ICD-10 Code O26.811

Pregnancy related exhaustion and fatigue, first trimester

Version 2019 Billable Code Maternity Diagnoses Diagnoses For Females Only First Trimester (0 to 13 Weeks)
ICD-10:O26.811
Short Description:Pregnancy related exhaustion and fatigue, first trimester
Long Description:Pregnancy related exhaustion and fatigue, first trimester

Valid for Submission

ICD-10 O26.811 is a billable code used to specify a medical diagnosis of pregnancy related exhaustion and fatigue, first trimester. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

Code Classification

  • Pregnancy, childbirth and the puerperium (O00–O99)
    • Other maternal disorders predominantly related to pregnancy (O20-O29)
      • Maternal care for oth conditions predom related to pregnancy (O26)

Information for Medical Professionals

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 - Diagnoses for females only.

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code O26.811 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 817 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH MCC
  • 818 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH CC
  • 819 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITHOUT CC/MCC

Convert O26.811 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 646.81 - Preg compl NEC-delivered (Approximate Flag)
  • 646.83 - Preg compl NEC-antepart (Approximate Flag)

Information for Patients


Fatigue

Also called: Tiredness, Weariness

Everyone feels tired now and then. Sometimes you may just want to stay in bed. But, after a good night's sleep, most people feel refreshed and ready to face a new day. If you continue to feel tired for weeks, it's time to see your doctor. He or she may be able to help you find out what's causing your fatigue and recommend ways to relieve it.

Fatigue itself is not a disease. Medical problems, treatments, and personal habits can add to fatigue. These include

  • Taking certain medicines, such as antidepressants, antihistamines, and medicines for nausea and pain
  • Having medical treatments, like chemotherapy and radiation
  • Recovering from major surgery
  • Anxiety, stress, or depression
  • Staying up too late
  • Drinking too much alcohol or too many caffeinated drinks
  • Pregnancy

One disorder that causes extreme fatigue is chronic fatigue syndrome (CFS). This fatigue is not the kind of tired feeling that goes away after you rest. Instead, it lasts a long time and limits your ability to do ordinary daily activities.

NIH: National Institute on Aging

  • Coping with cancer -- managing fatigue (Medical Encyclopedia)
  • Fatigue (Medical Encyclopedia)

[Read More]

Pregnancy

So you're going to have a baby! Whether you are pregnant or are planning to get pregnant, you will want to give your baby a healthy start.

You need to have regular visits with your health care provider. These prenatal care visits are very important for your baby and yourself. Some things you might do when you are pregnant could hurt your baby, such as smoking or drinking. Some medicines can also be a problem, even ones that a doctor prescribed. You will need to drink plenty of fluids and eat a healthy diet. You may also be tired and need more rest.

Your body will change as your baby grows during the nine months of your pregnancy. Don't hesitate to call your health care provider if you think you have a problem or something is bothering or worrying you.

  • Aches and pains during pregnancy (Medical Encyclopedia)
  • Common symptoms during pregnancy (Medical Encyclopedia)
  • HCG blood test - qualitative (Medical Encyclopedia)
  • Morning sickness (Medical Encyclopedia)
  • Morning sickness (Medical Encyclopedia)
  • Pregnancy and travel (Medical Encyclopedia)
  • Pregnancy and work (Medical Encyclopedia)
  • Problems sleeping during pregnancy (Medical Encyclopedia)
  • Skin and hair changes during pregnancy (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.