ICD-10 · PDGM grouping

O10-O16 — Edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.1.26.

OASIS-E2 v1.00.0 · ingested 2026-04-26

Codes in range

98

No clinical group

18

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

80 of the 98 codes in O10-O16 group to MMTA - Other. A further 18 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Every code in O10-O16

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
O10011Pre-existing essential htn comp pregnancy, first trimesterAAccepted
O10012Pre-existing essential htn comp pregnancy, second trimesterAAccepted
O10013Pre-existing essential htn comp pregnancy, third trimesterAAccepted
O10019Pre-existing essential htn comp pregnancy, unsp trimesterNoneCannot group
O1002Pre-existing essential hypertension complicating childbirthAAccepted
O1003Pre-existing essential hypertension comp the puerperiumAAccepted
O10111Pre-exist hyp heart disease comp pregnancy, first trimesterAAccepted
O10112Pre-exist hyp heart disease comp pregnancy, second trimesterAAccepted
O10113Pre-exist hyp heart disease comp pregnancy, third trimesterAAccepted
O10119Pre-exist hyp heart disease comp pregnancy, unsp trimesterNoneCannot group
O1012Pre-existing hypertensive heart disease comp childbirthAAccepted
O1013Pre-existing hypertensive heart disease comp the puerperiumAAccepted
O10211Pre-exist hyp chronic kidney disease comp preg, first triAAccepted
O10212Pre-exist hyp chronic kidney disease comp preg, second triAAccepted
O10213Pre-exist hyp chronic kidney disease comp preg, third triAAccepted
O10219Pre-exist hyp chronic kidney disease comp preg, unsp triNoneCannot group
O1022Pre-existing hyp chronic kidney disease comp childbirthAAccepted
O1023Pre-existing hyp chronic kidney disease comp the puerperiumAAccepted
O10311Pre-exist hyp heart and chr kidney dis comp preg, first triAAccepted
O10312Pre-exist hyp heart and chr kidney dis comp preg, second triAAccepted
O10313Pre-exist hyp heart and chr kidney dis comp preg, third triAAccepted
O10319Pre-exist hyp heart and chr kidney dis comp preg, unsp triNoneCannot group
O1032Pre-exist hyp heart and chronic kidney disease comp chldbrthAAccepted
O1033Pre-exist hyp heart and chr kidney disease comp the puerpAAccepted
O10411Pre-existing secondary htn comp pregnancy, first trimesterAAccepted
O10412Pre-existing secondary htn comp pregnancy, second trimesterAAccepted
O10413Pre-existing secondary htn comp pregnancy, third trimesterAAccepted
O10419Pre-existing secondary htn comp pregnancy, unsp trimesterNoneCannot group
O1042Pre-existing secondary hypertension complicating childbirthAAccepted
O1043Pre-existing secondary hypertension comp the puerperiumAAccepted
O10911Unsp pre-existing htn comp pregnancy, first trimesterAAccepted
O10912Unsp pre-existing htn comp pregnancy, second trimesterAAccepted
O10913Unsp pre-existing htn comp pregnancy, third trimesterAAccepted
O10919Unsp pre-existing htn comp pregnancy, unsp trimesterNoneCannot group
O1092Unsp pre-existing hypertension complicating childbirthAAccepted
O1093Unsp pre-existing hypertension complicating the puerperiumAAccepted
O111Pre-existing hypertension w pre-eclampsia, first trimesterAAccepted
O112Pre-existing hypertension w pre-eclampsia, second trimesterAAccepted
O113Pre-existing hypertension w pre-eclampsia, third trimesterAAccepted
O114Pre-existing htn with pre-eclampsia, comp childbirthAAccepted
O115Pre-existing htn with pre-eclampsia, comp the puerperiumAAccepted
O119Pre-existing hypertension with pre-eclampsia, unsp trimesterNoneCannot group
O1200Gestational edema, unspecified trimesterNoneCannot group
O1201Gestational edema, first trimesterAAccepted
O1202Gestational edema, second trimesterAAccepted
O1203Gestational edema, third trimesterAAccepted
O1204Gestational edema, complicating childbirthAAccepted
O1205Gestational edema, complicating the puerperiumAAccepted
O1210Gestational proteinuria, unspecified trimesterNoneCannot group
O1211Gestational proteinuria, first trimesterAAccepted
O1212Gestational proteinuria, second trimesterAAccepted
O1213Gestational proteinuria, third trimesterAAccepted
O1214Gestational proteinuria, complicating childbirthAAccepted
O1215Gestational proteinuria, complicating the puerperiumAAccepted
O1220Gestational edema with proteinuria, unspecified trimesterNoneCannot group
O1221Gestational edema with proteinuria, first trimesterAAccepted
O1222Gestational edema with proteinuria, second trimesterAAccepted
O1223Gestational edema with proteinuria, third trimesterAAccepted
O1224Gestational edema with proteinuria, complicating childbirthAAccepted
O1225Gestational edema with proteinuria, comp the puerperiumAAccepted
O131Gestational htn w/o significant proteinuria, first trimesterAAccepted
O132Gestatnl htn w/o significant proteinuria, second trimesterAAccepted
O133Gestational htn w/o significant proteinuria, third trimesterAAccepted
O134Gestatnl htn without significant protein, comp childbirthAAccepted
O135Gestatnl htn without significant protein, comp the puerpAAccepted
O139Gestational htn w/o significant proteinuria, unsp trimesterNoneCannot group
O1400Mild to moderate pre-eclampsia, unspecified trimesterNoneCannot group
O1402Mild to moderate pre-eclampsia, second trimesterAAccepted
O1403Mild to moderate pre-eclampsia, third trimesterAAccepted
O1404Mild to moderate pre-eclampsia, complicating childbirthAAccepted
O1405Mild to moderate pre-eclampsia, complicating the puerperiumAAccepted
O1410Severe pre-eclampsia, unspecified trimesterNoneCannot group
O1412Severe pre-eclampsia, second trimesterAAccepted
O1413Severe pre-eclampsia, third trimesterAAccepted
O1414Severe pre-eclampsia complicating childbirthAAccepted
O1415Severe pre-eclampsia, complicating the puerperiumAAccepted
O1420HELLP syndrome (HELLP), unspecified trimesterNoneCannot group
O1422HELLP syndrome (HELLP), second trimesterAAccepted
O1423HELLP syndrome (HELLP), third trimesterAAccepted
O1424HELLP syndrome, complicating childbirthAAccepted
O1425HELLP syndrome, complicating the puerperiumAAccepted
O1490Unspecified pre-eclampsia, unspecified trimesterNoneCannot group
O1492Unspecified pre-eclampsia, second trimesterAAccepted
O1493Unspecified pre-eclampsia, third trimesterAAccepted
O1494Unspecified pre-eclampsia, complicating childbirthAAccepted
O1495Unspecified pre-eclampsia, complicating the puerperiumAAccepted
O1500Eclampsia complicating pregnancy, unspecified trimesterNoneCannot group
O1502Eclampsia complicating pregnancy, second trimesterAAccepted
O1503Eclampsia complicating pregnancy, third trimesterAAccepted
O151Eclampsia complicating laborAAccepted
O152Eclampsia complicating the puerperiumAAccepted
O159Eclampsia, unspecified as to time periodNoneCannot group
O161Unspecified maternal hypertension, first trimesterAAccepted
O162Unspecified maternal hypertension, second trimesterAAccepted
O163Unspecified maternal hypertension, third trimesterAAccepted
O164Unspecified maternal hypertension, complicating childbirthAAccepted
O165Unspecified maternal hypertension, comp the puerperiumAAccepted
O169Unspecified maternal hypertension, unspecified trimesterNoneCannot group

Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. 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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