Category · FY2027
O26 Maternal care for other conditions predominantly related to pregnancy
- Header · not billable
O26 is not billable. The category heads 72 billable codes in FY2027, grouped under 10 subdivisions.
Index → code
Where it sits
- Chapter 15 Pregnancy, childbirth and the puerperium (O00-O9A)
- O20-O29 Other maternal disorders predominantly related to pregnancy (O20-O29)
- O26 Maternal care for other conditions predominantly related to pregnancy
- Billable codes
- 72
- Subdivisions
- 10
- CC / MCC codes
- 13 / 0
- HCC V28 codes
- 0
- New FY2027
- 0
- Index entries
- 58
Codes in O26
- O26.0
- O26.00Excessive weight gain in pregnancy, unspecified trimesterBillable
- O26.01Excessive weight gain in pregnancy, first trimesterBillable
- O26.02Excessive weight gain in pregnancy, second trimesterBillable
- O26.03Excessive weight gain in pregnancy, third trimesterBillable
- O26.1Low weight gain in pregnancyHeader
- O26.10Low weight gain in pregnancy, unspecified trimesterBillable
- O26.11Low weight gain in pregnancy, first trimesterBillable
- O26.12Low weight gain in pregnancy, second trimesterBillable
- O26.13Low weight gain in pregnancy, third trimesterBillable
- O26.2Pregnancy care for patient with recurrent pregnancy lossHeader
- O26.20Pregnancy care for patient with recurrent pregnancy loss, unspecified trimesterBillable
- O26.21Pregnancy care for patient with recurrent pregnancy loss, first trimesterBillable
- O26.22Pregnancy care for patient with recurrent pregnancy loss, second trimesterBillable
- O26.23Pregnancy care for patient with recurrent pregnancy loss, third trimesterBillable
- O26.3Retained intrauterine contraceptive device in pregnancyHeader
- O26.30Retained intrauterine contraceptive device in pregnancy, unspecified trimesterBillable
- O26.31Retained intrauterine contraceptive device in pregnancy, first trimesterBillable
- O26.32Retained intrauterine contraceptive device in pregnancy, second trimesterBillable
- O26.33Retained intrauterine contraceptive device in pregnancy, third trimesterBillable
- O26.4Herpes gestationisHeader
- O26.40Herpes gestationis, unspecified trimesterBillable
- O26.41Herpes gestationis, first trimesterBillable
- O26.42Herpes gestationis, second trimesterBillable
- O26.43Herpes gestationis, third trimesterBillable
- O26.5Maternal hypotension syndromeHeader
Inclusion terms 1
Inclusion terms
- Supine hypotensive syndrome
- O26.50Maternal hypotension syndrome, unspecified trimesterBillable
- O26.51Maternal hypotension syndrome, first trimesterBillable
- O26.52Maternal hypotension syndrome, second trimesterBillable
- O26.53Maternal hypotension syndrome, third trimesterBillable
- O26.6Liver and biliary tract disorders in pregnancy, childbirth and the puerperiumHeader
Excludes2 1, Use additional code 1
Excludes2
- hepatorenal syndrome following labor and delivery (O90.41) O90.41
Use additional code
- code to identify the specific disorder
- O26.61Liver and biliary tract disorders in pregnancyHeader
- O26.611Liver and biliary tract disorders in pregnancy, first trimesterBillableCC
- O26.612Liver and biliary tract disorders in pregnancy, second trimesterBillableCC
- O26.613Liver and biliary tract disorders in pregnancy, third trimesterBillableCC
- O26.619Liver and biliary tract disorders in pregnancy, unspecified trimesterBillable
- O26.62Liver and biliary tract disorders in childbirthBillableCC
- O26.63Liver and biliary tract disorders in the puerperiumBillable
- O26.64Intrahepatic cholestasis of pregnancyHeader
Use additional code 1
Use additional code
- code for hepatic obstruction (K76.89) K76.89
- O26.641Intrahepatic cholestasis of pregnancy, first trimesterBillableCC
- O26.642Intrahepatic cholestasis of pregnancy, second trimesterBillableCC
- O26.643Intrahepatic cholestasis of pregnancy, third trimesterBillableCC
- O26.649Intrahepatic cholestasis of pregnancy, unspecified trimesterBillable
- O26.7Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperiumHeader
Excludes1 1
Excludes1
- traumatic separation of symphysis (pubis) during childbirth (O71.6) O71.6
- O26.71Subluxation of symphysis (pubis) in pregnancyHeader
- O26.711Subluxation of symphysis (pubis) in pregnancy, first trimesterBillable
- O26.712Subluxation of symphysis (pubis) in pregnancy, second trimesterBillable
- O26.713Subluxation of symphysis (pubis) in pregnancy, third trimesterBillable
- O26.719Subluxation of symphysis (pubis) in pregnancy, unspecified trimesterBillable
- O26.72Subluxation of symphysis (pubis) in childbirthBillable
- O26.73Subluxation of symphysis (pubis) in the puerperiumBillable
- O26.8Other specified pregnancy related conditionsHeader
- O26.81Pregnancy related exhaustion and fatigueHeader
- O26.811Pregnancy related exhaustion and fatigue, first trimesterBillable
- O26.812Pregnancy related exhaustion and fatigue, second trimesterBillable
- O26.813Pregnancy related exhaustion and fatigue, third trimesterBillable
- O26.819Pregnancy related exhaustion and fatigue, unspecified trimesterBillable
- O26.82Pregnancy related peripheral neuritisHeader
- O26.821Pregnancy related peripheral neuritis, first trimesterBillable
- O26.822Pregnancy related peripheral neuritis, second trimesterBillable
- O26.823Pregnancy related peripheral neuritis, third trimesterBillable
- O26.829Pregnancy related peripheral neuritis, unspecified trimesterBillable
- O26.83Pregnancy related renal diseaseHeader
Use additional code 1
Use additional code
- code to identify the specific disorder
- O26.831Pregnancy related renal disease, first trimesterBillableCC
- O26.832Pregnancy related renal disease, second trimesterBillableCC
- O26.833Pregnancy related renal disease, third trimesterBillableCC
- O26.839Pregnancy related renal disease, unspecified trimesterBillable
- O26.84Uterine size-date discrepancy complicating pregnancyHeader
Excludes1 1
Excludes1
- encounter for suspected problem with fetal growth ruled out (Z03.74) Z03.74
- O26.841Uterine size-date discrepancy, first trimesterBillable
- O26.842Uterine size-date discrepancy, second trimesterBillable
- O26.843Uterine size-date discrepancy, third trimesterBillable
- O26.849Uterine size-date discrepancy, unspecified trimesterBillable
- O26.85Spotting complicating pregnancyHeader
- O26.851Spotting complicating pregnancy, first trimesterBillable
- O26.852Spotting complicating pregnancy, second trimesterBillable
- O26.853Spotting complicating pregnancy, third trimesterBillable
- O26.859Spotting complicating pregnancy, unspecified trimesterBillable
- O26.86Pruritic urticarial papules and plaques of pregnancy (PUPPP)Billable
Inclusion terms 1
Inclusion terms
- Polymorphic eruption of pregnancy
- O26.87Cervical shorteningHeader
Excludes1 1
Excludes1
- encounter for suspected cervical shortening ruled out (Z03.75) Z03.75
- O26.872Cervical shortening, second trimesterBillableCC
- O26.873Cervical shortening, third trimesterBillableCC
- O26.879Cervical shortening, unspecified trimesterBillableCC
- O26.89Other specified pregnancy related conditionsHeader
Use additional code 1
Use additional code
- code, if applicable, to identify specific condition such as insulin resistance (E88.81-) E88.81
- O26.891Other specified pregnancy related conditions, first trimesterBillable
- O26.892Other specified pregnancy related conditions, second trimesterBillable
- O26.893Other specified pregnancy related conditions, third trimesterBillable
- O26.899Other specified pregnancy related conditions, unspecified trimesterBillable
- O26.9Pregnancy related conditions, unspecifiedHeader
- O26.90Pregnancy related conditions, unspecified, unspecified trimesterBillable
- O26.91Pregnancy related conditions, unspecified, first trimesterBillable
- O26.92Pregnancy related conditions, unspecified, second trimesterBillable
- O26.93Pregnancy related conditions, unspecified, third trimesterBillable
CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).
Instructions
Notes that also apply
Block O20-O29 instructions (Excludes2 2): printed on the block page.
Chapter 15 instructions (Notes 6, Excludes1 1, Excludes2 4, Use additional code 1): printed on the chapter 15 page.
Index entries
- Hysteralgia, pregnant uterus → O26.89-
- Intrauterine contraceptive device›retention in pregnancy → O26.3-
- Herpes, herpesvirus, herpetic›gestational, gestationis → O26.4-
- Hypotension (arterial) (constitutional)›maternal, syndrome (following labor and delivery) → O26.5-
- Syndrome›hypotension, maternal → O26.5-
- Puerperal, puerperium (complicated by, complications)›necrosis, liver (acute) (subacute) (conditions in subcategory K72.0) → O26.63
- Puerperal, puerperium (complicated by, complications)›subluxation of symphysis (pubis) → O26.73
- Nephritis, nephritic (albuminuric) (azotemic) (congenital) (disseminated) (epithelial) (familial) (focal) (granulomatous) (hemorrhagic) (infantile) (nonsuppurative, excretory) (uremic)›complicating pregnancy → O26.83-
- Nephropathy›pregnancy-related → O26.83-
- Discrepancy›uterine size date → O26.84-
- Spots, spotting (in) (of)›pregnancy → O26.85-
- Cervical›shortening (complicating pregnancy) → O26.87-
- Short, shortening, shortness›cervical (complicating pregnancy) → O26.87-
- Pregnancy (single) (uterine)›complicated NOS → O26.9-
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›excessive weight gain → O26.0-
- Abortion (complete) (spontaneous)›habitual or recurrent›care in current pregnancy → O26.2-
- Loss (of)›pregnancy, recurrent›care in current pregnancy → O26.2-
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›recurrent pregnancy loss → O26.2-
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›hypotension → O26.5-
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›maternal hypotension syndrome → O26.5-
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›atrophy (yellow) (acute) liver (subacute) → O26.61-
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›biliary tract problems → O26.61-
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›fatty metamorphosis of liver → O26.61-
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›necrosis, liver (conditions in K72) → O26.61-
- Puerperal, puerperium (complicated by, complications)›disorder›biliary tract → O26.63
- Puerperal, puerperium (complicated by, complications)›disorder›liver → O26.63
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›cholestasis (intrahepatic) → O26.64-
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›subluxation of symphysis (pubis) → O26.71-
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›exhaustion → O26.81-
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›fatigue → O26.81-
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›peripheral neuritis → O26.82-
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›glomerular diseases (conditions in N00-N07) → O26.83-
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›nephropathy NEC → O26.83-
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›renal disease or failure NEC → O26.83-
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›size date discrepancy (uterine) → O26.84-
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›uterine size date discrepancy → O26.84-
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›spotting → O26.85-
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›polymorphic eruption of pregnancy → O26.86
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›pruritic urticarial papules and plaques of pregnancy (PUPPP) → O26.86
- Pregnancy (single) (uterine)›complicated by (care of) (management affected by)›PUPPP (pruritic urticarial papules and plaques of pregnancy) → O26.86
18 more, longer entries are not listed; the search box finds them by word.
NCHS Alphabetic Index. Index first, then the Tabular List.