ICDcodes.org
FY2027

O09.813Supervision of pregnancy resulting from assisted reproductive technology, third trimester

Billable

Is O09.813 billable?

Yes — O09.813 is billable for FY2027. O09.813 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. O09.813 may be submitted for encounters from October 1, 2026 through September 30, 2027.

O09.813 at a glance

CodeO09.813
DescriptionSupervision of pregnancy resulting from assisted reproductive technology, third trimester
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

What Medicare edits apply to O09.813?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name O09.813 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 O09.813 group to?

O09.813 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 O09.813 listed in the Alphabetic Index?

The Alphabetic Index lists these routes under O09.81, the nearest indexed parent of O09.813. Use them to find the family, then select the specific code.

  • Pregnancysupervision ofhigh-riskresulting from in vitro fertilization (single) (uterine)
  • Pregnancysupervision ofhigh-riskdue toin vitro fertilization (single) (uterine)

Excludes1 — never code together — inherited from Chapter 15

The conditions below can never be reported together with O09.813 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 O09.813 to fully describe the condition. O09.813 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 O09.813, but a patient may have both at the same time. When documentation supports it, O09.813 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 O09.81

The conditions below are not part of O09.813, but a patient may have both at the same time. When documentation supports it, O09.813 and the excluded code may both be reported.

  • gestational carrier status (Z33.3)

How long has O09.813 existed?

O09.813 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 O09.81 family? (3)