2027 ICD-10-CM Diagnosis Code O26.872Cervical shortening, second trimester

ICD-10-CM Codes›O00-O9A›O20-O29›O26

ICD-10-CM O26.872
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

O26.872 is a billable ICD-10-CM diagnosis code for cervical shortening, second trimester. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 817 through 819, 831 through 833. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 6 closely related codes. 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 Early or threatened labor.

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
O26.872
Billable Status
Yes — Valid for Submission
Code Describes
Cervical shortening, second trimester
Short Description
Cervical shortening, second trimester
Same as the full description in the CMS dataset.
Parent Code
Cervical shortening

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 CodeO26.872Cervical shortening, second trimester

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O26.872.

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).

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to O26.872: its own notes plus those printed at O26.87, block O20-O29, and Chapter 15. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From O26.87 Cervical shortening applies to 3 codes
  • encounter for suspected cervical shortening ruled out (Z03.75)
From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • supervision of normal pregnancy (Z34.-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block O20-O29 Other maternal disorders predominantly related to pregnancy applies to 260 codes
  • maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
  • maternal diseases classifiable elsewhere but complicating pregnancy, labor and delivery, and the puerperium (O98-O99)
From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Notes

General instructions on how these codes are used.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
  • Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
  • Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
  • 1st trimester- less than 14 weeks 0 days
  • 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
  • 3rd trimester- 28 weeks 0 days until delivery

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name O26.872, its category, or a range that includes it.

Excludes1 2

These codes carry an Excludes1 note naming O26.872: they are not reported together with it, unless the two conditions are unrelated.

  • R53.8 Other malaise and fatigue
    exhaustion and fatigue due to pregnancy (O26.8-) names O26.8-, which includes this code
  • Z03.7 Encounter for suspected maternal and fetal conditions ruled out
    known or suspected fetal anomalies affecting management of mother, not ruled out (O26.-, O35.-, O36.-, O40.-, O41.-) names O26.-, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming O26.872: its condition is not part of those codes, and both may be reported when the patient has both.

  • O99.35 Diseases of the nervous system complicating pregnancy, childbirth, and the puerperium
    pregnancy related peripheral neuritis (O26.8-) names O26.8-, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PRG011
Early or threatened labor
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Cervix Disorders

A cervix disorder is a problem with your cervix. The cervix is part of the female reproductive system. It is the lower, narrow end of the uterus (womb), which opens into the vagina (birth canal). The cervix has a small opening that expands during childbirth. It also allows menstrual blood to leave your body.

The full article covers:

  • What is a cervix disorder?
  • Who is more likely to develop cervix disorders?
  • What are the symptoms of cervix disorders?
  • How are cervix disorders diagnosed?
  • What are the treatments for cervix disorders?
  • Can cervix disorders be prevented?

Read the full article at MedlinePlus

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

Convert O26.872 to ICD-9-CMHistory

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

ICD-9-CM
649.71 Cervical shortening-del
Approximate The match is approximate rather than exact.
ICD-9-CM
649.73 Cervical shortening-ante
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About O26.872Overview

What is the ICD-10 code for cervical shortening, second trimester?

The ICD-10-CM code for cervical shortening, second trimester is O26.872 (sometimes written as O26872). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is O26.872 (Cervical shortening) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report cervical shortening, second trimester on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does O26.872 group to?

When cervical shortening, second trimester is the principal diagnosis on an inpatient stay, it groups to MS-DRG 833, 832, 831, 819, 818, 817, with relative weights from 0.5000 to 1.7586 depending on complications. Higher weights mean higher Medicare reimbursement.

Is O26.872 a CC or MCC?

CMS lists O26.872 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 6 closely related codes in its exclusion list.

Who can O26.872 be reported for?

The Medicare Code Editor checks cervical shortening, second trimester against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.