Pre-existing hypertension complicating pregnancy, childbirth and the puerperium
In Edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium (O10-O16), chapter 15: Pregnancy, Childbirth and the Puerperium
36 billable codes under O10: 1 is an MCC, 12 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
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Instructional notes
Includes: conditions that are coded here
- pre-existing hypertension with pre-existing proteinuria complicating pregnancy, childbirth and the puerperium
Excludes2: not included here, code separately if applicable
- pre-existing hypertension with superimposed pre-eclampsia complicating pregnancy, childbirth and the puerperium (O11.-)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
- Section I.C.15.d Pre-existing hypertension in pregnancy (page 66), covers O10
When an O10 code for hypertensive heart disease or hypertensive chronic kidney disease is assigned, add a secondary code from the appropriate hypertension category to identify the type of heart failure or chronic kidney disease.
Other Chapter 15 topics:
- General Rules for Obstetric Cases (page 63)
- Selection of OB Principal or First-listed Diagnosis (page 64)
- Pre-existing conditions versus conditions due to the pregnancy (page 65)
- Fetal Conditions Affecting the Management of the Mother (page 66)
- HIV Infection in Pregnancy, Childbirth and the Puerperium (page 66)
- Diabetes mellitus in pregnancy (page 66)
- Long term use of insulin and oral hypoglycemics (page 67)
- Gestational (pregnancy induced) diabetes (page 67)
All codes under O10
O10 can't be used on a claim. Pick a billable code below; grey headings group them.
- O10.0Pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium
- O10.01Pre-existing essential hypertension complicating pregnancy
- O10.011Pre-existing essential hypertension complicating pregnancy, first trimester
- O10.012Pre-existing essential hypertension complicating pregnancy, second trimester
- O10.013Pre-existing essential hypertension complicating pregnancy, third trimester
- O10.019Pre-existing essential hypertension complicating pregnancy, unspecified trimester
- O10.02Pre-existing essential hypertension complicating childbirth
- O10.03Pre-existing essential hypertension complicating the puerperium
- O10.1Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium
- O10.11Pre-existing hypertensive heart disease complicating pregnancy
- O10.111Pre-existing hypertensive heart disease complicating pregnancy, first trimester
- O10.112Pre-existing hypertensive heart disease complicating pregnancy, second trimester
- O10.113Pre-existing hypertensive heart disease complicating pregnancy, third trimester
- O10.119Pre-existing hypertensive heart disease complicating pregnancy, unspecified trimester
- O10.12Pre-existing hypertensive heart disease complicating childbirth
- O10.13Pre-existing hypertensive heart disease complicating the puerperium
- O10.2Pre-existing hypertensive chronic kidney disease complicating pregnancy, childbirth and the puerperium
- O10.21Pre-existing hypertensive chronic kidney disease complicating pregnancy
- O10.211Pre-existing hypertensive chronic kidney disease complicating pregnancy, first trimester
- O10.212Pre-existing hypertensive chronic kidney disease complicating pregnancy, second trimester
- O10.213Pre-existing hypertensive chronic kidney disease complicating pregnancy, third trimester
- O10.219Pre-existing hypertensive chronic kidney disease complicating pregnancy, unspecified trimester
- O10.22Pre-existing hypertensive chronic kidney disease complicating childbirth
- O10.23Pre-existing hypertensive chronic kidney disease complicating the puerperium
- O10.3Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, childbirth and the puerperium
- O10.31Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy
- O10.311Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, first trimester
- O10.312Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, second trimester
- O10.313Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, third trimester
- O10.319Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, unspecified trimester
- O10.32Pre-existing hypertensive heart and chronic kidney disease complicating childbirth
- O10.33Pre-existing hypertensive heart and chronic kidney disease complicating the puerperium
- O10.4Pre-existing secondary hypertension complicating pregnancy, childbirth and the puerperium
- O10.41Pre-existing secondary hypertension complicating pregnancy
- O10.411Pre-existing secondary hypertension complicating pregnancy, first trimester
- O10.412Pre-existing secondary hypertension complicating pregnancy, second trimester
- O10.413Pre-existing secondary hypertension complicating pregnancy, third trimester
- O10.419Pre-existing secondary hypertension complicating pregnancy, unspecified trimester
- O10.42Pre-existing secondary hypertension complicating childbirth
- O10.43Pre-existing secondary hypertension complicating the puerperium
- O10.9Unspecified pre-existing hypertension complicating pregnancy, childbirth and the puerperium
- O10.91Unspecified pre-existing hypertension complicating pregnancy
- O10.911Unspecified pre-existing hypertension complicating pregnancy, first trimester
- O10.912Unspecified pre-existing hypertension complicating pregnancy, second trimester
- O10.913Unspecified pre-existing hypertension complicating pregnancy, third trimester
- O10.919Unspecified pre-existing hypertension complicating pregnancy, unspecified trimester
- O10.92Unspecified pre-existing hypertension complicating childbirth
- O10.93Unspecified pre-existing hypertension complicating the puerperium
O10 MS-DRGs
As the principal diagnosis, the billable codes under O10 group to these 8 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 817 Other Antepartum Diagnoses with O.R. Procedures with MCC (24 of 36 codes)
- DRG 818 Other Antepartum Diagnoses with O.R. Procedures with CC (24 of 36 codes)
- DRG 819 Other Antepartum Diagnoses with O.R. Procedures without CC/MCC (24 of 36 codes)
- DRG 831 Other Antepartum Diagnoses without O.R. Procedures with MCC (24 of 36 codes)
- DRG 832 Other Antepartum Diagnoses without O.R. Procedures with CC (24 of 36 codes)
- DRG 833 Other Antepartum Diagnoses without O.R. Procedures without CC/MCC (24 of 36 codes)
- DRG 769 Postpartum and Post Abortion Diagnoses with O.R. Procedures (6 of 36 codes)
- DRG 776 Postpartum and Post Abortion Diagnoses without O.R. Procedures (6 of 36 codes)
Other codes that refer to O10
Notes on these codes point to O10.
- I10 Excludes1: hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)
- I10-I1A Excludes2: hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)
- O11 Includes: conditions in O10 complicated by pre-eclampsia
- O11 Use Additional Code: code from O10 to identify the type of hypertension
- O15 Includes: convulsions following conditions in O10-O14 and O16
- O99.4 Excludes2: hypertensive disorders (O10-O16)
- P00.0 Includes: Newborn affected by maternal conditions classifiable to O10-O11, O13-O16
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Health Problems in Pregnancy
A health problem in pregnancy is any disease or condition that could affect your health or the health of your fetus. Some health problems may make it more likely that you will have a high-risk pregnancy. A high-risk pregnancy is one in which you, your fetus, or both are at higher risk for health problems than in a typical pregnancy.
Read more about health problems in pregnancy on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
