Is O12.23 a billable ICD-10-CM code?

Yes. O12.23 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O12.23 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).

O12.23

O12.23 — Gestational edema with proteinuria, third trimester

Billable / specific codeICD-10-CM

O12.23 is a billable, specific ICD-10-CM code for gestational edema with proteinuria, third trimester. It is valid for submission on a claim.

Risk adjustment

O12.23 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

O12.23 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.

A57189Billing and Coding: Serum Magnesium
A57643Billing and Coding: Lab: Cystatin C Measurement

Related codes at this level

Codes that share O12.2. If O12.23 is not quite right, the correct code is usually one of these.

Questions about O12.23

Is O12.23 a billable ICD-10-CM code?: Yes. O12.23 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O12.23 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).