O12.1
O12.1 — Gestational proteinuria
Non-billable headerICD-10-CM
O12.1 is a non-billable header ICD-10-CM code for gestational proteinuria. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with O12.1
These codes carry an Excludes1 note pointing at O12.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O12.1 alone.
- R80Proteinuria
Risk adjustment
O12.1 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 to one of these instead O12.1
6 child codes. Green means billable.
- O12.10Gestational proteinuria, unspecified trimester
- O12.11Gestational proteinuria, first trimester
- O12.12Gestational proteinuria, second trimester
- O12.13Gestational proteinuria, third trimester
- O12.14Gestational proteinuria, complicating childbirth
- O12.15Gestational proteinuria, complicating the puerperium
Related codes at this level
Codes that share O12. If O12.1 is not quite right, the correct code is usually one of these.
Questions about O12.1
- Is O12.1 a billable ICD-10-CM code?
- No. O12.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does O12.1 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).