O26.90: Pregnancy related conditions, unsp, unspecified trimester
Pregnancy related conditions, unspecified, unspecified trimester
Quick Clinical & Billing Summary
What is ICD-10-CM code O26.90? O26.90 represents Pregnancy related conditions, unsp, unspecified trimester. Under official CDC guidelines, this code is billable and specific for claim submission.
Code Hierarchy & Classification
Clinical Guidance & Documentation Standards
Associated Procedures & Medicare RVU Reimbursement
Open RVU Calculator →Typical outpatient and office evaluation procedures frequently billed alongside diagnosis O26.90:
| CPT/HCPCS | Description | Work RVU | Non-Facility Fee | Facility Fee |
|---|---|---|---|---|
| 99213 | Office/outpatient visit, established patient, 20-29 minutes (Low MDM) | 1.30 | $91.69 | $66.79 |
| 99214 | Office/outpatient visit, established patient, 30-39 minutes (Moderate MDM) | 1.92 | $133.61 | $100.21 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection (subcutaneous/intramuscular) | 0.17 | $18.34 | $12.44 |
CPT Modifier & Billing Rules
Append when a significant, separately identifiable evaluation and management service is provided on the same calendar day as a minor surgical procedure or injection.
Identifies procedures or services not normally reported together but distinct under the clinical circumstances. Use CMS X-modifiers (XE, XS, XP, XU) where required by Medicare.
Frequently Asked Questions about O26.90
Is O26.90 a billable ICD-10 code?
Yes, O26.90 is a valid, billable and specific ICD-10-CM code. It can be reported as a primary or secondary diagnosis on medical claims.
What is the ICD-10 code for Pregnancy related conditions, unsp, unspecified trimester?
The primary ICD-10-CM code for Pregnancy related conditions, unsp, unspecified trimester is O26.90.
What is the effective date of the current O26.90 code?
The code is active for fiscal year FY2027, effective starting 2026-10-01.
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