ICD-10-CM Code O12.25

Valid for Submission

O12.25 is a billable code used to specify a medical diagnosis of gestational edema with proteinuria, complicating the puerperium. The code is valid for the year 2020 for the submission of HIPAA-covered transactions.

The code O12.25 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code O12.25 are found in the index:

• - Puerperal, puerperium (complicated by, complications)
  • - gestational
    • - edema - O12.05
      • - with proteinuria - O12.25

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

• Maternity diagnoses - Maternity. Age range is 12–55 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
• Diagnoses for females only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to FEMALES only .

Replacement Code

O1225 replaces the following previously assigned ICD-10 code(s):

• O12.20 - Gestational edema with proteinuria, unspecified trimester

Convert O12.25 to ICD-9

• 646.14 - Edema in preg-postpartum (Approximate Flag)
• 646.14 - Edema in preg-postpartum (Combination Flag)
• 646.24 - Renal dis NOS-postpartum (Combination Flag)
• 646.12 - Edema in preg-del w p/p (Combination Flag)
• 646.22 - Renal dis NOS-del w p/p (Combination Flag)

Code Classification

• Pregnancy, childbirth and the puerperium (O00–O99)
  • Edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium (O10-O16)
    • Gestational edema and proteinuria without hypertension (O12)

Code History

• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Tools

• Copy Code
• Copy Description
• View Related Codes
• Convert O12.25 to ICD-9