O09.212 — Supervision of pregnancy with history of pre-term labor, second trimester
Is O09.212 billable?
Yes — O09.212 is billable for FY2027. O09.212 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. O09.212 may be submitted for encounters from October 1, 2026 through September 30, 2027.
O09.212 at a glance
| Code | O09.212 |
|---|---|
| Description | Supervision of pregnancy with history of pre-term labor, second trimester |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to O09.212?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name O09.212 directly.
CMS will reject this code as the principal diagnosis on an inpatient claim. It describes something other than the condition chiefly responsible for the admission.
Which MS-DRGs does O09.212 group to?
O09.212 sits in MDC 14 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 998—
How is O09.212 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under O09.21, the nearest indexed parent of O09.212. Use them to find the family, then select the specific code.
- Pregnancy › supervision of › high-risk › due to › pre-term labor (single) (uterine)
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O09.212 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- supervision of normal pregnancy (Z34.-)
Use additional code — inherited from Chapter 15
Report an additional code alongside O09.212 to fully describe the condition. O09.212 is sequenced first.
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Excludes2 — not included here — inherited from Chapter 15
The conditions below are not part of O09.212, but a patient may have both at the same time. When documentation supports it, O09.212 and the excluded code may both be reported.
Excludes2 — not included here — inherited from O09.2
The conditions below are not part of O09.212, but a patient may have both at the same time. When documentation supports it, O09.212 and the excluded code may both be reported.
- pregnancy care for patient with history of recurrent pregnancy loss (O26.2-)
How long has O09.212 existed?
O09.212 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.