Is O26.84 a billable ICD-10-CM code?

No. O26.84 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does O26.84 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 O26.84?

O26.84 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

O26.84

O26.84 — Uterine size-date discrepancy complicating pregnancy

Non-billable headerICD-10-CM

O26.84 is a non-billable header ICD-10-CM code for uterine size-date discrepancy complicating pregnancy. 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.

encounter for suspected problem with fetal growth ruled out (Z03.74)

Risk adjustment

O26.84 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 O26.84

4 child codes. Green means billable.

Related codes at this level

Codes that share O26.8. If O26.84 is not quite right, the correct code is usually one of these.

Questions about O26.84

Is O26.84 a billable ICD-10-CM code?: No. O26.84 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does O26.84 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 O26.84?: O26.84 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.