2026 ICD-10-CM Diagnosis Code O99.215Obesity complicating the puerperium

ICD-10-CM Codes›O00-O9A›O94-O9A›O99

ICD-10-CM O99.215
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O99.215 is a billable ICD-10-CM diagnosis code for obesity complicating the puerperium. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). 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 Complications specified during the puerperium and Obesity.

Code Identity

ICD-10-CM Code
O99.215
Billable Status
Yes — Valid for Submission
Code Describes
Obesity complicating the puerperium
Short Description
Obesity complicating the puerperium
Same as the full description in the CMS dataset.
Parent Code
O99.21
Obesity complicating pregnancy, childbirth, and the puerperium

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO94-O9AOther obstetric conditions, not elsewhere classified
CategoryO99Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
This CodeO99.215Obesity complicating the puerperium

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O99.215.

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).

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Obesity
      • complicating
        • puerperium
    • Puerperal, puerperium(complicated by, complications)
      • obesity (pre-existing prior to pregnancy)

Clinical ClassificationClinical

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

CCSR PRG027
Complications specified during the puerperium
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR END009
Obesity
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Obesity

Obesity is a disease that means having too much body fat. It is different from being overweight, which means weighing too much. Both terms mean that your weight is greater than what's considered healthy for your height.

The full article covers:

  • What is obesity?
  • What raises your risk of obesity?
  • How is obesity diagnosed?
  • What health problems can obesity cause?
  • What are the treatments for obesity?

Read the full article at MedlinePlus

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

Convert O99.215 to ICD-9-CMHistory

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

ICD-9-CM
649.12 Obesity-delivered w p/p
Approximate The match is approximate rather than exact.
ICD-9-CM
649.14 Obesity-postpartum
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 O99.215Overview

Is O99.215 a billable code?

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

Who can O99.215 be reported for?

The Medicare Code Editor checks obesity complicating the puerperium 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 O99.215?

Under the General Equivalence Mappings, obesity complicating the puerperium converts to ICD-9-CM 649.12 (obesity-delivered w p/p) and 649.14 (obesity-postpartum). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.