneous mole
  • Fleshy mole
  • Intrauterine mole NOS
  • Molar pregnancy NEC
  • Pathological ovum
  • complicated (by) O08.9
    ICD-10-CM Diagnosis Code O08.9

    Unspecified complication following an ectopic and molar pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • afibrinogenemia O08.1
      ICD-10-CM Diagnosis Code O08.1

      Delayed or excessive hemorrhage following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Afibrinogenemia following ectopic and molar pregnancy
      • Defibrination syndrome following ectopic and molar pregnancy
      • Hemolysis following ectopic and molar pregnancy
      • Intravascular coagulation following ectopic and molar pregnancy

      Type 1 Excludes

      • delayed or excessive hemorrhage due to incomplete abortion (O03.1)
    • cardiac arrest O08.81
      ICD-10-CM Diagnosis Code O08.81

      Cardiac arrest following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • chemical damage of pelvic organ O08.6
      (s)
      ICD-10-CM Diagnosis Code O08.6

      Damage to pelvic organs and tissues following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Laceration, perforation, tear or chemical damage of bladder following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of bowel following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of broad ligament following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of cervix following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of periurethral tissue following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of uterus following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of vagina following an ectopic and molar pregnancy
    • circulatory collapse O08.3
      ICD-10-CM Diagnosis Code O08.3

      Shock following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Circulatory collapse following ectopic and molar pregnancy
      • Shock (postprocedural) following ectopic and molar pregnancy

      Type 1 Excludes

      • shock due to infection following ectopic and molar pregnancy (O08.82)
    • defibrination syndrome O08.1
      ICD-10-CM Diagnosis Code O08.1

      Delayed or excessive hemorrhage following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Afibrinogenemia following ectopic and molar pregnancy
      • Defibrination syndrome following ectopic and molar pregnancy
      • Hemolysis following ectopic and molar pregnancy
      • Intravascular coagulation following ectopic and molar pregnancy

      Type 1 Excludes

      • delayed or excessive hemorrhage due to incomplete abortion (O03.1)
    • electrolyte imbalance O08.5
      ICD-10-CM Diagnosis Code O08.5

      Metabolic disorders following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • embolism O08.2
      (amniotic fluid) (blood clot) (pulmonary) (septic)
      ICD-10-CM Diagnosis Code O08.2

      Embolism following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Air embolism following ectopic and molar pregnancy
      • Amniotic fluid embolism following ectopic and molar pregnancy
      • Blood-clot embolism following ectopic and molar pregnancy
      • Embolism NOS following ectopic and molar pregnancy
      • Fat embolism following ectopic and molar pregnancy
      • Pulmonary embolism following ectopic and molar pregnancy
      • Pyemic embolism following ectopic and molar pregnancy
      • Septic or septicopyemic embolism following ectopic and molar pregnancy
      • Soap embolism following ectopic and molar pregnancy
    • endometritis O08.0
      ICD-10-CM Diagnosis Code O08.0

      Genital tract and pelvic infection following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Endometritis following ectopic and molar pregnancy
      • Oophoritis following ectopic and molar pregnancy
      • Parametritis following ectopic and molar pregnancy
      • Pelvic peritonitis following ectopic and molar pregnancy
      • Salpingitis following ectopic and molar pregnancy
      • Salpingo-oophoritis following ectopic and molar pregnancy

      Type 1 Excludes

      • sepsis following ectopic and molar pregnancy (O08.82)
      • urinary tract infection (O08.83)
    • genital tract and pelvic infection O08.0
      ICD-10-CM Diagnosis Code O08.0

      Genital tract and pelvic infection following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Endometritis following ectopic and molar pregnancy
      • Oophoritis following ectopic and molar pregnancy
      • Parametritis following ectopic and molar pregnancy
      • Pelvic peritonitis following ectopic and molar pregnancy
      • Salpingitis following ectopic and molar pregnancy
      • Salpingo-oophoritis following ectopic and molar pregnancy

      Type 1 Excludes

      • sepsis following ectopic and molar pregnancy (O08.82)
      • urinary tract infection (O08.83)
    • hemorrhage O08.1
      (delayed) (excessive)
      ICD-10-CM Diagnosis Code O08.1

      Delayed or excessive hemorrhage following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Afibrinogenemia following ectopic and molar pregnancy
      • Defibrination syndrome following ectopic and molar pregnancy
      • Hemolysis following ectopic and molar pregnancy
      • Intravascular coagulation following ectopic and molar pregnancy

      Type 1 Excludes

      • delayed or excessive hemorrhage due to incomplete abortion (O03.1)
    • infection
      • genital tract or pelvic O08.0
        ICD-10-CM Diagnosis Code O08.0

        Genital tract and pelvic infection following ectopic and molar pregnancy

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

        Applicable To

        • Endometritis following ectopic and molar pregnancy
        • Oophoritis following ectopic and molar pregnancy
        • Parametritis following ectopic and molar pregnancy
        • Pelvic peritonitis following ectopic and molar pregnancy
        • Salpingitis following ectopic and molar pregnancy
        • Salpingo-oophoritis following ectopic and molar pregnancy

        Type 1 Excludes

        • sepsis following ectopic and molar pregnancy (O08.82)
        • urinary tract infection (O08.83)
      • kidney O08.83
        ICD-10-CM Diagnosis Code O08.83

        Urinary tract infection following an ectopic and molar pregnancy

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

        Applicable To

        • Cystitis following an ectopic and molar pregnancy
      • urinary tract O08.83
        ICD-10-CM Diagnosis Code O08.83

        Urinary tract infection following an ectopic and molar pregnancy

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

        Applicable To

        • Cystitis following an ectopic and molar pregnancy
    • intravascular coagulation O08.1
      ICD-10-CM Diagnosis Code O08.1

      Delayed or excessive hemorrhage following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Afibrinogenemia following ectopic and molar pregnancy
      • Defibrination syndrome following ectopic and molar pregnancy
      • Hemolysis following ectopic and molar pregnancy
      • Intravascular coagulation following ectopic and molar pregnancy

      Type 1 Excludes

      • delayed or excessive hemorrhage due to incomplete abortion (O03.1)
    • laceration of pelvic organ O08.6
      (s)
      ICD-10-CM Diagnosis Code O08.6

      Damage to pelvic organs and tissues following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Laceration, perforation, tear or chemical damage of bladder following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of bowel following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of broad ligament following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of cervix following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of periurethral tissue following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of uterus following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of vagina following an ectopic and molar pregnancy
    • metabolic disorder O08.5
      ICD-10-CM Diagnosis Code O08.5

      Metabolic disorders following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • oliguria O08.4
      ICD-10-CM Diagnosis Code O08.4

      Renal failure following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Kidney failure (acute) following ectopic and molar pregnancy
      • Oliguria following ectopic and molar pregnancy
      • Renal shutdown following ectopic and molar pregnancy
      • Renal tubular necrosis following ectopic and molar pregnancy
      • Uremia following ectopic and molar pregnancy
    • oophoritis O08.0
      ICD-10-CM Diagnosis Code O08.0

      Genital tract and pelvic infection following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Endometritis following ectopic and molar pregnancy
      • Oophoritis following ectopic and molar pregnancy
      • Parametritis following ectopic and molar pregnancy
      • Pelvic peritonitis following ectopic and molar pregnancy
      • Salpingitis following ectopic and molar pregnancy
      • Salpingo-oophoritis following ectopic and molar pregnancy

      Type 1 Excludes

      • sepsis following ectopic and molar pregnancy (O08.82)
      • urinary tract infection (O08.83)
    • parametritis O08.0
      ICD-10-CM Diagnosis Code O08.0

      Genital tract and pelvic infection following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Endometritis following ectopic and molar pregnancy
      • Oophoritis following ectopic and molar pregnancy
      • Parametritis following ectopic and molar pregnancy
      • Pelvic peritonitis following ectopic and molar pregnancy
      • Salpingitis following ectopic and molar pregnancy
      • Salpingo-oophoritis following ectopic and molar pregnancy

      Type 1 Excludes

      • sepsis following ectopic and molar pregnancy (O08.82)
      • urinary tract infection (O08.83)
    • pelvic peritonitis O08.0
      ICD-10-CM Diagnosis Code O08.0

      Genital tract and pelvic infection following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Endometritis following ectopic and molar pregnancy
      • Oophoritis following ectopic and molar pregnancy
      • Parametritis following ectopic and molar pregnancy
      • Pelvic peritonitis following ectopic and molar pregnancy
      • Salpingitis following ectopic and molar pregnancy
      • Salpingo-oophoritis following ectopic and molar pregnancy

      Type 1 Excludes

      • sepsis following ectopic and molar pregnancy (O08.82)
      • urinary tract infection (O08.83)
    • perforation of pelvic organ O08.6
      (s)
      ICD-10-CM Diagnosis Code O08.6

      Damage to pelvic organs and tissues following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Laceration, perforation, tear or chemical damage of bladder following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of bowel following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of broad ligament following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of cervix following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of periurethral tissue following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of uterus following an ectopic and molar pregnancy
      • Laceration, perforation, tear or chemical damage of vagina following an ectopic and molar pregnancy
    • renal failure or shutdown O08.4
      ICD-10-CM Diagnosis Code O08.4

      Renal failure following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Kidney failure (acute) following ectopic and molar pregnancy
      • Oliguria following ectopic and molar pregnancy
      • Renal shutdown following ectopic and molar pregnancy
      • Renal tubular necrosis following ectopic and molar pregnancy
      • Uremia following ectopic and molar pregnancy
    • salpingitis or salpingo-oophoritis O08.0
      ICD-10-CM Diagnosis Code O08.0

      Genital tract and pelvic infection following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Endometritis following ectopic and molar pregnancy
      • Oophoritis following ectopic and molar pregnancy
      • Parametritis following ectopic and molar pregnancy
      • Pelvic peritonitis following ectopic and molar pregnancy
      • Salpingitis following ectopic and molar pregnancy
      • Salpingo-oophoritis following ectopic and molar pregnancy

      Type 1 Excludes

      • sepsis following ectopic and molar pregnancy (O08.82)
      • urinary tract infection (O08.83)
    • sepsis O08.82
      ICD-10-CM Diagnosis Code O08.82

      Sepsis following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Type 1 Excludes

      • septic or septicopyemic embolism following ectopic and molar pregnancy (O08.2)

      Use Additional

      • code (B95-B97), to identify infectious agent
    • shock O08.3
      ICD-10-CM Diagnosis Code O08.3

      Shock following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Circulatory collapse following ectopic and molar pregnancy
      • Shock (postprocedural) following ectopic and molar pregnancy

      Type 1 Excludes

      • shock due to infection following ectopic and molar pregnancy (O08.82)
      • septic O08.82
        ICD-10-CM Diagnosis Code O08.82

        Sepsis following ectopic and molar pregnancy

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

        Type 1 Excludes

        • septic or septicopyemic embolism following ectopic and molar pregnancy (O08.2)

        Use Additional

        • code (B95-B97), to identify infectious agent
    • specified condition NEC O08.89
      ICD-10-CM Diagnosis Code O08.89

      Other complications following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • tubular necrosis O08.4
      (renal)
      ICD-10-CM Diagnosis Code O08.4

      Renal failure following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Kidney failure (acute) following ectopic and molar pregnancy
      • Oliguria following ectopic and molar pregnancy
      • Renal shutdown following ectopic and molar pregnancy
      • Renal tubular necrosis following ectopic and molar pregnancy
      • Uremia following ectopic and molar pregnancy
    • uremia O08.4
      ICD-10-CM Diagnosis Code O08.4

      Renal failure following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Kidney failure (acute) following ectopic and molar pregnancy
      • Oliguria following ectopic and molar pregnancy
      • Renal shutdown following ectopic and molar pregnancy
      • Renal tubular necrosis following ectopic and molar pregnancy
      • Uremia following ectopic and molar pregnancy
    • urinary infection O08.83
      ICD-10-CM Diagnosis Code O08.83

      Urinary tract infection following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

      Applicable To

      • Cystitis following an ectopic and molar pregnancy
    • venous complication NEC O08.7
      ICD-10-CM Diagnosis Code O08.7

      Other venous complications following an ectopic and molar pregnancy

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
      • embolism O08.2
        ICD-10-CM Diagnosis Code O08.2

        Embolism following ectopic and molar pregnancy

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

        Applicable To

        • Air embolism following ectopic and molar pregnancy
        • Amniotic fluid embolism following ectopic and molar pregnancy
        • Blood-clot embolism following ectopic and molar pregnancy
        • Embolism NOS following ectopic and molar pregnancy
        • Fat embolism following ectopic and molar pregnancy
        • Pulmonary embolism following ectopic and molar pregnancy
        • Pyemic embolism following ectopic and molar pregnancy
        • Septic or septicopyemic embolism following ectopic and molar pregnancy
        • Soap embolism following ectopic and molar pregnancy
  • hydatidiform O01.9-
    - see also Mole, hydatidiform
    ICD-10-CM Diagnosis Code O01.9-

    Hydatidiform mole, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Trophoblastic disease NOS
    • Vesicular mole NOS
• multiple (gestation) O30.9-
  ICD-10-CM Diagnosis Code O30.9-

  Multiple gestation, unspecified

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

  Applicable To

  • Multiple pregnancy NOS
  • greater than quadruplets - see Pregnancy, multiple (gestation), specified NEC
  • specified NEC O30.80-
    ICD-10-CM Diagnosis Code O30.80-

    Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • number of chorions and amnions are both equal to the number of fetuses O30.83-
      ICD-10-CM Diagnosis Code O30.83-

      Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses

      2019 - New Code 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Pentachorionic, penta-amniotic pregnancy (quintuplets)
      • Hexachorionic, hexa-amniotic pregnancy (sextuplets)
      • Heptachorionic, hepta-amniotic pregnancy (septuplets)
    • two or more monoamniotic fetuses O30.82-
      ICD-10-CM Diagnosis Code O30.82-

      Other specified multiple gestation with two or more monoamniotic fetuses

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • two or more monochorionic fetuses O30.81-
      ICD-10-CM Diagnosis Code O30.81-

      Other specified multiple gestation with two or more monochorionic fetuses

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • unable to determine number of placenta and number of amniotic sacs O30.89-
      ICD-10-CM Diagnosis Code O30.89-

      Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • unspecified number of placenta and unspecified number of amniotic sacs O30.80-
      ICD-10-CM Diagnosis Code O30.80-

      Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • with
      • two or more monoamniotic fetuses O30.82-
        ICD-10-CM Diagnosis Code O30.82-

        Other specified multiple gestation with two or more monoamniotic fetuses

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • two or more monochorionic fetuses O30.81-
        ICD-10-CM Diagnosis Code O30.81-

        Other specified multiple gestation with two or more monochorionic fetuses

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
• mural O00.80
  ICD-10-CM Diagnosis Code O00.80

  Other ectopic pregnancy without intrauterine pregnancy

  2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

  Applicable To

  • Other ectopic pregnancy NOS
  • with intrauterine pregnancy O00.81
    ICD-10-CM Diagnosis Code O00.81

    Other ectopic pregnancy with intrauterine pregnancy

    2017 - New Code 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
• normal (supervision of) Z34.9-
  ICD-10-CM Diagnosis Code Z34.9-

  Encounter for supervision of normal pregnancy, unspecified

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • first Z34.0-
    ICD-10-CM Diagnosis Code Z34.0-

    Encounter for supervision of normal first pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • high-risk - see Pregnancy, supervision of, high-risk
  • specified Z34.8-
    ICD-10-CM Diagnosis Code Z34.8-

    Encounter for supervision of other normal pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
• Note: The Tabular must be reviewed for assignment of appropriate seventh character for multiple gestation codes in Chapter 15
• Note: The Tabular must be reviewed for assignment of the appropriate character indicating the trimester of the pregnancy
• ovarian O00.20-
  ICD-10-CM Diagnosis Code O00.20-

  Ovarian pregnancy without intrauterine pregnancy

  2017 - New Code 2018 - Converted to Parent Code 2019 2020 Non-Billable/Non-Specific Code

  Applicable To

  • Ovarian pregnancy NOS
  • with intrauterine pregnancy O00.21-
    ICD-10-CM Diagnosis Code O00.21-

    Ovarian pregnancy with intrauterine pregnancy

    2017 - New Code 2018 - Converted to Parent Code 2019 2020 Non-Billable/Non-Specific Code
• pentachorionic, penta-amniotic O30.83-
  (quintuplets)
  ICD-10-CM Diagnosis Code O30.83-

  Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses

  2019 - New Code 2020 Non-Billable/Non-Specific Code

  Applicable To

  • Pentachorionic, penta-amniotic pregnancy (quintuplets)
  • Hexachorionic, hexa-amniotic pregnancy (sextuplets)
  • Heptachorionic, hepta-amniotic pregnancy (septuplets)
• post-term O48.0
  (40 to 42 weeks)
  ICD-10-CM Diagnosis Code O48.0

  Post-term pregnancy

  2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

  Applicable To

  • Pregnancy over 40 completed weeks to 42 completed weeks gestation
• postmature (40 to 42 weeks) O48.0
  ICD-10-CM Diagnosis Code O48.0

  Post-term pregnancy

  2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

  Applicable To

  • Pregnancy over 40 completed weeks to 42 completed weeks gestation
  • more than 42 weeks gestation O48.1
    ICD-10-CM Diagnosis Code O48.1

    Prolonged pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

    Applicable To

    • Pregnancy which has advanced beyond 42 completed weeks gestation
• prenatal care only Z34.9-
  ICD-10-CM Diagnosis Code Z34.9-

  Encounter for supervision of normal pregnancy, unspecified

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • first Z34.0-
    ICD-10-CM Diagnosis Code Z34.0-

    Encounter for supervision of normal first pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • high-risk - see Pregnancy, supervision of, high-risk
  • specified Z34.8-
    ICD-10-CM Diagnosis Code Z34.8-

    Encounter for supervision of other normal pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
• prolonged O48.1
  (more than 42 weeks gestation)
  ICD-10-CM Diagnosis Code O48.1

  Prolonged pregnancy

  2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

  Applicable To

  • Pregnancy which has advanced beyond 42 completed weeks gestation
• quadruplet O30.20-
  ICD-10-CM Diagnosis Code O30.20-

  Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • quadrachorionic/quadra-amniotic O30.23-
    ICD-10-CM Diagnosis Code O30.23-

    Quadruplet pregnancy, quadrachorionic/quadra-amniotic

    2019 - New Code 2020 Non-Billable/Non-Specific Code
  • two or more monoamniotic fetuses O30.22-
    ICD-10-CM Diagnosis Code O30.22-

    Quadruplet pregnancy with two or more monoamniotic fetuses

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • two or more monochorionic fetuses O30.21-
    ICD-10-CM Diagnosis Code O30.21-

    Quadruplet pregnancy with two or more monochorionic fetuses

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • unable to determine number of placenta and number of amniotic sacs O30.29-
    ICD-10-CM Diagnosis Code O30.29-

    Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • unspecified number of placenta and unspecified number of amniotic sacs O30.20-
    ICD-10-CM Diagnosis Code O30.20-

    Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • with
    • two or more monoamniotic fetuses O30.22-
      ICD-10-CM Diagnosis Code O30.22-

      Quadruplet pregnancy with two or more monoamniotic fetuses

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • two or more monochorionic fetuses O30.21-
      ICD-10-CM Diagnosis Code O30.21-

      Quadruplet pregnancy with two or more monochorionic fetuses

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
• quintuplet - see Pregnancy, multiple (gestation), specified NEC
• sextuplet - see Pregnancy, multiple (gestation), specified NEC
• supervision of
  • concealed pregnancy O09.3-
    ICD-10-CM Diagnosis Code O09.3-

    Supervision of pregnancy with insufficient antenatal care

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Supervision of concealed pregnancy
    • Supervision of hidden pregnancy
  • elderly mother
    • multigravida O09.52-
      ICD-10-CM Diagnosis Code O09.52-

      Supervision of elderly multigravida

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • primigravida O09.51-
      ICD-10-CM Diagnosis Code O09.51-

      Supervision of elderly primigravida

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • hidden pregnancy O09.3-
    ICD-10-CM Diagnosis Code O09.3-

    Supervision of pregnancy with insufficient antenatal care

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Supervision of concealed pregnancy
    • Supervision of hidden pregnancy
  • high-risk O09.9-
    ICD-10-CM Diagnosis Code O09.9-

    Supervision of high risk pregnancy, unspecified

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • due to (history of)
      • ectopic pregnancy O09.1-
        ICD-10-CM Diagnosis Code O09.1-

        Supervision of pregnancy with history of ectopic pregnancy

        2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code
      • elderly - see Pregnancy, supervision, elderly mother
      • grand multiparity O09.4
        ICD-10-CM Diagnosis Code O09.4

        Supervision of pregnancy with grand multiparity

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • in utero procedure during previous pregnancy O09.82-
        ICD-10-CM Diagnosis Code O09.82-

        Supervision of pregnancy with history of in utero procedure during previous pregnancy

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • in vitro fertilization O09.81-
        ICD-10-CM Diagnosis Code O09.81-

        Supervision of pregnancy resulting from assisted reproductive technology

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Supervision of pregnancy resulting from in-vitro fertilization

        Type 2 Excludes

        • gestational carrier status (Z33.3)
      • infertility O09.0-
        ICD-10-CM Diagnosis Code O09.0-

        Supervision of pregnancy with history of infertility

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • insufficient prenatal care O09.3-
        ICD-10-CM Diagnosis Code O09.3-

        Supervision of pregnancy with insufficient antenatal care

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Supervision of concealed pregnancy
        • Supervision of hidden pregnancy
      • molar pregnancy O09.A-
        ICD-10-CM Diagnosis Code O09.A-

        Supervision of pregnancy with history of molar pregnancy

        2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code
      • multiple previous pregnancies O09.4-
        ICD-10-CM Diagnosis Code O09.4-

        Supervision of pregnancy with grand multiparity

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • older mother - see Pregnancy, supervision of, elderly mother
      • poor reproductive or obstetric history NEC O09.29-
        ICD-10-CM Diagnosis Code O09.29-

        Supervision of pregnancy with other poor reproductive or obstetric history

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

        Applicable To

        • Supervision of pregnancy with history of neonatal death
        • Supervision of pregnancy with history of stillbirth
      • pre-term labor O09.21-
        ICD-10-CM Diagnosis Code O09.21-

        Supervision of pregnancy with history of pre-term labor

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • previous
        • neonatal death O09.29-
          ICD-10-CM Diagnosis Code O09.29-

          Supervision of pregnancy with other poor reproductive or obstetric history

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

          Applicable To

          • Supervision of pregnancy with history of neonatal death
          • Supervision of pregnancy with history of stillbirth
      • social problems O09.7-
        ICD-10-CM Diagnosis Code O09.7-

        Supervision of high risk pregnancy due to social problems

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • specified NEC O09.89-
        ICD-10-CM Diagnosis Code O09.89-

        Supervision of other high risk pregnancies

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • very young mother - see Pregnancy, supervision, young mother
    • resulting from in vitro fertilization O09.81-
      ICD-10-CM Diagnosis Code O09.81-

      Supervision of pregnancy resulting from assisted reproductive technology

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

      Applicable To

      • Supervision of pregnancy resulting from in-vitro fertilization

      Type 2 Excludes

      • gestational carrier status (Z33.3)
  • normal Z34.9-
    ICD-10-CM Diagnosis Code Z34.9-

    Encounter for supervision of normal pregnancy, unspecified

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • first Z34.0-
      ICD-10-CM Diagnosis Code Z34.0-

      Encounter for supervision of normal first pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • specified NEC Z34.8-
      ICD-10-CM Diagnosis Code Z34.8-

      Encounter for supervision of other normal pregnancy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • young mother
    • multigravida O09.62-
      ICD-10-CM Diagnosis Code O09.62-

      Supervision of young multigravida

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • primigravida O09.61-
      ICD-10-CM Diagnosis Code O09.61-

      Supervision of young primigravida

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
• triplet O30.10-
  ICD-10-CM Diagnosis Code O30.10-

  Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • trichorionic/triamniotic O30.13-
    ICD-10-CM Diagnosis Code O30.13-

    Triplet pregnancy, trichorionic/triamniotic

    2019 - New Code 2020 Non-Billable/Non-Specific Code
  • two or more monoamniotic fetuses O30.12-
    ICD-10-CM Diagnosis Code O30.12-

    Triplet pregnancy with two or more monoamniotic fetuses

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • two or more monochorionic fetuses O30.11-
    ICD-10-CM Diagnosis Code O30.11-

    Triplet pregnancy with two or more monochorionic fetuses

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • unable to determine number of placenta and number of amniotic sacs O30.19-
    ICD-10-CM Diagnosis Code O30.19-

    Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • unspecified number of placenta and unspecified number of amniotic sacs O30.10-
    ICD-10-CM Diagnosis Code O30.10-

    Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • with
    • two or more monoamniotic fetuses O30.12-
      ICD-10-CM Diagnosis Code O30.12-

      Triplet pregnancy with two or more monoamniotic fetuses

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • two or more monochorionic fetuses O30.11-
      ICD-10-CM Diagnosis Code O30.11-

      Triplet pregnancy with two or more monochorionic fetuses

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
• tubal (with abortion) (with rupture) O00.10-
  ICD-10-CM Diagnosis Code O00.10-

  Tubal pregnancy without intrauterine pregnancy

  2017 - New Code 2018 - Converted to Parent Code 2019 2020 Non-Billable/Non-Specific Code

  Applicable To

  • Tubal pregnancy NOS
  • with intrauterine pregnancy O00.11-
    ICD-10-CM Diagnosis Code O00.11-

    Tubal pregnancy with intrauterine pregnancy

    2017 - New Code 2018 - Converted to Parent Code 2019 2020 Non-Billable/Non-Specific Code
• twin O30.00-
  ICD-10-CM Diagnosis Code O30.00-

  Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • conjoined O30.02-
    ICD-10-CM Diagnosis Code O30.02-

    Conjoined twin pregnancy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • dichorionic/diamniotic O30.04-
    (two placenta, two amniotic sacs)
    ICD-10-CM Diagnosis Code O30.04-

    Twin pregnancy, dichorionic/diamniotic

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Twin pregnancy, two placentae, two amniotic sacs
  • monochorionic/diamniotic O30.03-
    (one placenta, two amniotic sacs)
    ICD-10-CM Diagnosis Code O30.03-

    Twin pregnancy, monochorionic/diamniotic

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Twin pregnancy, one placenta, two amniotic sacs
  • monochorionic/monoamniotic O30.01-
    (one placenta, one amniotic sac)
    ICD-10-CM Diagnosis Code O30.01-

    Twin pregnancy, monochorionic/monoamniotic

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code

    Applicable To

    • Twin pregnancy, one placenta, one amniotic sac

    Type 1 Excludes

    • conjoined twins (O30.02-)
  • unable to determine number of placenta and number of amniotic sacs O30.09-
    ICD-10-CM Diagnosis Code O30.09-

    Twin pregnancy, unable to determine number of placenta and number of amniotic sacs

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • unspecified number of placenta and unspecified number of amniotic sacs O30.00-
    ICD-10-CM Diagnosis Code O30.00-

    Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
• unwanted Z64.0
  ICD-10-CM Diagnosis Code Z64.0

  Problems related to unwanted pregnancy

  2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
• weeks of gestation
  • 10 weeks Z3A.10
    ICD-10-CM Diagnosis Code Z3A.10

    10 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 11 weeks Z3A.11
    ICD-10-CM Diagnosis Code Z3A.11

    11 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 12 weeks Z3A.12
    ICD-10-CM Diagnosis Code Z3A.12

    12 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 13 weeks Z3A.13
    ICD-10-CM Diagnosis Code Z3A.13

    13 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 14 weeks Z3A.14
    ICD-10-CM Diagnosis Code Z3A.14

    14 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 15 weeks Z3A.15
    ICD-10-CM Diagnosis Code Z3A.15

    15 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 16 weeks Z3A.16
    ICD-10-CM Diagnosis Code Z3A.16

    16 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 17 weeks Z3A.17
    ICD-10-CM Diagnosis Code Z3A.17

    17 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 18 weeks Z3A.18
    ICD-10-CM Diagnosis Code Z3A.18

    18 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 19 weeks Z3A.19
    ICD-10-CM Diagnosis Code Z3A.19

    19 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 20 weeks Z3A.20
    ICD-10-CM Diagnosis Code Z3A.20

    20 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 21 weeks Z3A.21
    ICD-10-CM Diagnosis Code Z3A.21

    21 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 22 weeks Z3A.22
    ICD-10-CM Diagnosis Code Z3A.22

    22 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 23 weeks Z3A.23
    ICD-10-CM Diagnosis Code Z3A.23

    23 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 24 weeks Z3A.24
    ICD-10-CM Diagnosis Code Z3A.24

    24 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 25 weeks Z3A.25
    ICD-10-CM Diagnosis Code Z3A.25

    25 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 26 weeks Z3A.26
    ICD-10-CM Diagnosis Code Z3A.26

    26 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 27 weeks Z3A.27
    ICD-10-CM Diagnosis Code Z3A.27

    27 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 28 weeks Z3A.28
    ICD-10-CM Diagnosis Code Z3A.28

    28 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 29 weeks Z3A.29
    ICD-10-CM Diagnosis Code Z3A.29

    29 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 30 weeks Z3A.30
    ICD-10-CM Diagnosis Code Z3A.30

    30 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 31 weeks Z3A.31
    ICD-10-CM Diagnosis Code Z3A.31

    31 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 32 weeks Z3A.32
    ICD-10-CM Diagnosis Code Z3A.32

    32 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 33 weeks Z3A.33
    ICD-10-CM Diagnosis Code Z3A.33

    33 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 34 weeks Z3A.34
    ICD-10-CM Diagnosis Code Z3A.34

    34 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 35 weeks Z3A.35
    ICD-10-CM Diagnosis Code Z3A.35

    35 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 36 weeks Z3A.36
    ICD-10-CM Diagnosis Code Z3A.36

    36 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 37 weeks Z3A.37
    ICD-10-CM Diagnosis Code Z3A.37

    37 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 38 weeks Z3A.38
    ICD-10-CM Diagnosis Code Z3A.38

    38 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 39 weeks Z3A.39
    ICD-10-CM Diagnosis Code Z3A.39

    39 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 40 weeks Z3A.40
    ICD-10-CM Diagnosis Code Z3A.40

    40 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 41 weeks Z3A.41
    ICD-10-CM Diagnosis Code Z3A.41

    41 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 42 weeks Z3A.42
    ICD-10-CM Diagnosis Code Z3A.42

    42 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 8 weeks Z3A.08
    ICD-10-CM Diagnosis Code Z3A.08

    8 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • 9 weeks Z3A.09
    ICD-10-CM Diagnosis Code Z3A.09

    9 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • greater than 42 weeks Z3A.49
    ICD-10-CM Diagnosis Code Z3A.49

    Greater than 42 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • less than 8 weeks Z3A.01
    ICD-10-CM Diagnosis Code Z3A.01

    Less than 8 weeks gestation of pregnancy

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
  • not specified Z3A.00
    ICD-10-CM Diagnosis Code Z3A.00

    Weeks of gestation of pregnancy not specified

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt