Is O10.1 a billable ICD-10-CM code?

No. O10.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does O10.1 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium (O10-O16).

O10.1

O10.1 — Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium

Non-billable headerICD-10-CM

O10.1 is a non-billable header ICD-10-CM code for pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium. It cannot be billed on its own: choose one of the more specific child codes below.

Use additional code

Add a secondary code to capture the detail described below.

code from I11 to identify the type of hypertensive heart disease

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Any condition in I11 specified as a reason for obstetric care during pregnancy, childbirth or the puerperium

Excludes2 inherited from the categories above O10.1

Also inherited, and the opposite of Excludes1: these conditions are not part of O10.1, but a patient can have both, so you may code both.

Written on O10 — Pre-existing hypertension complicating pregnancy, childbirth and the puerperium

pre-existing hypertension with superimposed pre-eclampsia complicating pregnancy, childbirth and the puerperium (O11.-)

Risk adjustment

O10.1 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.

Code history

O10.1 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead O10.1

3 child codes. Green means billable.

Related codes at this level

Codes that share O10. If O10.1 is not quite right, the correct code is usually one of these.

Questions about O10.1

Is O10.1 a billable ICD-10-CM code?: No. O10.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does O10.1 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium (O10-O16).