Is O43.019 a billable ICD-10-CM code?

Yes. O43.019 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O43.019 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48).

O43.019

O43.019 — Fetomaternal placental transfusion syndrome, unspecified trimester

Billable / specific codeICD-10-CM

O43.019 is a billable, specific ICD-10-CM code for fetomaternal placental transfusion syndrome, unspecified trimester. It is valid for submission on a claim.

Risk adjustment

O43.019 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.

Related codes at this level

Codes that share O43.01. If O43.019 is not quite right, the correct code is usually one of these.

O43.011Fetomaternal placental transfusion syndrome, first trimester
O43.012Fetomaternal placental transfusion syndrome, second trimester
O43.013Fetomaternal placental transfusion syndrome, third trimester

Questions about O43.019

Is O43.019 a billable ICD-10-CM code?: Yes. O43.019 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O43.019 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48).