O26

O26: Maternal care for other conditions predominantly related to pregnancy

Non-billable headerICD-10-CM

O26 is a non-billable header ICD-10-CM code for maternal care for other conditions predominantly related to pregnancy. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with O26

Their own Excludes1 notes name this code, so the conflict is not listed above.

I95Hypotension
Z03.7Encounter for suspected maternal and fetal conditions ruled out
L12Pemphigoid
N96Recurrent pregnancy loss
R03.1Nonspecific low blood-pressure reading
R34Anuria and oliguria
R53.8Other malaise and fatigue
R63.5Abnormal weight gain

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead O26

10 child codes. Green means billable.

O26.0Excessive weight gain in pregnancy
O26.1Low weight gain in pregnancy
O26.2Pregnancy care for patient with recurrent pregnancy loss
O26.3Retained intrauterine contraceptive device in pregnancy
O26.4Herpes gestationis
O26.5Maternal hypotension syndrome
O26.6Liver and biliary tract disorders in pregnancy, childbirth and the puerperium
O26.7Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium
O26.8Other specified pregnancy related conditions
O26.9Pregnancy related conditions, unspecified