Is O12.03 a billable ICD-10-CM code?

Yes. O12.03 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O12.03 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).

O12.03

O12.03 — Gestational edema, third trimester

Billable / specific codeICD-10-CM

O12.03 is a billable, specific ICD-10-CM code for gestational edema, third trimester. It is valid for submission on a claim.

Risk adjustment

O12.03 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.

Related codes at this level

Codes that share O12.0. If O12.03 is not quite right, the correct code is usually one of these.

O12.00Gestational edema, unspecified trimester
O12.01Gestational edema, first trimester
O12.02Gestational edema, second trimester
O12.04Gestational edema, complicating childbirth
O12.05Gestational edema, complicating the puerperium

Questions about O12.03

Is O12.03 a billable ICD-10-CM code?: Yes. O12.03 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O12.03 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).