O26.86 — Pruritic urticarial papules and plaques of pregnancy (PUPPP)
O26.86 is a billable, specific ICD-10-CM code for pruritic urticarial papules and plaques of pregnancy (puppp). It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Polymorphic eruption of pregnancy
Other codes that can never be billed with O26.86
These codes carry an Excludes1 note pointing at O26.86. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O26.86 alone.
- Z03.7Encounter for suspected maternal and fetal conditions ruled out
Risk adjustment
O26.86 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.
How O26.86 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to O26.86.
- Pregnancy›complicated by›polymorphic eruption of pregnancy
- Pregnancy›complicated by›pruritic urticarial papules and plaques of pregnancy(PUPPP)
- Pregnancy›complicated by›PUPPP(pruritic urticarial papules and plaques of pregnancy)
Code history
O26.86 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share O26.8. If O26.86 is not quite right, the correct code is usually one of these.
Questions about O26.86
- Is O26.86 a billable ICD-10-CM code?
- Yes. O26.86 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does O26.86 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Other maternal disorders predominantly related to pregnancy (O20-O29).