O26.85
O26.85 — Spotting complicating pregnancy
Non-billable headerICD-10-CM
O26.85 is a non-billable header ICD-10-CM code for spotting complicating pregnancy. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
O26.85 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 O26.85
4 child codes. Green means billable.
Related codes at this level
Codes that share O26.8. If O26.85 is not quite right, the correct code is usually one of these.
- O26.81Pregnancy related exhaustion and fatigue
- O26.82Pregnancy related peripheral neuritis
- O26.83Pregnancy related renal disease
- O26.84Uterine size-date discrepancy complicating pregnancy
- O26.86Pruritic urticarial papules and plaques of pregnancy (PUPPP)
- O26.87Cervical shortening
- O26.89Other specified pregnancy related conditions
Questions about O26.85
- Is O26.85 a billable ICD-10-CM code?
- No. O26.85 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does O26.85 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Other maternal disorders predominantly related to pregnancy (O20-O29).