O09.813 — Supervision of pregnancy resulting from assisted reproductive technology, third trimester
O09.813 is a billable, specific ICD-10-CM code for supervision of pregnancy resulting from assisted reproductive technology, third trimester. It is valid for submission on a claim.
Excludes2 inherited from the categories above O09.813
Also inherited, and the opposite of Excludes1: these conditions are not part of O09.813, but a patient can have both, so you may code both.
Other codes that can never be billed with O09.813
These codes carry an Excludes1 note pointing at O09.813. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O09.813 alone.
- Z34Encounter for supervision of normal pregnancy
Risk adjustment
O09.813 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
O09.813 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55326Billing and Coding: Zika Virus Testing by PCR and ELISA Methods
Code history
O09.813 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share O09.81. If O09.813 is not quite right, the correct code is usually one of these.
Questions about O09.813
- Is O09.813 a billable ICD-10-CM code?
- Yes. O09.813 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does O09.813 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Supervision of high risk pregnancy (O09).