2021 ICD-10-CM Code O26.859
Spotting complicating pregnancy, unspecified trimester
Valid for Submission
O26.859 is a billable diagnosis code used to specify a medical diagnosis of spotting complicating pregnancy, unspecified trimester. The code O26.859 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code O26.859 might also be used to specify conditions or terms like spotting per vagina in pregnancy.
The code O26.859 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.
Unspecified diagnosis codes like O26.859 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
ICD-10: | O26.859 |
Short Description: | Spotting complicating pregnancy, unspecified trimester |
Long Description: | Spotting complicating pregnancy, unspecified trimester |
Code Classification
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 .
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Spotting per vagina in pregnancy
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code O26.859 is grouped in the following groups for version MS-DRG V38.0 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 10/01/2020 through 09/30/2021.
Convert O26.859 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code O26.859 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.
- 649.50 - Spotting-unspecified (Approximate Flag)
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, substance abuse 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.
- Bed rest during pregnancy (Medical Encyclopedia)
- Hydramnios (Medical Encyclopedia)
- Hyperemesis gravidarum (Medical Encyclopedia)
- Insufficient cervix (Medical Encyclopedia)
- Placenta abruptio (Medical Encyclopedia)
- Placenta abruptio (Medical Encyclopedia)
- Placenta previa (Medical Encyclopedia)
- Vaginal bleeding in early pregnancy (Medical Encyclopedia)
- Vaginal bleeding in late pregnancy (Medical Encyclopedia)
- Vaginal bleeding in pregnancy (Medical Encyclopedia)
[Learn More in MedlinePlus]
Vaginal Bleeding
Also called: Dysfunctional Uterine Bleeding, Uterine Bleeding
Menstruation, or period, is a woman's monthly bleeding.Abnormal vaginal bleeding is different from normal menstrual periods. It could be bleeding that is between periods, is very heavy, or lasts much longer than usual. It also includes bleeding that happens before puberty or after menopause. Causes can include
- Uterine fibroids or polyps
- Hormone problems
- Hormone pills, such as birth control pills and hormone replacement therapy (menopausal hormone therapy)
- Cancer of the cervix, ovaries, uterus or vagina
- Thyroid problems
Bleeding during pregnancy can have several different causes. It is not always serious, but to be safe you should contact your health care provider right away.
Pelvic exams, blood tests, imaging tests, and other procedures can help your health care provider diagnose the problem. Treatment depends on the cause. Treatments may include medicines, hormones, and surgery.
- D and C (Medical Encyclopedia)
- Dysfunctional uterine bleeding (DUB) (Medical Encyclopedia)
- Vaginal bleeding (Medical Encyclopedia)
- Vaginal bleeding between periods (Medical Encyclopedia)
- Vaginal bleeding in early pregnancy (Medical Encyclopedia)
- Vaginal bleeding in late pregnancy (Medical Encyclopedia)
- Vaginal bleeding in pregnancy (Medical Encyclopedia)
[Learn More in MedlinePlus]
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)