ICDcodes.org
FY2027

O09.299Supervision of pregnancy with other poor reproductive or obstetric history, unspecified trimester

BillableUnspecified

Is O09.299 billable?

Yes, but O09.299 is an unspecified code. O09.299 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, O09.299 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting O09.299 — the more specific alternatives are listed below.

O09.299 at a glance

CodeO09.299
DescriptionSupervision of pregnancy with other poor reproductive or obstetric history, unspecified trimester
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

What Medicare edits apply to O09.299?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name O09.299 directly.

Cannot be a principal diagnosis — MCE edit 9

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 O09.299 group to?

O09.299 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 O09.299 listed in the Alphabetic Index?

The Alphabetic Index lists these routes under O09.29, the nearest indexed parent of O09.299. Use them to find the family, then select the specific code.

  • Pregnancycomplicated bypoor obstetric history NEC (single) (uterine)
  • Pregnancysupervision ofhigh-riskdue topoor reproductive or obstetric history NEC (single) (uterine)
  • Pregnancysupervision ofhigh-riskdue topreviousneonatal death (single) (uterine)

Excludes1 — never code together — inherited from Chapter 15

The conditions below can never be reported together with O09.299 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 O09.299 to fully describe the condition. O09.299 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 O09.299, but a patient may have both at the same time. When documentation supports it, O09.299 and the excluded code may both be reported.

  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)

Excludes2 — not included here — inherited from O09.2

The conditions below are not part of O09.299, but a patient may have both at the same time. When documentation supports it, O09.299 and the excluded code may both be reported.

  • pregnancy care for patient with history of recurrent pregnancy loss (O26.2-)

How long has O09.299 existed?

O09.299 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.

What other codes are in the O09.29 family? (3)