O30.091 — Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester

Billable

Is O30.091 billable?

Yes — O30.091 is billable for FY2027. O30.091 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. O30.091 may be submitted for encounters from October 1, 2026 through September 30, 2027.

O30.091 at a glance

Code	O30.091
Description	Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Which MS-DRGs does O30.091 group to?

O30.091 sits in MDC 14 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

817Other Antepartum Diagnoses with O.R. Procedures with MCCsurgical
818Other Antepartum Diagnoses with O.R. Procedures with CCsurgical
819Other Antepartum Diagnoses with O.R. Procedures without CC/MCCsurgical

How is O30.091 listed in the Alphabetic Index?

The Alphabetic Index lists these routes under O30.09, the nearest indexed parent of O30.091. Use them to find the family, then select the specific code.

Pregnancy › twin › unable to determine number of placenta and number of amniotic sacs (single) (uterine)

Excludes1 — never code together — inherited from Chapter 15

The conditions below can never be reported together with O30.091 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 O30.091 to fully describe the condition. O30.091 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 O30.091, but a patient may have both at the same time. When documentation supports it, O30.091 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)

Code also — inherited from O30

Two codes may be needed to describe the condition fully. Whether O30.091 is sequenced first depends on the reason for the encounter.

any complications specific to multiple gestation

How long has O30.091 existed?

O30.091 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.