2026 ICD-10-CM Diagnosis Code O20.8Other hemorrhage in early pregnancy

ICD-10-CM CodesO00-O9AO20-O29O20

ICD-10-CM O20.8
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O20.8 is a billable ICD-10-CM diagnosis code for other hemorrhage in early pregnancy. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 817 through 819, 831 through 833. The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Early, first or unspecified trimester hemorrhage.

This medical diagnosis code is frequently used in OB/GYN medical specialties to designate conditions such maternal disorders related to pregnancy.

Code Identity

ICD-10-CM Code
O20.8
Billable Status
Yes — Valid for Submission
Code Describes
Other hemorrhage in early pregnancy
Short Description
Other hemorrhage in early pregnancy
Same as the full description in the CMS dataset.
Parent Code
Hemorrhage in early pregnancy

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO20-O29Other maternal disorders predominantly related to pregnancy
CategoryO20Hemorrhage in early pregnancy
This CodeO20.8Other hemorrhage in early pregnancy

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O20.8.

The Medicare Code Editor detects inconsistencies in maternity cases by checking a patient's age and any diagnosis on the patient's record. The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).

Index to Diseases and InjuriesGuidance

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Hemorrhage, hemorrhagic(concealed)
      • antepartum (with)
        • before 20 weeks gestation
          • specified type NEC
    • Menstruation
      • during pregnancy
    • Pregnancy(single) (uterine)
      • complicated by (care of) (management affected by)
        • hemorrhage
          • before 20 completed weeks gestation
            • specified NEC
    • Pregnancy(single) (uterine)
      • complicated by (care of) (management affected by)
        • hemorrhage
          • early
            • specified NEC

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PRG009
Early, first or unspecified trimester hemorrhage
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Health Problems in Pregnancy

A health problem in pregnancy is any disease or condition that could affect your health or the health of your fetus. Some health problems may make it more likely that you will have a high-risk pregnancy. A high-risk pregnancy is one in which you, your fetus, or both are at higher risk for health problems than in a typical pregnancy.

The full article covers:

  • What are health problems in pregnancy?
  • What raises my risk for health problems during pregnancy?
  • Can chronic health conditions cause problems in pregnancy?
  • Can health problems in pregnancy be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert O20.8 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
640.83 Hem early pg NEC-antepar
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About O20.8Overview

Is O20.8 (Hemorrhage in early pregnancy) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other hemorrhage in early pregnancy on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does O20.8 group to?

When other hemorrhage in early pregnancy is the principal diagnosis on an inpatient stay, it groups to MS-DRG 817, 818, 819, 831, 832, 833, with relative weights from 0.5229 to 1.6880 depending on complications. Higher weights mean higher Medicare reimbursement.

Who can O20.8 be reported for?

The Medicare Code Editor checks other hemorrhage in early pregnancy against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.

What is the ICD-9 equivalent of O20.8?

Under the General Equivalence Mappings, other hemorrhage in early pregnancy converts to ICD-9-CM 640.83 (hem early pg NEC-antepar). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.