ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 O01.0

Billable / Specific

Classical hydatidiform mole

O01
Block
1
Synonyms
15
LCDs
5
Payer Policies
0
Linked CPTs

About ICD-10-CM O01.0

ICD-10-CM code O01.0 represents Classical hydatidiform mole. This is a billable/specific code in the Pregnancy, Childbirth, and Puerperium chapter (block O01). The 2026 edition of ICD-10-CM O01.0 became effective on October 1, 2025.

Coding Tips for O01.0

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Pregnancy chapter (O00-O9A): trimester required

Most O codes require a 7th character indicating trimester (1 = first, 2 = second, 3 = third). Some require fetus identification character. Code O09 (supervision of high-risk pregnancy) is required as a secondary code when applicable.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under O01.0. Per CMS ICD-10-CM Tabular 2026.

  • Complete hydatidiform mole

Medicare LCD Coverage for O01.0

Local Coverage Determinations (LCDs) from CMS MACs that list O01.0 as a covered diagnosis.

15 LCDs

Showing top 10 of 15 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88189 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86360 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86361 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88187 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86363 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86359 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86356 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88188 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88184 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88185 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing O01.0.

5 policies

2 Cigna

Flow Cytometry - (0538)
Policy ID: MM_0538
Genetic Testing for Reproductive Carrier Screening and Prenatal Diagnosis - (0514)
Policy ID: MM_0514

1 Medicare

Billing and Coding: Lab: Flow Cytometry
Policy ID: ART-57689

2 Aetna

Flow Cytometry, Ektacytometry, DNA Ploidy, and S-phase Fraction
Policy ID: CPB-0351
Transvaginal Ultrasonography
Policy ID: CPB-0530

CPT Codes Commonly Billed with O01.0

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for O01.0

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert O01.0 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
O01.0 630 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 O01.0, Billing FAQ

Is ICD-10 code O01.0 billable? +

Yes, O01.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to O01.0? +

ICD-10 O01.0 includes: Complete hydatidiform mole.

What ICD-9 codes does O01.0 map to? +

Per CMS GEMs, O01.0 maps to ICD-9 codes: 630. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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