O26.11
O26.11 — Low weight gain in pregnancy, first trimester
Billable / specific codeICD-10-CM
O26.11 is a billable, specific ICD-10-CM code for low weight gain in pregnancy, first trimester. It is valid for submission on a claim.
Risk adjustment
O26.11 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
O26.11 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.
- A57189Billing and Coding: Serum Magnesium
Related codes at this level
Codes that share O26.1. If O26.11 is not quite right, the correct code is usually one of these.
Questions about O26.11
- Is O26.11 a billable ICD-10-CM code?
- Yes. O26.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does O26.11 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Other maternal disorders predominantly related to pregnancy (O20-O29).