All ICD10 Codes
O26Not billable, use a more specific code below

Maternal care for other conditions predominantly related to pregnancy

In Other maternal disorders predominantly related to pregnancy (O20-O29), chapter 15: Pregnancy, Childbirth and the Puerperium

72 billable codes under O26: 13 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

Also applies, from Other maternal disorders predominantly related to pregnancy (O20-O29)

These notes sit on O20-O29 and apply to every code under it, including O26.

Excludes2: not included here, code separately if applicable

  • maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
  • maternal diseases classifiable elsewhere but complicating pregnancy, labor and delivery, and the puerperium (O98-O99)

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.

Coding of obstetric cases with O00-O9A codes: sequencing priority, trimester and fetus characters, principal diagnosis selection, delivery outcome, and pregnancy-related complications.

Read Section I.C.15 (page 63), 11 more topics

All codes under O26

O26 can't be used on a claim. Pick a billable code below; grey headings group them.

O26 MS-DRGs

As the principal diagnosis, the billable codes under O26 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.

Other codes that refer to O26

Notes on these codes point to O26.

  • Z03.7 Excludes1: known or suspected fetal anomalies affecting management of mother, not ruled out (O26.-, O35.-, O36.-, O40.-, O41.-)

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 MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.