O99.11
O99.11 — Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy
Non-billable headerICD-10-CM
O99.11 is a non-billable header ICD-10-CM code for other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
O99.11 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 to one of these instead O99.11
4 child codes. Green means billable.
- O99.111Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, first trimester
- O99.112Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, second trimester
- O99.113Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, third trimester
- O99.119Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, unspecified trimester
Related codes at this level
Codes that share O99.1. If O99.11 is not quite right, the correct code is usually one of these.
Questions about O99.11
- Is O99.11 a billable ICD-10-CM code?
- No. O99.11 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does O99.11 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Other obstetric conditions, not elsewhere classified (O94-O9A).