Is O14.1 a billable ICD-10-CM code?

No. O14.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does O14.1 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).

What cannot be coded together with O14.1?

O14.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

O14.1

O14.1 — Severe pre-eclampsia

Non-billable headerICD-10-CM

O14.1 is a non-billable header ICD-10-CM code for severe pre-eclampsia. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

HELLP syndrome (O14.2-)

Risk adjustment

O14.1 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 O14.1

5 child codes. Green means billable.

Related codes at this level

Codes that share O14. If O14.1 is not quite right, the correct code is usually one of these.

Questions about O14.1

Is O14.1 a billable ICD-10-CM code?: No. O14.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does O14.1 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).
What cannot be coded together with O14.1?: O14.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.