2022 ICD-10-CM Code O26.843
Uterine size-date discrepancy, third trimester
Code Classification
O26.843 is a billable diagnosis code used to specify a medical diagnosis of uterine size-date discrepancy, third trimester. The code O26.843 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The code O26.843 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.
The code is commonly used in ob/gyn medical specialties to specify clinical concepts such as maternal disorders related to pregnancy.
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 - 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).
- Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code O26.843 is grouped in the following groups for version MS-DRG V39.0 What are 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). applicable from 10/01/2021 through 09/30/2022.
MS-DRG | MS-DRG Title | MCD | Relative Weight |
---|---|---|---|
817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | 14 | 2.3018 |
818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | 14 | 1.3165 |
819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | 14 | 0.9979 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert O26.843 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code O26.843 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
Health Problems in Pregnancy
Every pregnancy has some risk of problems. You may have problems because of a health condition you had before you got pregnant. You could also develop a condition during pregnancy. Other causes of problems during pregnancy can include being pregnant with more than one baby, a health problem in a previous pregnancy, drug use during pregnancy, or being over age 35. Any of these can affect your health, the health of your baby, or both.
If you have a chronic condition, you should talk to your health care provider about how to minimize your risk before you get pregnant. Once you are pregnant, you may need a health care team to monitor your pregnancy. Some common conditions that can complicate a pregnancy include
- High blood pressure
- Polycystic ovary syndrome
- Kidney problems
- Autoimmune disorders
- Obesity
- HIV/AIDS
- Cancer
- Infections
Other conditions that can make pregnancy risky can happen while you are pregnant - for example, gestational diabetes and Rh incompatibility. Good prenatal care can help detect and treat them.
Some discomforts, like nausea, back pain, and fatigue, are common during pregnancy. Sometimes it is hard to know what is normal. Call your health care provider if something is bothering or worrying you.
[Learn More in MedlinePlus]
Related Codes
ICD Code | Description | Valid for Submission |
---|---|---|
O26 | Maternal care for other conditions predominantly related to pregnancy | NON-BILLABLE CODE |
O26.0 | Excessive weight gain in pregnancy | NON-BILLABLE CODE |
O26.00 | Excessive weight gain in pregnancy, unspecified trimester | BILLABLE CODE |
O26.01 | Excessive weight gain in pregnancy, first trimester | BILLABLE CODE |
O26.02 | Excessive weight gain in pregnancy, second trimester | BILLABLE CODE |
O26.03 | Excessive weight gain in pregnancy, third trimester | BILLABLE CODE |
O26.1 | Low weight gain in pregnancy | NON-BILLABLE CODE |
O26.10 | Low weight gain in pregnancy, unspecified trimester | BILLABLE CODE |
O26.11 | Low weight gain in pregnancy, first trimester | BILLABLE CODE |
O26.12 | Low weight gain in pregnancy, second trimester | BILLABLE CODE |
O26.13 | Low weight gain in pregnancy, third trimester | BILLABLE CODE |
O26.2 | Pregnancy care for patient with recurrent pregnancy loss | NON-BILLABLE CODE |
O26.20 | Pregnancy care for patient with recurrent pregnancy loss, unspecified trimester | BILLABLE CODE |
O26.21 | Pregnancy care for patient with recurrent pregnancy loss, first trimester | BILLABLE CODE |
O26.22 | Pregnancy care for patient with recurrent pregnancy loss, second trimester | BILLABLE CODE |
O26.23 | Pregnancy care for patient with recurrent pregnancy loss, third trimester | BILLABLE CODE |
O26.3 | Retained intrauterine contraceptive device in pregnancy | NON-BILLABLE CODE |
O26.30 | Retained intrauterine contraceptive device in pregnancy, unspecified trimester | BILLABLE CODE |
O26.31 | Retained intrauterine contraceptive device in pregnancy, first trimester | BILLABLE CODE |
O26.32 | Retained intrauterine contraceptive device in pregnancy, second trimester | BILLABLE CODE |
O26.33 | Retained intrauterine contraceptive device in pregnancy, third trimester | BILLABLE CODE |
O26.4 | Herpes gestationis | NON-BILLABLE CODE |
O26.40 | Herpes gestationis, unspecified trimester | BILLABLE CODE |
O26.41 | Herpes gestationis, first trimester | BILLABLE CODE |
O26.42 | Herpes gestationis, second trimester | BILLABLE CODE |
O26.43 | Herpes gestationis, third trimester | BILLABLE CODE |
O26.5 | Maternal hypotension syndrome | NON-BILLABLE CODE |
O26.50 | Maternal hypotension syndrome, unspecified trimester | BILLABLE CODE |
O26.51 | Maternal hypotension syndrome, first trimester | BILLABLE CODE |
O26.52 | Maternal hypotension syndrome, second trimester | BILLABLE CODE |
O26.53 | Maternal hypotension syndrome, third trimester | BILLABLE CODE |
O26.6 | Liver and biliary tract disorders in pregnancy, childbirth and the puerperium | NON-BILLABLE CODE |
O26.61 | Liver and biliary tract disorders in pregnancy | NON-BILLABLE CODE |
O26.611 | Liver and biliary tract disorders in pregnancy, first trimester | BILLABLE CODE |
O26.612 | Liver and biliary tract disorders in pregnancy, second trimester | BILLABLE CODE |
O26.613 | Liver and biliary tract disorders in pregnancy, third trimester | BILLABLE CODE |
O26.619 | Liver and biliary tract disorders in pregnancy, unspecified trimester | BILLABLE CODE |
O26.62 | Liver and biliary tract disorders in childbirth | BILLABLE CODE |
O26.63 | Liver and biliary tract disorders in the puerperium | BILLABLE CODE |
O26.7 | Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium | NON-BILLABLE CODE |
O26.71 | Subluxation of symphysis (pubis) in pregnancy | NON-BILLABLE CODE |
O26.711 | Subluxation of symphysis (pubis) in pregnancy, first trimester | BILLABLE CODE |
O26.712 | Subluxation of symphysis (pubis) in pregnancy, second trimester | BILLABLE CODE |
O26.713 | Subluxation of symphysis (pubis) in pregnancy, third trimester | BILLABLE CODE |
O26.719 | Subluxation of symphysis (pubis) in pregnancy, unspecified trimester | BILLABLE CODE |
O26.72 | Subluxation of symphysis (pubis) in childbirth | BILLABLE CODE |
O26.73 | Subluxation of symphysis (pubis) in the puerperium | BILLABLE CODE |
O26.8 | Other specified pregnancy related conditions | NON-BILLABLE CODE |
O26.81 | Pregnancy related exhaustion and fatigue | NON-BILLABLE CODE |
O26.811 | Pregnancy related exhaustion and fatigue, first trimester | BILLABLE CODE |
O26.812 | Pregnancy related exhaustion and fatigue, second trimester | BILLABLE CODE |
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)