ICDcodes.org
FY2027

O09.613Supervision of young primigravida, third trimester

Billable

Is O09.613 billable?

Yes — O09.613 is billable for FY2027. O09.613 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. O09.613 may be submitted for encounters from October 1, 2026 through September 30, 2027.

O09.613 at a glance

CodeO09.613
DescriptionSupervision of young primigravida, third trimester
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

What Medicare edits apply to O09.613?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name O09.613 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 O09.613 group to?

O09.613 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 O09.613 listed in the Alphabetic Index?

The Alphabetic Index lists these routes under O09.61, the nearest indexed parent of O09.613. Use them to find the family, then select the specific code.

  • Pregnancycomplicated byyoung motherprimigravida (single) (uterine)
  • Pregnancysupervision ofyoung motherprimigravida (single) (uterine)

Excludes1 — never code together — inherited from Chapter 15

The conditions below can never be reported together with O09.613 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 O09.613 to fully describe the condition. O09.613 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 O09.613, but a patient may have both at the same time. When documentation supports it, O09.613 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)

How long has O09.613 existed?

O09.613 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 O09.61 family? (3)