2025 ICD-10-CM Diagnosis Code O21.2
Late vomiting of pregnancy
- ICD-10-CM Code:
- O21.2
- ICD-10 Code for:
- Late vomiting of pregnancy
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
O21.2 is a billable diagnosis code used to specify a medical diagnosis of late vomiting of pregnancy. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025.
The code O21.2 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.
The code is commonly used in ob/gyn medical specialties to specify clinical concepts such as maternal disorders related to pregnancy.
Approximate Synonyms
The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.
- Vomiting during third trimester of pregnancy
Clinical Classification
Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.
They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.
Nausea and vomiting
CCSR Code: SYM004
Inpatient Default: N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default: N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Other specified complications in pregnancy
CCSR Code: PRG028
Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Excessive vomiting starting after 20 completed weeks of gestation
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Pregnancy (single) (uterine) - See Also: Delivery and Puerperal; - Z33.1
Code Edits
The Medicare Code Editor (MCE) detects errors and inconsistencies in ICD-10-CM diagnosis coding that can affect Medicare claim validity. These Medicare code edits help medical coders and billing professionals determine when a diagnosis code is not appropriate as a principal diagnosis, does not meet coverage criteria. Use this list to verify whether a code is valid for Medicare billing and to avoid claim rejections or denials due to diagnosis coding issues.
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).
Convert O21.2 to ICD-9-CM
Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.
Late vomit preg-antepart
ICD-9-CM: 643.23
Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.
Patient Education
Health Problems in Pregnancy
Every pregnancy has some risk of problems, but there are certain conditions and health issues that can raise that risk, such as:
- A health condition you had before you got pregnant
- A health condition you develop during pregnancy
- A pregnancy with more than one baby
- A health problem that happened during a previous pregnancy and could happen again
- Substance use during pregnancy
- 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
- Kidney problems
- Autoimmune diseases
- Obesity
- HIV
- Cancer
- Infections
Other conditions that may make pregnancy risky can develop during pregnancy - for example, gestational diabetes and Rh incompatibility. Good prenatal care can help detect and treat them.
Some symptoms, such as 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]
Nausea and Vomiting
What are nausea and vomiting?
Nausea is when you feel sick to your stomach, as if you are going to throw up. Vomiting is when you throw up.
What causes nausea and vomiting?
Nausea and vomiting can be symptoms of many different conditions, including:
- Morning sickness during pregnancy
- Gastroenteritis (infection of your intestines) and other infections
- Migraines
- Motion sickness
- Food poisoning
- Medicines, including those for cancer chemotherapy
- GERD (reflux) and ulcers
- Intestinal obstruction
When do I need to see a health care provider for nausea and vomiting?
Nausea and vomiting are common. They are usually not serious. However, you should contact your health care provider immediately if you have:
- A reason to think that your vomiting is from poisoning
- Vomited for longer than 24 hours
- Blood in the vomit
- Severe abdominal pain
- Severe headache and stiff neck
- Signs of dehydration, such as dry mouth, infrequent urination or dark urine
How is the cause of nausea and vomiting diagnosed?
Your health care provider will take your medical history, ask about your symptoms and do a physical exam. The provider will look for signs of dehydration. You may have some tests, including blood and urine tests. Women may also have a pregnancy test.
What are the treatments for nausea and vomiting?
Treatments for nausea and vomiting depend on the cause. You may get treatment for the underlying problem. There are some medicines that can treatment nausea and vomiting. For severe cases of vomiting, you may need extra fluids through an IV (intravenous).
There are things that you can do to feel better:
- Get enough fluids, to avoid dehydration. If you are having trouble keeping liquids down, drink small amounts of clear liquids often.
- Eat bland foods; stay away from spicy, fatty, or salty foods
- Eat smaller meals more often
- Avoid strong smells, since they can sometimes trigger nausea and vomiting
- If you are pregnant and have morning sickness, eat crackers before you get out of bed in the morning
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- 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. This was the first year ICD-10-CM was implemented into the HIPAA code set.
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.