Is O26.7 a billable ICD-10-CM code?

No. O26.7 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does O26.7 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Other maternal disorders predominantly related to pregnancy (O20-O29).

What cannot be coded together with O26.7?

O26.7 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.

O26.7

O26.7 — Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium

Non-billable headerICD-10-CM

O26.7 is a non-billable header ICD-10-CM code for subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium. 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.

traumatic separation of symphysis (pubis) during childbirth (O71.6)

Other codes that can never be billed with O26.7

These codes carry an Excludes1 note pointing at O26.7. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O26.7 alone.

Z03.7Encounter for suspected maternal and fetal conditions ruled out

Risk adjustment

O26.7 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 history

O26.7 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead O26.7

3 child codes. Green means billable.

Related codes at this level

Codes that share O26. If O26.7 is not quite right, the correct code is usually one of these.

Questions about O26.7

Is O26.7 a billable ICD-10-CM code?: No. O26.7 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does O26.7 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Other maternal disorders predominantly related to pregnancy (O20-O29).
What cannot be coded together with O26.7?: O26.7 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.