O09.43
O09.43 — Supervision of pregnancy with grand multiparity, third trimester
Billable / specific codeICD-10-CMPOA exempt
O09.43 is a billable, specific ICD-10-CM code for supervision of pregnancy with grand multiparity, third trimester. It is valid for submission on a claim.
Risk adjustment
O09.43 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.
Medicare coverage
O09.43 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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Related codes at this level
Codes that share O09.4. If O09.43 is not quite right, the correct code is usually one of these.
Questions about O09.43
- Is O09.43 a billable ICD-10-CM code?
- Yes. O09.43 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does O09.43 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Supervision of high risk pregnancy (O09).