2026 ICD-10-CM Diagnosis Code Z33.1Pregnant state, incidental

ICD-10-CM CodesZ00–Z99Z30-Z39Z33

ICD-10-CM Z33.1
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z33.1 is a billable ICD-10-CM diagnosis code for pregnant state, incidental. 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) and not accepted as a principal diagnosis. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Uncomplicated pregnancy, delivery or puerperium.

Code Identity

ICD-10-CM Code
Z33.1
Billable Status
Yes — Valid for Submission
Code Describes
Pregnant state, incidental
Short Description
Pregnant state, incidental
Same as the full description in the CMS dataset.
Parent Code
Pregnant state

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ30-Z39Persons encountering health services in circumstances related to reproduction
CategoryZ33Pregnant state
This CodeZ33.1Pregnant state, incidental

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z33.1.

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).
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Abdominal pain in early pregnancy
  • Abdominal pain in pregnancy
  • Antenatal ultrasound confirms intrauterine pregnancy
  • Antenatal ultrasound finding
  • Embryo present in utero
  • Exposure to rubella in pregnancy
  • Exposure to Rubella virus
  • Fears delivery procedure
  • Fertilization in vivo
  • Fetal viability
  • Fetus present
  • Finding of device of vagina
  • Finding of vaginal liquor
  • Finding of viability of pregnancy
  • First trimester pregnancy
  • Glucose level within reference range
  • Glucose tolerance test within reference range
  • Gravid uterus at 12-16 weeks size
  • Gravid uterus at 16-20 weeks size
  • Gravid uterus at 20-24 weeks size
  • Gravid uterus at 24-28 weeks size
  • Gravid uterus at 28-32 weeks size
  • Gravid uterus at 32-34 weeks size
  • Gravid uterus at 34-36 weeks size
  • Gravid uterus at 36-38 weeks size
  • Gravid uterus at term size
  • History of operation on cervix in currently pregnant patient
  • History of uterine cervix surgery
  • Intends to continue pregnancy
  • IUD failure - pregnant
  • Jorissenne sign
  • Maternity pad damp with liquor
  • Maternity pad soaked with liquor
  • Maternity pad wet with liquor
  • Nicotine user
  • Nicotine user before confirmation of pregnancy
  • Precocious pregnancy
  • Pregnancy
  • Pregnancy after cervical conization
  • Pregnancy resulting from natural conception
  • Pregnancy with normal glucose tolerance test
  • Pregnant - blood test confirms
  • Pregnant - on abdominal palpation
  • Pregnant - on history
  • Pregnant - planned
  • Pregnant - urine test confirms
  • Pregnant - vaginal examination confirms
  • Prenatal finding
  • Previous pregnancies 10
  • Previous pregnancies 2
  • Previous pregnancies 8
  • Previous pregnancies 9
  • Previous pregnancies more than 10
  • Questionable if pregnancy was planned
  • Singleton pregnancy
  • Surrogate pregnancy
  • Third trimester pregnancy
  • Third trimester pregnancy less than 36 weeks
  • Undiagnosed pregnancy
  • Vaginal liquor pad finding
  • Vaginal pad finding
  • Viable fetus
  • Viable pregnancy
  • Wanted pregnancy

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Pregnancy NOS
  • Pregnant state NOS

Type 1 Excludes

  • complications of pregnancy O00 O9A
  • pregnant state, gestational carrier Z33.3

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.

    • Carrier(suspected) of
      • gestational, pregnant
    • Pregnancy(single) (uterine)
    • Pregnancy(single) (uterine)
      • incidental finding
    • State(of)
      • pregnant
        • incidental
    • Status(post)
      • pregnancy, incidental

Clinical ClassificationClinical

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

CCSR PRG029
Uncomplicated pregnancy, delivery or puerperium
Default principal diagnosis: inpatient No · outpatient Yes

Clinical InformationClinical

  • Fetal Viability

    the potential of the fetus to survive outside the uterus after birth, natural or induced. fetal viability depends largely on the fetal organ maturity, and environmental conditions.
  • Abortion, Spontaneous

    expulsion of the product of fertilization before completing the term of gestation and without deliberate interference.
  • Advanced Maternal Age

    pregnancy in women at least 35 years old at the time of delivery. this was formerly known as geriatric pregnancy.
  • Birth Intervals

    the lengths of intervals between births to women in the population.
  • Calcium-Calmodulin-Dependent Protein Kinase Type 1

    a monomeric calcium-calmodulin-dependent protein kinase subtype that is expressed in a broad variety of mammalian cell types. its expression is regulated by the action of calcium-calmodulin-dependent protein kinase kinase. several isoforms of this enzyme subtype are encoded by distinct genes.
  • Chorea Gravidarum

    a rare movement disorder developed during pregnancy, characterized by involuntary jerky motion (chorea) and inability to maintain stable position of body parts (athetosis). rheumatic fever and collagen vascular disorders are frequently associated with this disease. chorea may vary from mild to severe and occurs in approximately 1 per 2,000 to 3,000 pregnancies. (from md med j 1997 sep;46(8):436-9)
  • Diabetes, Gestational

    diabetes mellitus induced by pregnancy but resolved at the end of pregnancy. it does not include previously diagnosed diabetics who become pregnant (pregnancy in diabetics). gestational diabetes usually develops in late pregnancy when insulin antagonistic hormones peaks leading to insulin resistance; glucose intolerance; and hyperglycemia.
  • Family Planning Services

    health care programs or services designed to assist individuals in the planning of family size. various methods of contraception can be used to control the number and timing of childbirths.
  • Gestational Weight Gain

    increase in body weight of the mother during the course of her pregnancy.
  • Glycodelin

    a lipocalin that is the most abundant protein synthesized and secreted by the endometrium from mid-luteal phase of the menstrual cycle through early pregnancy.
  • Hydatidiform Mole

    trophoblastic hyperplasia associated with normal gestation, or molar pregnancy. it is characterized by the swelling of the chorionic villi and elevated human chorionic gonadotropin. hydatidiform moles or molar pregnancy may be categorized as complete or partial based on their gross morphology, histopathology, and karyotype.
  • Hyperemesis Gravidarum

    intractable vomiting that develops in early pregnancy and persists. this can lead to dehydration and weight loss.
  • Hypertension, Pregnancy-Induced

    a condition in pregnant people with elevated systolic (>140 mm hg) and diastolic (>90 mm hg) blood pressure on at least two occasions 6 h apart. hypertension complicates 8-10% of all pregnancies, generally after 20 weeks of gestation. gestational hypertension can be divided into several broad categories according to the complexity and associated symptoms, such as edema; proteinuria; seizures; abnormalities in blood coagulation and liver functions.
  • Illegitimacy

    the state of birth outside of wedlock. it may refer to the offspring or the parents.
  • Luteoma

    an ovarian neoplasm composed of luteal cells derived from luteinized granulosa cells and theca cells. luteomas respond to gonadotropins, and vary in their hormone production (progesterone; estrogens; or androgens). during pregnancy, a transient type of luteoma may develop due to an exaggerated luteinization of the ovary.
  • Maternal Mortality

    maternal deaths resulting from complications of pregnancy and childbirth in a given population.
  • Peripartum Cardiomyopathy

    a rare form of dilated cardiomyopathy which causes heart enlargement and weakness during the last month of pregnancy or within five months of delivery.
  • Phenylketonuria, Maternal

    a condition occurring in untreated or partially treated females with phenylketonuria when they become pregnant. this may result in damages to the fetus, including microcephaly; mental retardation; congenital heart disease; fetal growth retardation; and craniofacial abnormalities. (from am j med genet 1997 mar 3;69(1):89-95)
  • Placental Lactogen

    a polypeptide hormone of approximately 25 kda that is produced by the syncytiotrophoblasts of the placenta, also known as chorionic somatomammotropin. it has both growth hormone and prolactin activities on growth, lactation, and luteal steroid production. in women, placental lactogen secretion begins soon after implantation and increases to 1 g or more a day in late pregnancy. placental lactogen is also an insulin antagonist.
  • Pre-Eclampsia

    a complication of pregnancy, characterized by a complex of symptoms including maternal hypertension and proteinuria with or without pathological edema. symptoms may range between mild and severe. pre-eclampsia usually occurs after the 20th week of gestation, but may develop before this time in the presence of trophoblastic disease.
  • Pregnancy

    the status during which female mammals carry their developing young (embryos or fetuses) in utero before birth, beginning from fertilization to birth.
  • Pregnancy Complications

    conditions or pathological processes associated with pregnancy. they can occur during or after pregnancy, and range from minor discomforts to serious diseases that require medical interventions. they include diseases in pregnant females, and pregnancies in females with diseases.
  • Pregnancy Complications, Cardiovascular

    the co-occurrence of pregnancy and a cardiovascular disease. the disease may precede or follow fertilization and it may or may not have a deleterious effect on the pregnant woman or fetus.
  • Pregnancy Complications, Hematologic

    the co-occurrence of pregnancy and a blood disease (hematologic diseases) which involves blood cells or coagulation factors. the hematologic disease may precede or follow fertilization and it may or may not have a deleterious effect on the pregnant woman or fetus.
  • Pregnancy Complications, Infectious

    the co-occurrence of pregnancy and an infection. the infection may precede or follow fertilization.
  • Pregnancy Complications, Neoplastic

    the co-occurrence of pregnancy and neoplasms. the neoplastic disease may precede or follow fertilization.
  • Pregnancy Complications, Parasitic

    the co-occurrence of pregnancy and parasitic diseases. the parasitic infection may precede or follow fertilization.
  • Pregnancy in Adolescence

    pregnancy in human adolescent females under the age of 19.
  • Pregnancy in Diabetics

    the state of pregnancy in women with diabetes mellitus. this does not include either symptomatic diabetes or glucose intolerance induced by pregnancy (diabetes, gestational) which resolves at the end of pregnancy.
  • Pregnancy in Obesity

    body mass index in pregnant people that is excessively above the recommended cut-off.
  • Pregnancy Maintenance

    physiological mechanisms that sustain the state of pregnancy.
  • Pregnancy Outcome

    results of conception and ensuing pregnancy, including live birth; stillbirth; or spontaneous abortion. the outcome may follow natural or artificial insemination or any of the various assisted reproductive techniques, such as embryo transfer or fertilization in vitro.
  • Pregnancy Proteins

    proteins produced by organs of the mother or the placenta during pregnancy. these proteins may be pregnancy-specific (present only during pregnancy) or pregnancy-associated (present during pregnancy or under other conditions such as hormone therapy or certain malignancies.)
  • Pregnancy Rate

    the ratio of the number of conceptions (conception) including live birth; stillbirth; and fetal losses, to the mean number of females of reproductive age in a population during a set time period.
  • Pregnancy Reduction, Multifetal

    selective abortion of one or more embryos or fetuses in a multiple gestation pregnancy. the usual goal is to improve the outcome for the remaining embryos or fetuses.
  • Pregnancy Tests

    tests to determine whether or not an individual is pregnant.
  • Pregnancy Tests, Immunologic

    methods of detecting pregnancy by examining the levels of human chorionic gonadotropin (hcg) in plasma or urine.
  • Pregnancy Trimester, First

    the beginning third of a human pregnancy, from the first day of the last normal menstrual period (menstruation) through the completion of 14 weeks (98 days) of gestation.
  • Pregnancy Trimester, Second

    the middle third of a human pregnancy, from the beginning of the 15th through the 28th completed week (99 to 196 days) of gestation.
  • Pregnancy Trimester, Third

    the last third of a human pregnancy, from the beginning of the 29th through the 42nd completed week (197 to 294 days) of gestation.
  • Pregnancy Trimesters

    the three approximately equal periods of a normal human pregnancy. each trimester is about three months or 13 to 14 weeks in duration depending on the designation of the first day of gestation.
  • Pregnancy, Abdominal

    a type of ectopic pregnancy in which the embryo, mammalian implants in the abdominal cavity instead of in the endometrium of the uterus.
  • Pregnancy, Angular

    a rare type of abnormal pregnancy in which embryo implantation occurs at a lateral angle of the uterus, medial to the uterotubal junction and the round ligament of uterus.
  • Pregnancy, Animal

    the process of bearing developing young (embryos or fetuses) in utero in non-human mammals, beginning from fertilization to birth.
  • Pregnancy, Cornual

    a type of pregnancy in which the embryo implantation occurs in the horn of the uterus instead of in the uterine cavity, i.e. at the junction of the uterus and one of the fallopian tubes.
  • Pregnancy, Ectopic

    a potentially life-threatening condition in which embryo implantation occurs outside the cavity of the uterus. most ectopic pregnancies (>96%) occur in the fallopian tubes, known as tubal pregnancy. they can be in other locations, such as uterine cervix; ovary; and abdominal cavity (pregnancy, abdominal).
  • Pregnancy, Heterotopic

    multiple pregnancy with embryo implantation occuring at different locations, involving both an intrauterine site and an extrauterine (ectopic pregnancy) site.
  • Pregnancy, High-Risk

    pregnancy in which the mother and/or fetus are at greater than normal risk of morbidity or mortality. causes include inadequate prenatal care, previous obstetrical history (abortion, spontaneous), pre-existing maternal disease, pregnancy-induced disease (gestational hypertension), and multiple pregnancy, as well as advanced maternal age above 35.
  • Pregnancy, Interstitial

    a type of ectopic pregnancy in which the extrauterine embryo implantation occurs in the portion of the fallopian tube that traverses the muscular wall of the uterus.
  • Pregnancy, Multiple

    the condition of carrying two or more fetuses simultaneously.
  • Pregnancy, Ovarian

    a type of pregnancy in which embryo implantation occurs in an ovary instead of in the uterine cavity.
  • Pregnancy, Prolonged

    a term used to describe pregnancies that exceed the upper limit of a normal gestational period. in humans, a prolonged pregnancy is defined as one that extends beyond 42 weeks (294 days) after the first day of the last menstrual period (menstruation), or birth with gestational age of 41 weeks or more.
  • Pregnancy, Quadruplet

    the condition of carrying quadruplets simultaneously.
  • Pregnancy, Quintuplet

    the condition of carrying quintuplets simultaneously.
  • Pregnancy, Triplet

    the condition of carrying triplets simultaneously.
  • Pregnancy, Tubal

    the most common (>96%) type of ectopic pregnancy in which the extrauterine embryo implantation occurs in the fallopian tube, usually in the ampullary region where fertilization takes place.
  • Pregnancy, Twin

    the condition of carrying twins simultaneously.
  • Pregnancy, Unplanned

    unintended or accidental pregnancy, including pregnancy resulting from failed contraceptive measures.
  • Pregnancy, Unwanted

    pregnancy, usually accidental, that is not desired by the parent or parents.
  • Pregnancy-Associated alpha 2-Macroglobulins

    large (>160 kda) glycoproteins with electrophoretic mobility of alpha-globulins, found in high concentration in the plasma of pregnant people but also in a number of species including mouse, rat, and others (alpha-macroglobulins). in humans, they are always present in the circulation and are nonspecific inhibitors of proteinases, similar to complement proteins (c3; c4; c5).
  • Pregnancy-Associated Plasma Protein-A

    a product of the placenta, and decidua, secreted into the maternal circulation during pregnancy. it has been identified as an igf binding protein (igfbp)-4 protease that proteolyzes igfbp-4 and thus increases igf bioavailability. it is found also in human fibroblasts, ovarian follicular fluid, and granulosa cells. the enzyme is a heterotetramer of about 500-kda.
  • Pregnancy-Related Death

    death of a pregnant or birthing person during pregnancy or up to one year after the end of pregnancy from health issues related to pregnancy.
  • Pregnancy-Specific beta 1-Glycoproteins

    glycoproteins with the electrophoretic mobility of beta-globulins, secreted by the placental trophoblasts into the maternal bloodstream during pregnancy. they can be detected 18 days after ovulation and reach 200 mg/ml at the end of pregnancy. they are associated with fetal well-being.
  • Prenatal Nutritional Physiological Phenomena

    nutrition during pregnancy.
  • Reproductive History

    an important aggregate factor in epidemiological studies of women's health. the concept usually includes the number and timing of pregnancies and their outcomes, the incidence of breast feeding, and may include age of menarche and menopause, regularity of menstruation, fertility, gynecological or obstetric problems, or contraceptive usage.
  • Calcium-Calmodulin-Dependent Protein Kinase Kinase

    a regulatory calcium-calmodulin-dependent protein kinase that specifically phosphorylates calcium-calmodulin-dependent protein kinase type 1; calcium-calmodulin-dependent protein kinase type 2; calcium-calmodulin-dependent protein kinase type 4; and protein kinase b. it is a monomeric enzyme that is encoded by at least two different genes.
  • Contraception

    prevention of conception by blocking fertility temporarily, or permanently (sterilization, reproductive). common means of reversible contraception include natural family planning methods; contraceptive agents; or contraceptive devices.
  • Fertilization

    the fusion of a spermatozoon (spermatozoa) with an ovum thus resulting in the formation of a zygote.
  • Menstruation

    the periodic shedding of the endometrium and associated menstrual bleeding in the menstrual cycle of humans and primates. menstruation is due to the decline in circulating progesterone, and occurs at the late luteal phase when luteolysis of the corpus luteum takes place.
  • Quadruplets

    four individuals derived from four fetuses that were fertilized at or about the same time, developed in the uterus simultaneously, and born to the same mother.
  • Quintuplets

    five individuals derived from five fetuses that were fertilized at or about the same time, developed in the uterus simultaneously, and born to the same mother.
  • Triplets

    three individuals derived from three fetuses that were fertilized at or about the same time, developed in the uterus simultaneously, and born to the same mother.
  • Twins

    two individuals derived from two fetuses that were fertilized at or about the same time, developed in the uterus simultaneously, and born to the same mother. twins are either monozygotic (twins, monozygotic) or dizygotic (twins, dizygotic).

Patient EducationClinical

Pregnancy

You're going to have a baby! It's an exciting time, but it can also feel a bit overwhelming. You may have a lot of questions, including what you can do to give your baby a healthy start. Taking care of your health while you're pregnant will help your fetus develop into a healthy baby. To do that, it's important to:

Read the full article at MedlinePlus

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

Convert Z33.1 to ICD-9-CMHistory

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

ICD-9-CM
V22.2 Preg state, incidental
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 Z33.1Overview

Is Z33.1 (Pregnant state) a billable code?

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

Can Z33.1 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because pregnant state, incidental describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Who can Z33.1 be reported for?

The Medicare Code Editor checks pregnant state, incidental 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 Z33.1?

Under the General Equivalence Mappings, pregnant state, incidental converts to ICD-9-CM V22.2 (preg state, incidental). The mapping is approximate, so confirm the match fits the documentation.