Is O99.013 a billable ICD-10-CM code?

Yes. O99.013 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O99.013 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Other obstetric conditions, not elsewhere classified (O94-O9A).

What cannot be coded together with O99.013?

O99.013 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above O99.013 (O99.0) and apply to it just the same.

O99.013

O99.013 — Anemia complicating pregnancy, third trimester

Billable / specific codeICD-10-CM

O99.013 is a billable, specific ICD-10-CM code for anemia complicating pregnancy, third trimester. It is valid for submission on a claim.

Excludes1 inherited from the categories above O99.013

These are not written on O99.013, but they bind it: a note on a category applies to every code beneath it. Billing O99.013 with anything listed here is a denial.

Written on O99.0 — Anemia complicating pregnancy, childbirth and the puerperium

anemia arising in the puerperium (O90.81)
postpartum anemia NOS (O90.81)

Excludes2 inherited from the categories above O99.013

Also inherited, and the opposite of Excludes1: these conditions are not part of O99.013, but a patient can have both, so you may code both.

Written on O99 — Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

when the reason for maternal care is that the condition is known or suspected to have affected the fetus (O35-O36)

Risk adjustment

O99.013 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 history

O99.013 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 O99.01. If O99.013 is not quite right, the correct code is usually one of these.

Questions about O99.013

Is O99.013 a billable ICD-10-CM code?: Yes. O99.013 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O99.013 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Other obstetric conditions, not elsewhere classified (O94-O9A).
What cannot be coded together with O99.013?: O99.013 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above O99.013 (O99.0) and apply to it just the same.