O88.813
O88.813 — Other embolism in pregnancy, third trimester
Billable / specific codeICD-10-CM
O88.813 is a billable, specific ICD-10-CM code for other embolism in pregnancy, third trimester. It is valid for submission on a claim.
Risk adjustment
O88.813 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.
Medicare coverage
O88.813 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57326Billing and Coding: Electrocardiograms
Related codes at this level
Codes that share O88.81. If O88.813 is not quite right, the correct code is usually one of these.
Questions about O88.813
- Is O88.813 a billable ICD-10-CM code?
- Yes. O88.813 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does O88.813 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications predominantly related to the puerperium (O85-O92).