O09.4
O09.4 — Supervision of pregnancy with grand multiparity
Non-billable headerICD-10-CM
O09.4 is a non-billable header ICD-10-CM code for supervision of pregnancy with grand multiparity. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
O09.4 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
How O09.4 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to O09.4.
- Pregnancy›complicated by›grand multiparity
- Pregnancy›supervision of›high-risk›due to›grand multiparity
Code to one of these instead O09.4
4 child codes. Green means billable.
Related codes at this level
Codes that share O09. If O09.4 is not quite right, the correct code is usually one of these.
- O09.0Supervision of pregnancy with history of infertility
- O09.1Supervision of pregnancy with history of ectopic pregnancy
- O09.ASupervision of pregnancy with history of molar pregnancy
- O09.2Supervision of pregnancy with other poor reproductive or obstetric history
- O09.3Supervision of pregnancy with insufficient antenatal care
- O09.5Supervision of elderly primigravida and multigravida
- O09.6Supervision of young primigravida and multigravida
- O09.7Supervision of high risk pregnancy due to social problems
- O09.8Supervision of other high risk pregnancies
- O09.9Supervision of high risk pregnancy, unspecified
Questions about O09.4
- Is O09.4 a billable ICD-10-CM code?
- No. O09.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does O09.4 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Supervision of high risk pregnancy (O09).