O26.43
O26.43: Herpes gestationis, third trimester
Billable / specific codeICD-10-CM
O26.43 is a billable, specific ICD-10-CM code for herpes gestationis, third trimester. It is valid for submission on a claim.
Check O26.43 with the rest of the claim: free scrubberOther codes that can never be billed with O26.43
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z03.7Encounter for suspected maternal and fetal conditions ruled out
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
O26.43 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57189Billing and Coding: Serum Magnesium
Code history
Unchanged in every release from FY2024 to FY2027.