2026 ICD-10-CM Diagnosis Code O26.853Spotting complicating pregnancy, third trimester

ICD-10-CM Codes›O00-O9A›O20-O29›O26

ICD-10-CM O26.853
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O26.853 is a billable ICD-10-CM diagnosis code for spotting complicating pregnancy, 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 Hemorrhage after first trimester.

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
O26.853
Billable Status
Yes — Valid for Submission
Code Describes
Spotting complicating pregnancy, third trimester
Short Description
Spotting complicating pregnancy, third trimester
Same as the full description in the CMS dataset.
Parent Code
O26.85
Spotting complicating pregnancy

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 CodeO26.853Spotting complicating pregnancy, third trimester

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O26.853.

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 PRG010
Hemorrhage after first trimester
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Health Problems in Pregnancy

A health problem in pregnancy is any disease or condition that could affect your health or the health of your fetus. Some health problems may make it more likely that you will have a high-risk pregnancy. A high-risk pregnancy is one in which you, your fetus, or both are at higher risk for health problems than in a typical pregnancy.

The full article covers:

  • What are health problems in pregnancy?
  • What raises my risk for health problems during pregnancy?
  • Can chronic health conditions cause problems in pregnancy?
  • Can health problems in pregnancy be prevented?

Read the full article at MedlinePlus

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

Convert O26.853 to ICD-9-CMHistory

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

ICD-9-CM
649.51 Spotting-delivered
Approximate The match is approximate rather than exact.
ICD-9-CM
649.53 Spotting-antepartum
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 O26.853Overview

Is O26.853 (Spotting complicating pregnancy) a billable code?

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

What MS-DRG does O26.853 group to?

When spotting complicating pregnancy, 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 O26.853 be reported for?

The Medicare Code Editor checks spotting complicating pregnancy, 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 O26.853?

Under the General Equivalence Mappings, spotting complicating pregnancy, third trimester converts to ICD-9-CM 649.51 (spotting-delivered) and 649.53 (spotting-antepartum). 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.