2026 ICD-10-CM Diagnosis Code O26.813Pregnancy related exhaustion and fatigue, third trimester

ICD-10-CM Codes›O00-O9A›O20-O29›O26

ICD-10-CM O26.813
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O26.813 is a billable ICD-10-CM diagnosis code for pregnancy related exhaustion and fatigue, third trimester. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) 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). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified complications in pregnancy.

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
O26.813
Billable Status
Yes — Valid for Submission
Code Describes
Pregnancy related exhaustion and fatigue, third trimester
Short Description
Pregnancy related exhaustion and fatigue, third trimester
Same as the full description in the CMS dataset.
Parent Code
O26.81
Pregnancy related exhaustion and fatigue

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO20-O29Other maternal disorders predominantly related to pregnancy
CategoryO26Maternal care for other conditions predominantly related to pregnancy
This CodeO26.813Pregnancy related exhaustion and fatigue, third trimester

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O26.813.

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).

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

Patient EducationClinical

Fatigue

Fatigue is a feeling of weariness, tiredness, or lack of energy. It can interfere with your usual daily activities. Fatigue can be a normal response to physical activity, emotional stress, boredom, or lack of sleep. But sometimes it can be a sign of a mental or physical condition.

The full article covers:

  • What is fatigue?
  • What causes fatigue?
  • What can I do to manage fatigue?

Read the full article at MedlinePlus

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

Convert O26.813 to ICD-9-CMHistory

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

ICD-9-CM
646.81 Preg compl NEC-delivered
Approximate The match is approximate rather than exact.
ICD-9-CM
646.83 Preg compl NEC-antepart
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About O26.813Overview

Is O26.813 (Pregnancy related exhaustion and fatigue) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report pregnancy related exhaustion and fatigue, third trimester on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does O26.813 group to?

When pregnancy related exhaustion and fatigue, third trimester is the principal diagnosis on an inpatient stay, it groups to MS-DRG 817, 818, 819, 831, 832, 833, with relative weights from 0.5229 to 1.6880 depending on complications. Higher weights mean higher Medicare reimbursement.

Who can O26.813 be reported for?

The Medicare Code Editor checks pregnancy related exhaustion and fatigue, third trimester against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.

What is the ICD-9 equivalent of O26.813?

Under the General Equivalence Mappings, pregnancy related exhaustion and fatigue, third trimester converts to ICD-9-CM 646.81 (preg compl NEC-delivered) and 646.83 (preg compl NEC-antepart). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.