October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

O10 Pre-existing hypertension complicating pregnancy, childbirth and the puerperium

All 36 codes in the O10 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

36

Can lead a claim

30

Cannot lead a claim

6

What CMS assigns to O10

30 of the 36 codes group to MMTA - Other; 6 are assigned no clinical group. None of the 36 is assigned a comorbidity subgroup. 30 of the 36 can lead a claim.

Every code in O10

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
O10.0 Pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium
O10.01 Pre-existing essential hypertension complicating pregnancy
O10.011Pre-existing essential hypertension complicating pregnancy, first trimesterCMS: Pre-existing essential htn comp pregnancy, first trimesterCan lead a claimANone
O10.012Pre-existing essential hypertension complicating pregnancy, second trimesterCMS: Pre-existing essential htn comp pregnancy, second trimesterCan lead a claimANone
O10.013Pre-existing essential hypertension complicating pregnancy, third trimesterCMS: Pre-existing essential htn comp pregnancy, third trimesterCan lead a claimANone
O10.019Pre-existing essential hypertension complicating pregnancy, unspecified trimesterCMS: Pre-existing essential htn comp pregnancy, unsp trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O10.02Pre-existing essential hypertension complicating childbirthCan lead a claimANone
O10.03Pre-existing essential hypertension complicating the puerperiumCMS: Pre-existing essential hypertension comp the puerperiumCan lead a claimANone
O10.1 Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium
O10.11 Pre-existing hypertensive heart disease complicating pregnancy
O10.111Pre-existing hypertensive heart disease complicating pregnancy, first trimesterCMS: Pre-exist hyp heart disease comp pregnancy, first trimesterCan lead a claimANone
O10.112Pre-existing hypertensive heart disease complicating pregnancy, second trimesterCMS: Pre-exist hyp heart disease comp pregnancy, second trimesterCan lead a claimANone
O10.113Pre-existing hypertensive heart disease complicating pregnancy, third trimesterCMS: Pre-exist hyp heart disease comp pregnancy, third trimesterCan lead a claimANone
O10.119Pre-existing hypertensive heart disease complicating pregnancy, unspecified trimesterCMS: Pre-exist hyp heart disease comp pregnancy, unsp trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O10.12Pre-existing hypertensive heart disease complicating childbirthCMS: Pre-existing hypertensive heart disease comp childbirthCan lead a claimANone
O10.13Pre-existing hypertensive heart disease complicating the puerperiumCMS: Pre-existing hypertensive heart disease comp the puerperiumCan lead a claimANone
O10.2 Pre-existing hypertensive chronic kidney disease complicating pregnancy, childbirth and the puerperium
O10.21 Pre-existing hypertensive chronic kidney disease complicating pregnancy
O10.211Pre-existing hypertensive chronic kidney disease complicating pregnancy, first trimesterCMS: Pre-exist hyp chronic kidney disease comp preg, first triCan lead a claimANone
O10.212Pre-existing hypertensive chronic kidney disease complicating pregnancy, second trimesterCMS: Pre-exist hyp chronic kidney disease comp preg, second triCan lead a claimANone
O10.213Pre-existing hypertensive chronic kidney disease complicating pregnancy, third trimesterCMS: Pre-exist hyp chronic kidney disease comp preg, third triCan lead a claimANone
O10.219Pre-existing hypertensive chronic kidney disease complicating pregnancy, unspecified trimesterCMS: Pre-exist hyp chronic kidney disease comp preg, unsp triCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O10.22Pre-existing hypertensive chronic kidney disease complicating childbirthCMS: Pre-existing hyp chronic kidney disease comp childbirthCan lead a claimANone
O10.23Pre-existing hypertensive chronic kidney disease complicating the puerperiumCMS: Pre-existing hyp chronic kidney disease comp the puerperiumCan lead a claimANone
O10.3 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, childbirth and the puerperium
O10.31 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy
O10.311Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, first trimesterCMS: Pre-exist hyp heart and chr kidney dis comp preg, first triCan lead a claimANone
O10.312Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, second trimesterCMS: Pre-exist hyp heart and chr kidney dis comp preg, second triCan lead a claimANone
O10.313Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, third trimesterCMS: Pre-exist hyp heart and chr kidney dis comp preg, third triCan lead a claimANone
O10.319Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, unspecified trimesterCMS: Pre-exist hyp heart and chr kidney dis comp preg, unsp triCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O10.32Pre-existing hypertensive heart and chronic kidney disease complicating childbirthCMS: Pre-exist hyp heart and chronic kidney disease comp chldbrthCan lead a claimANone
O10.33Pre-existing hypertensive heart and chronic kidney disease complicating the puerperiumCMS: Pre-exist hyp heart and chr kidney disease comp the puerpCan lead a claimANone
O10.4 Pre-existing secondary hypertension complicating pregnancy, childbirth and the puerperium
O10.41 Pre-existing secondary hypertension complicating pregnancy
O10.411Pre-existing secondary hypertension complicating pregnancy, first trimesterCMS: Pre-existing secondary htn comp pregnancy, first trimesterCan lead a claimANone
O10.412Pre-existing secondary hypertension complicating pregnancy, second trimesterCMS: Pre-existing secondary htn comp pregnancy, second trimesterCan lead a claimANone
O10.413Pre-existing secondary hypertension complicating pregnancy, third trimesterCMS: Pre-existing secondary htn comp pregnancy, third trimesterCan lead a claimANone
O10.419Pre-existing secondary hypertension complicating pregnancy, unspecified trimesterCMS: Pre-existing secondary htn comp pregnancy, unsp trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O10.42Pre-existing secondary hypertension complicating childbirthCan lead a claimANone
O10.43Pre-existing secondary hypertension complicating the puerperiumCMS: Pre-existing secondary hypertension comp the puerperiumCan lead a claimANone
O10.9 Unspecified pre-existing hypertension complicating pregnancy, childbirth and the puerperium
O10.91 Unspecified pre-existing hypertension complicating pregnancy
O10.911Unspecified pre-existing hypertension complicating pregnancy, first trimesterCMS: Unsp pre-existing htn comp pregnancy, first trimesterCan lead a claimANone
O10.912Unspecified pre-existing hypertension complicating pregnancy, second trimesterCMS: Unsp pre-existing htn comp pregnancy, second trimesterCan lead a claimANone
O10.913Unspecified pre-existing hypertension complicating pregnancy, third trimesterCMS: Unsp pre-existing htn comp pregnancy, third trimesterCan lead a claimANone
O10.919Unspecified pre-existing hypertension complicating pregnancy, unspecified trimesterCMS: Unsp pre-existing htn comp pregnancy, unsp trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O10.92Unspecified pre-existing hypertension complicating childbirthCMS: Unsp pre-existing hypertension complicating childbirthCan lead a claimANone
O10.93Unspecified pre-existing hypertension complicating the puerperiumCMS: Unsp pre-existing hypertension complicating the puerperiumCan lead a claimANone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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