O12.24 — Gestational edema with proteinuria, complicating childbirth
O12.24 is a billable, specific ICD-10-CM code for gestational edema with proteinuria, complicating childbirth. It is valid for submission on a claim.
Risk adjustment
O12.24 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
O12.24 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.
- A57643Billing and Coding: Lab: Cystatin C Measurement
How O12.24 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to O12.24.
- Delivery›complicated›by›gestational›edema›with proteinuria
Related codes at this level
Codes that share O12.2. If O12.24 is not quite right, the correct code is usually one of these.
- O12.20Gestational edema with proteinuria, unspecified trimester
- O12.21Gestational edema with proteinuria, first trimester
- O12.22Gestational edema with proteinuria, second trimester
- O12.23Gestational edema with proteinuria, third trimester
- O12.25Gestational edema with proteinuria, complicating the puerperium
Questions about O12.24
- Is O12.24 a billable ICD-10-CM code?
- Yes. O12.24 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does O12.24 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).