2022 ICD-10-CM Code O99.842
Bariatric surgery status complicating pregnancy, second trimester
Code Classification
O99.842 is a billable diagnosis code used to specify a medical diagnosis of bariatric surgery status complicating pregnancy, second trimester. The code O99.842 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The code O99.842 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.
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 - 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).
- Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code O99.842 is grouped in the following groups for version MS-DRG V39.0 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 10/01/2021 through 09/30/2022.
MS-DRG | MS-DRG Title | MCD | Relative Weight |
---|---|---|---|
817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | 14 | 2.3018 |
818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | 14 | 1.3165 |
819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | 14 | 0.9979 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert O99.842 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code O99.842 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
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, drug use 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.
[Learn More in MedlinePlus]
Weight Loss Surgery
Weight loss surgery helps people with extreme obesity to lose weight. It may be an option if you cannot lose weight through diet and exercise or have serious health problems caused by obesity.
There are different types of weight loss surgery. They often limit the amount of food you can take in. Some types of surgery also affect how you digest food and absorb nutrients. All types have risks and complications, such as infections, hernias, and blood clots.
Many people who have the surgery lose weight quickly, but regain some weight later on. If you follow diet and exercise recommendations, you can keep most of the weight off. You will also need medical follow-up for the rest of your life.
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
[Learn More in MedlinePlus]
Related Codes
ICD Code | Description | Valid for Submission |
---|---|---|
O99 | Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium | NON-BILLABLE CODE |
O99.0 | Anemia complicating pregnancy, childbirth and the puerperium | NON-BILLABLE CODE |
O99.01 | Anemia complicating pregnancy | NON-BILLABLE CODE |
O99.011 | Anemia complicating pregnancy, first trimester | BILLABLE CODE |
O99.012 | Anemia complicating pregnancy, second trimester | BILLABLE CODE |
O99.013 | Anemia complicating pregnancy, third trimester | BILLABLE CODE |
O99.019 | Anemia complicating pregnancy, unspecified trimester | BILLABLE CODE |
O99.02 | Anemia complicating childbirth | BILLABLE CODE |
O99.03 | Anemia complicating the puerperium | BILLABLE CODE |
O99.1 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium | NON-BILLABLE CODE |
O99.11 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy | NON-BILLABLE CODE |
O99.111 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, first trimester | BILLABLE CODE |
O99.112 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, second trimester | BILLABLE CODE |
O99.113 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, third trimester | BILLABLE CODE |
O99.119 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, unspecified trimester | BILLABLE CODE |
O99.12 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating childbirth | BILLABLE CODE |
O99.13 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating the puerperium | BILLABLE CODE |
O99.2 | Endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium | NON-BILLABLE CODE |
O99.21 | Obesity complicating pregnancy, childbirth, and the puerperium | NON-BILLABLE CODE |
O99.210 | Obesity complicating pregnancy, unspecified trimester | BILLABLE CODE |
O99.211 | Obesity complicating pregnancy, first trimester | BILLABLE CODE |
O99.212 | Obesity complicating pregnancy, second trimester | BILLABLE CODE |
O99.213 | Obesity complicating pregnancy, third trimester | BILLABLE CODE |
O99.214 | Obesity complicating childbirth | BILLABLE CODE |
O99.215 | Obesity complicating the puerperium | BILLABLE CODE |
O99.28 | Other endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium | NON-BILLABLE CODE |
O99.280 | Endocrine, nutritional and metabolic diseases complicating pregnancy, unspecified trimester | BILLABLE CODE |
O99.281 | Endocrine, nutritional and metabolic diseases complicating pregnancy, first trimester | BILLABLE CODE |
O99.282 | Endocrine, nutritional and metabolic diseases complicating pregnancy, second trimester | BILLABLE CODE |
O99.283 | Endocrine, nutritional and metabolic diseases complicating pregnancy, third trimester | BILLABLE CODE |
O99.284 | Endocrine, nutritional and metabolic diseases complicating childbirth | BILLABLE CODE |
O99.285 | Endocrine, nutritional and metabolic diseases complicating the puerperium | BILLABLE CODE |
O99.3 | Mental disorders and diseases of the nervous system complicating pregnancy, childbirth and the puerperium | NON-BILLABLE CODE |
O99.31 | Alcohol use complicating pregnancy, childbirth, and the puerperium | NON-BILLABLE CODE |
O99.310 | Alcohol use complicating pregnancy, unspecified trimester | BILLABLE CODE |
O99.311 | Alcohol use complicating pregnancy, first trimester | BILLABLE CODE |
O99.312 | Alcohol use complicating pregnancy, second trimester | BILLABLE CODE |
O99.313 | Alcohol use complicating pregnancy, third trimester | BILLABLE CODE |
O99.314 | Alcohol use complicating childbirth | BILLABLE CODE |
O99.315 | Alcohol use complicating the puerperium | BILLABLE CODE |
O99.32 | Drug use complicating pregnancy, childbirth, and the puerperium | NON-BILLABLE CODE |
O99.320 | Drug use complicating pregnancy, unspecified trimester | BILLABLE CODE |
O99.321 | Drug use complicating pregnancy, first trimester | BILLABLE CODE |
O99.322 | Drug use complicating pregnancy, second trimester | BILLABLE CODE |
O99.323 | Drug use complicating pregnancy, third trimester | BILLABLE CODE |
O99.324 | Drug use complicating childbirth | BILLABLE CODE |
O99.325 | Drug use complicating the puerperium | BILLABLE CODE |
O99.33 | Tobacco use disorder complicating pregnancy, childbirth, and the puerperium | NON-BILLABLE CODE |
O99.330 | Smoking (tobacco) complicating pregnancy, unspecified trimester | BILLABLE CODE |
O99.331 | Smoking (tobacco) complicating pregnancy, first trimester | BILLABLE CODE |
O99.332 | Smoking (tobacco) complicating pregnancy, second trimester | BILLABLE CODE |
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)