O26.8
O26.8 — Other specified pregnancy related conditions
Non-billable headerICD-10-CM
O26.8 is a non-billable header ICD-10-CM code for other specified pregnancy related conditions. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with O26.8
These codes carry an Excludes1 note pointing at O26.8. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O26.8 alone.
Risk adjustment
O26.8 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 O26.8
8 child codes. Green means billable.
- O26.81Pregnancy related exhaustion and fatigue
- O26.82Pregnancy related peripheral neuritis
- O26.83Pregnancy related renal disease
- O26.84Uterine size-date discrepancy complicating pregnancy
- O26.85Spotting complicating pregnancy
- O26.86Pruritic urticarial papules and plaques of pregnancy (PUPPP)
- O26.87Cervical shortening
- O26.89Other specified pregnancy related conditions
Related codes at this level
Codes that share O26. If O26.8 is not quite right, the correct code is usually one of these.
- 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
- O26.9Pregnancy related conditions, unspecified
Questions about O26.8
- Is O26.8 a billable ICD-10-CM code?
- No. O26.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does O26.8 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Other maternal disorders predominantly related to pregnancy (O20-O29).