ICD-10-CM category O99: Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
Category O99 is a heading in chapter 15 (Pregnancy, childbirth and the puerperium (O00-O9A)), section Other obstetric conditions, not elsewhere classified (O94-O9A). It is not billable; report one of the 96 complete codes below.
Notes that apply to every O99 code
- Includes
- conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care
- Excludes2 (not part of this condition, may be coded together)
- when the reason for maternal care is that the condition is known or suspected to have affected the fetus (O35-O36)
- Use additional code
- code to identify specific condition
Billable codes in O99
| Code | Description |
|---|---|
| O99.011 | Anemia complicating pregnancy, first trimester |
| O99.012 | Anemia complicating pregnancy, second trimester |
| O99.013 | Anemia complicating pregnancy, third trimester |
| O99.019 | Anemia complicating pregnancy, unspecified trimester |
| O99.02 | Anemia complicating childbirth |
| O99.03 | Anemia complicating the puerperium |
| O99.111 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, first trimester |
| O99.112 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, second trimester |
| O99.113 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, third trimester |
| O99.119 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, unspecified trimester |
| O99.12 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating childbirth |
| O99.13 | Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating the puerperium |
| O99.210 | Obesity complicating pregnancy, unspecified trimester |
| O99.211 | Obesity complicating pregnancy, first trimester |
| O99.212 | Obesity complicating pregnancy, second trimester |
| O99.213 | Obesity complicating pregnancy, third trimester |
| O99.214 | Obesity complicating childbirth |
| O99.215 | Obesity complicating the puerperium |
| O99.280 | Endocrine, nutritional and metabolic diseases complicating pregnancy, unspecified trimester |
| O99.281 | Endocrine, nutritional and metabolic diseases complicating pregnancy, first trimester |
| O99.282 | Endocrine, nutritional and metabolic diseases complicating pregnancy, second trimester |
| O99.283 | Endocrine, nutritional and metabolic diseases complicating pregnancy, third trimester |
| O99.284 | Endocrine, nutritional and metabolic diseases complicating childbirth |
| O99.285 | Endocrine, nutritional and metabolic diseases complicating the puerperium |
| O99.310 | Alcohol use complicating pregnancy, unspecified trimester |
| O99.311 | Alcohol use complicating pregnancy, first trimester |
| O99.312 | Alcohol use complicating pregnancy, second trimester |
| O99.313 | Alcohol use complicating pregnancy, third trimester |
| O99.314 | Alcohol use complicating childbirth |
| O99.315 | Alcohol use complicating the puerperium |
| O99.320 | Drug use complicating pregnancy, unspecified trimester |
| O99.321 | Drug use complicating pregnancy, first trimester |
| O99.322 | Drug use complicating pregnancy, second trimester |
| O99.323 | Drug use complicating pregnancy, third trimester |
| O99.324 | Drug use complicating childbirth |
| O99.325 | Drug use complicating the puerperium |
| O99.330 | Smoking (tobacco) complicating pregnancy, unspecified trimester |
| O99.331 | Smoking (tobacco) complicating pregnancy, first trimester |
| O99.332 | Smoking (tobacco) complicating pregnancy, second trimester |
| O99.333 | Smoking (tobacco) complicating pregnancy, third trimester |
| O99.334 | Smoking (tobacco) complicating childbirth |
| O99.335 | Smoking (tobacco) complicating the puerperium |
| O99.340 | Other mental disorders complicating pregnancy, unspecified trimester |
| O99.341 | Other mental disorders complicating pregnancy, first trimester |
| O99.342 | Other mental disorders complicating pregnancy, second trimester |
| O99.343 | Other mental disorders complicating pregnancy, third trimester |
| O99.344 | Other mental disorders complicating childbirth |
| O99.345 | Other mental disorders complicating the puerperium |
| O99.350 | Diseases of the nervous system complicating pregnancy, unspecified trimester |
| O99.351 | Diseases of the nervous system complicating pregnancy, first trimester |
| O99.352 | Diseases of the nervous system complicating pregnancy, second trimester |
| O99.353 | Diseases of the nervous system complicating pregnancy, third trimester |
| O99.354 | Diseases of the nervous system complicating childbirth |
| O99.355 | Diseases of the nervous system complicating the puerperium |
| O99.411 | Diseases of the circulatory system complicating pregnancy, first trimester |
| O99.412 | Diseases of the circulatory system complicating pregnancy, second trimester |
| O99.413 | Diseases of the circulatory system complicating pregnancy, third trimester |
| O99.419 | Diseases of the circulatory system complicating pregnancy, unspecified trimester |
| O99.42 | Diseases of the circulatory system complicating childbirth |
| O99.43 | Diseases of the circulatory system complicating the puerperium |
| O99.511 | Diseases of the respiratory system complicating pregnancy, first trimester |
| O99.512 | Diseases of the respiratory system complicating pregnancy, second trimester |
| O99.513 | Diseases of the respiratory system complicating pregnancy, third trimester |
| O99.519 | Diseases of the respiratory system complicating pregnancy, unspecified trimester |
| O99.52 | Diseases of the respiratory system complicating childbirth |
| O99.53 | Diseases of the respiratory system complicating the puerperium |
| O99.611 | Diseases of the digestive system complicating pregnancy, first trimester |
| O99.612 | Diseases of the digestive system complicating pregnancy, second trimester |
| O99.613 | Diseases of the digestive system complicating pregnancy, third trimester |
| O99.619 | Diseases of the digestive system complicating pregnancy, unspecified trimester |
| O99.62 | Diseases of the digestive system complicating childbirth |
| O99.63 | Diseases of the digestive system complicating the puerperium |
| O99.711 | Diseases of the skin and subcutaneous tissue complicating pregnancy, first trimester |
| O99.712 | Diseases of the skin and subcutaneous tissue complicating pregnancy, second trimester |
| O99.713 | Diseases of the skin and subcutaneous tissue complicating pregnancy, third trimester |
| O99.719 | Diseases of the skin and subcutaneous tissue complicating pregnancy, unspecified trimester |
| O99.72 | Diseases of the skin and subcutaneous tissue complicating childbirth |
| O99.73 | Diseases of the skin and subcutaneous tissue complicating the puerperium |
| O99.810 | Abnormal glucose complicating pregnancy |
| O99.814 | Abnormal glucose complicating childbirth |
| O99.815 | Abnormal glucose complicating the puerperium |
| O99.820 | Streptococcus B carrier state complicating pregnancy |
| O99.824 | Streptococcus B carrier state complicating childbirth |
| O99.825 | Streptococcus B carrier state complicating the puerperium |
| O99.830 | Other infection carrier state complicating pregnancy |
| O99.834 | Other infection carrier state complicating childbirth |
| O99.835 | Other infection carrier state complicating the puerperium |
| O99.840 | Bariatric surgery status complicating pregnancy, unspecified trimester |
| O99.841 | Bariatric surgery status complicating pregnancy, first trimester |
| O99.842 | Bariatric surgery status complicating pregnancy, second trimester |
| O99.843 | Bariatric surgery status complicating pregnancy, third trimester |
| O99.844 | Bariatric surgery status complicating childbirth |
| O99.845 | Bariatric surgery status complicating the puerperium |
| O99.891 | Other specified diseases and conditions complicating pregnancy |
| O99.892 | Other specified diseases and conditions complicating childbirth |
| O99.893 | Other specified diseases and conditions complicating puerperium |
Sources
Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.
- ICD-10-CM FY2027 tabular order file (category titles)Version FY2027 · effective 2026-10-01 · file icd10cm_order_2027.txtSHA-256 38981fb2c1226e2b…
- ICD-10-CM FY2027 tabular list (chapter titles and ranges)Version FY2027 · effective 2026-10-01 · file 2027-code-tables-tabular-index.zipSHA-256 37baa476323714be…
- ICD-10-CM FY2027 code descriptions addenda (codes added, deleted and revised)Version FY2027 · effective 2026-10-01 · file icd10cm_codes_addenda_2027.txtSHA-256 cfba025073235af4…
- ICD-10 MS-DRG Definitions Manual v44 (text)Version v44 · effective 2026-10-01 · file fy2027-fr-icd10-ms-drg-definitions-manual-files-v44.zipSHA-256 ae4f6c11727fe91f…
- IPPS FY2027 Tables 6A-6K: new, invalid and revised ICD-10-CM/PCS codes, CC/MCC list changes and CC exclusionsVersion FY2027 (final rule; not reissued by CN3) · effective 2026-10-01 · file fy2027-ipps-fr-tables-6a-6k.zipSHA-256 ca0af87b0869a405…
- ICD-10-CM FY2027 POA-exempt codes (full list, additions, deletions and revisions)Version FY2027 · effective 2026-10-01 · file 2027-poa-exempt-codes.zipSHA-256 03f55091045024d0…
- ICD-10-CM to CMS-HCC V28 mappings, payment year 2027 initialVersion PY2027 initial ICD-10-CM mappings (dates of service 2026) · effective 2027-01-01 · file 2027 Initial ICD-10-CM Mappings.csvSHA-256 9c260b06d0dd2806…
- Medicare Coverage Database, current Billing and Coding Articles exportVersion MCD release 2026-10-08 · effective 2026-10-04 · file article.csvSHA-256 5e95c4a8ac3664be…
Codes from the FY2027 ICD-10-CM files (all chapters). Report the code that matches the documentation and the Official Guidelines; this list is not coding advice.