O30.221 — Quadruplet pregnancy with two or more monoamniotic fetuses, first trimester
Is O30.221 billable?
Yes — O30.221 is billable for FY2027. O30.221 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. O30.221 may be submitted for encounters from October 1, 2026 through September 30, 2027.
O30.221 at a glance
| Code | O30.221 |
|---|---|
| Description | Quadruplet pregnancy with two or more monoamniotic fetuses, first trimester |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does O30.221 group to?
O30.221 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
As a secondary diagnosis, O30.221 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is O30.221 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under O30.22, the nearest indexed parent of O30.221. Use them to find the family, then select the specific code.
- Pregnancy › quadruplet › two or more monoamniotic fetuses (single) (uterine)
- Pregnancy › quadruplet › with › two or more monoamniotic fetuses (single) (uterine)
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O30.221 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 O30.221 to fully describe the condition. O30.221 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 O30.221, but a patient may have both at the same time. When documentation supports it, O30.221 and the excluded code may both be reported.
Code also — inherited from O30
Two codes may be needed to describe the condition fully. Whether O30.221 is sequenced first depends on the reason for the encounter.
- any complications specific to multiple gestation
How long has O30.221 existed?
O30.221 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.