Is O26.89 a billable ICD-10-CM code?

No. O26.89 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does O26.89 sit in the tabular list?

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

O26.89

O26.89 — Other specified pregnancy related conditions

Non-billable headerICD-10-CM

O26.89 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.

Use additional code

Add a secondary code to capture the detail described below.

code, if applicable, to identify specific condition such as insulin resistance (E88.81-)

Risk adjustment

O26.89 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 O26.89 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 O26.89.

Pregnancy›complicated by›insulin resistance

Code to one of these instead O26.89

4 child codes. Green means billable.

Related codes at this level

Codes that share O26.8. If O26.89 is not quite right, the correct code is usually one of these.

Questions about O26.89

Is O26.89 a billable ICD-10-CM code?: No. O26.89 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does O26.89 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Other maternal disorders predominantly related to pregnancy (O20-O29).