2026 ICD-10-CM Diagnosis Code O26.819Pregnancy related exhaustion and fatigue, unspecified trimester
ICD-10-CM Codes›O00-O9A›O20-O29›O26
- Billable — Valid for Submission
- Not Chronic
O26.819 is a billable ICD-10-CM diagnosis code for pregnancy related exhaustion and fatigue, unspecified 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). Coders also document this condition as fatigue during pregnancy. 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
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for O26.819.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Fatigue during pregnancy
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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 O26.819 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About O26.819Overview
Is O26.819 (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, unspecified trimester on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does O26.819 group to?
When pregnancy related exhaustion and fatigue, unspecified 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 O26.819 be reported for?
The Medicare Code Editor checks pregnancy related exhaustion and fatigue, unspecified 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 O26.819?
Under the General Equivalence Mappings, pregnancy related exhaustion and fatigue, unspecified trimester converts to ICD-9-CM 646.80 (preg compl NEC-unspec). 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.
