O26.1
O26.1 — Low weight gain in pregnancy
Non-billable headerICD-10-CM
O26.1 is a non-billable header ICD-10-CM code for low weight gain in pregnancy. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
O26.1 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 O26.1
4 child codes. Green means billable.
Related codes at this level
Codes that share O26. If O26.1 is not quite right, the correct code is usually one of these.
- O26.0Excessive 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
Questions about O26.1
- Is O26.1 a billable ICD-10-CM code?
- No. O26.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does O26.1 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Other maternal disorders predominantly related to pregnancy (O20-O29).