ICD-10-CM Code O26.90

Pregnancy related conditions, unspecified, unspecified trimester

Version 2020 Billable Code Maternity Diagnoses Diagnoses For Females Only

Valid for Submission

O26.90 is a billable code used to specify a medical diagnosis of pregnancy related conditions, unspecified, unspecified trimester. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code O26.90 might also be used to specify conditions or terms like abnormal pregnancy, ahlfeld's sign, arterial air embolus, auscultatory sign, bearing down reflex, bolt's sign, etc

The code O26.90 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.

ICD-10:O26.90
Short Description:Pregnancy related conditions, unsp, unspecified trimester
Long Description:Pregnancy related conditions, unspecified, unspecified trimester

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 - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to FEMALES only .

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Abnormal pregnancy
  • Ahlfeld's sign
  • Arterial air embolus
  • Auscultatory sign
  • Bearing down reflex
  • Bolt's sign
  • Braun von Fernwald's sign
  • Breast engorgement in pregnancy, the puerperium or lactation with antenatal complication
  • Cerebrovascular disorder in the puerperium
  • Clinical sign related to pregnancy
  • Complication occurring during pregnancy
  • Complication of pregnancy, childbirth and/or the puerperium
  • Crepitus uteri
  • Crowning
  • Deep transverse arrest
  • Deep transverse arrest with antenatal problem
  • Delayed delivery of second twin, triplet etc
  • Delayed delivery second twin with antenatal problem
  • Disorder of pregnancy
  • Engorgement of breasts
  • Failed induction of labor
  • Failed mechanical induction
  • Failed mechanical induction with antenatal problem
  • Finding of height of gravid uterus
  • Fundal height low for dates
  • Generally contracted pelvis with antenatal problem
  • Gorissenne's sign
  • Halban's sign
  • Halo sign
  • Head not engaged
  • Hemorrhoids in pregnancy and the puerperium
  • Hemorrhoids in pregnancy and the puerperium with antenatal complication
  • High head at term with antenatal problem
  • Hydrocephalic disproportion
  • Hydrocephalic disproportion with antenatal problem
  • Hypertonic uterine inertia
  • Hypertonic uterine inertia with antenatal problem
  • Indication for care AND/OR intervention in labor AND/OR delivery
  • Inlet contraction of pelvis
  • Inlet pelvic contraction with antenatal problem
  • Kanter's sign
  • Ladin's sign
  • Large fetus causing disproportion with antenatal problem
  • Linea nigra
  • Major puerperal infection
  • Maternal distress with antenatal problem
  • Maternal drug exposure
  • McClintock's sign
  • Mixed feto-pelvic disproportion with antenatal problem
  • Multiple pregnancy with malpresentation
  • Multiple pregnancy with malpresentation with antenatal problem
  • Oblique lie
  • Oblique lie with antenatal problem
  • Obstetric air pulmonary embolism
  • Obstetric air pulmonary embolism with antenatal complication
  • Obstetric anesthesia with cardiac complications
  • Obstetric anesthesia with cardiac complications with antenatal problem
  • Obstetric anesthesia with central nervous system complication with antenatal problem
  • Obstetric anesthesia with central nervous system complications
  • Obstetric anesthesia with pulmonary complications
  • Obstetric anesthesia with pulmonary complications with antenatal problem
  • Obstetric breast abscess
  • Obstetric breast abscess with antenatal complication
  • Obstetric breast infections
  • Obstetric nipple infection
  • Obstetric nipple infection with antenatal complication
  • Obstetric non-purulent mastitis
  • Obstetric non-purulent mastitis with antenatal complication
  • Obstetric pyemic and septic pulmonary embolism
  • Obstetric pyemic and septic pulmonary embolism with antenatal complication
  • Obstetric shock with antenatal problem
  • Obstructed labor due to fetal malposition
  • Obstructed labor due to fetal malposition with antenatal problem
  • Osiander's sign
  • Outlet contraction of pelvis
  • Outlet pelvic contraction with antenatal problem
  • Pelvic soft tissue abnormality in pregnancy, childbirth and the puerperium
  • Pelvic soft tissue abnormality in pregnancy, childbirth and the puerperium with antenatal problem
  • Pinard's sign
  • Piskacek's sign
  • Precipitate labor
  • Precipitate labor with antenatal problem
  • Prenatal finding
  • Presentation of prolapsed arm of fetus
  • Primary uterine inertia
  • Primary uterine inertia with antenatal problem
  • Prolapsed arm with antenatal problem
  • Prolonged first stage of labor
  • Prolonged first stage with antenatal problem
  • Puerperal cerebrovascular disorder with antenatal complication
  • Puerperal sepsis
  • Pulmonary air embolism
  • Quadruplet pregnancy
  • Quadruplet pregnancy with antenatal problem
  • Robert's sign
  • Rupture of uterus before labor with antenatal problem
  • Ruptured uterus before labor
  • Secondary uterine inertia
  • Secondary uterine inertia with antenatal problem
  • Sepsis during labor
  • Sepsis during labor with antenatal problem
  • Shock during AND/OR following labor AND/OR delivery
  • Spalding-Horner sign
  • Superficial thrombophlebitis in pregnancy and the puerperium
  • Superficial thrombophlebitis in pregnancy and the puerperium with antenatal complication
  • Suppressed lactation
  • Suppressed lactation with antenatal complication
  • Symptomatic disorders in pregnancy
  • Tarnier's sign
  • Varicose veins of legs in pregnancy and the puerperium
  • Varicose veins of legs in pregnancy and the puerperium with antenatal complication

Diagnostic Related Groups

The ICD-10 code O26.90 is grouped in the following groups for version MS-DRG V37.0 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 10/01/2019 through 09/30/2020.

  • 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 O26.90 to ICD-9

  • 646.90 - Preg compl NOS-unspec (Approximate Flag)

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)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

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.


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