2027 ICD-10-CM Diagnosis Code O23.00Infections of kidney in pregnancy, unspecified trimester

ICD-10-CM Codes›O00-O9A›O20-O29›O23

ICD-10-CM O23.00
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

O23.00 is a billable ICD-10-CM diagnosis code for infections of kidney in pregnancy, unspecified trimester. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) 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). Coders also document this condition as infections of kidney in pregnancy. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified complications in pregnancy and Urinary tract infections.

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
O23.00
Billable Status
Yes — Valid for Submission
Code Describes
Infections of kidney in pregnancy, unspecified trimester
Short Description
Infections of kidney in pregnancy, unspecified trimester
Same as the full description in the CMS dataset.
Parent Code
Infections of kidney in pregnancy

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO20-O29Other maternal disorders predominantly related to pregnancy
CategoryO23Infections of genitourinary tract in pregnancy
This CodeO23.00Infections of kidney in pregnancy, unspecified trimester

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O23.00.

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).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Infections of kidney in pregnancy
  • Pyelonephritis in pregnancy

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to O23.00: its own notes plus those printed at O23, block O20-O29, and Chapter 15. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • supervision of normal pregnancy (Z34.-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From O23 Infections of genitourinary tract in pregnancy applies to 36 codes
  • gonococcal infections complicating pregnancy, childbirth and the puerperium (O98.2)
  • infections with a predominantly sexual mode of transmission NOS complicating pregnancy, childbirth and the puerperium (O98.3)
  • syphilis complicating pregnancy, childbirth and the puerperium (O98.1)
  • tuberculosis of genitourinary system complicating pregnancy, childbirth and the puerperium (O98.0)
  • venereal disease NOS complicating pregnancy, childbirth and the puerperium (O98.3)
From Block O20-O29 Other maternal disorders predominantly related to pregnancy applies to 260 codes
  • maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
  • maternal diseases classifiable elsewhere but complicating pregnancy, labor and delivery, and the puerperium (O98-O99)
From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From O23 Infections of genitourinary tract in pregnancy applies to 36 codes
From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Notes

General instructions on how these codes are used.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
  • Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
  • Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
  • 1st trimester- less than 14 weeks 0 days
  • 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
  • 3rd trimester- 28 weeks 0 days until delivery

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name O23.00, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming O23.00: they are not reported together with it, unless the two conditions are unrelated.

  • Block N70-N77 Inflammatory diseases of female pelvic organs
    pregnancy, childbirth and the puerperium (O23.-, O75.3, O85, O86.-) names O23.-, which includes this code

Excludes2 2

These codes carry an Excludes2 note naming O23.00: its condition is not part of those codes, and both may be reported when the patient has both.

  • Block N30-N39 Other diseases of the urinary system
    pregnancy, childbirth and the puerperium (O23.-, O75.3, O86.2-) names O23.-, which includes this code
  • O99.8 Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium
    genitourinary infections in pregnancy (O23.-) names O23.-, which includes this code

Clinical ClassificationClinical

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

CCSR PRG028
Other specified complications in pregnancy
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR GEN004
Urinary tract infections
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Infections and Pregnancy

During pregnancy, some common infections such as the common cold or a skin infection do not usually cause serious problems. Some infections, such as the flu, can be more severe when you're pregnant. But other infections can be harmful to you, your fetus, or both.

The full article covers:

  • How can infections affect your pregnancy?
  • What infections can be harmful during pregnancy?
  • What are the symptoms of an infection during pregnancy?
  • What are the treatments for infections during pregnancy?
  • Can infections during pregnancy be prevented?

Read the full article at MedlinePlus

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

Convert O23.00 to ICD-9-CMHistory

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

ICD-9-CM
646.60 Gu infect in preg-unspec
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About O23.00Overview

What is the ICD-10 code for infections of kidney in pregnancy, unspecified trimester?

The ICD-10-CM code for infections of kidney in pregnancy, unspecified trimester is O23.00 (sometimes written as O2300). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is O23.00 (Infections of kidney in pregnancy) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report infections of kidney in pregnancy, unspecified trimester on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does O23.00 group to?

When infections of kidney in pregnancy, unspecified trimester is the principal diagnosis on an inpatient stay, it groups to MS-DRG 833, 832, 831, 819, 818, 817, with relative weights from 0.5000 to 1.7586 depending on complications. Higher weights mean higher Medicare reimbursement.

Who can O23.00 be reported for?

The Medicare Code Editor checks infections of kidney in pregnancy, unspecified trimester against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.

Does O23.00 need an additional code?

When the condition applies, yes. The Use Additional Code note at O23, which applies to O23.00, reads: code to identify organism (B95.-, B96.-). The additional code is reported after O23.00.