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

ICD-10 O09.891

Billable / Specific

Supervision of other high risk pregnancies, first trimester

O09
Block
0
Synonyms
42
LCDs
12
Payer Policies
1
Linked CPTs

About ICD-10-CM O09.891

ICD-10-CM code O09.891 represents Supervision of other high risk pregnancies, first trimester. This is a billable/specific code in the Pregnancy, Childbirth, and Puerperium chapter (block O09). The 2026 edition of ICD-10-CM O09.891 became effective on October 1, 2025.

Coding Tips for O09.891

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.

Medicare LCD Coverage for O09.891

Local Coverage Determinations (LCDs) from CMS MACs that list O09.891 as a covered diagnosis.

42 LCDs

Showing top 10 of 42 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Frequency of Hemodialysis
Article ID: 55672, Effective: 2022-10-01 00:00:00, 56 covered, 1 non-covered
CPT 90999 →
CMS LCD: Billing and Coding: Frequency of Hemodialysis
Article ID: 56159, Effective: 2026-03-05 00:00:00, 56 covered, 0 non-covered
CPT 90999 →
CMS LCD: Billing and Coding: Zika Virus Testing by PCR and ELISA Methods
Article ID: 55326, Effective: 2025-11-06 00:00:00, 128 covered, 0 non-covered
CPT 87801 →
CMS LCD: Billing and Coding: Zika Virus Testing by PCR and ELISA Methods
Article ID: 55326, Effective: 2025-11-06 00:00:00, 128 covered, 0 non-covered
CPT 87798 →
CMS LCD: Billing and Coding: Zika Virus Testing by PCR and ELISA Methods
Article ID: 55326, Effective: 2025-11-06 00:00:00, 128 covered, 0 non-covered
CPT 86794 →
CMS LCD: Billing and Coding: Zika Virus Testing by PCR and ELISA Methods
Article ID: 55326, Effective: 2025-11-06 00:00:00, 128 covered, 0 non-covered
CPT 87662 →
CMS LCD: Billing and Coding: Zika Virus Testing by PCR and ELISA Methods
Article ID: 55326, Effective: 2025-11-06 00:00:00, 128 covered, 0 non-covered
CPT 86790 →
CMS LCD: Billing and Coding: Immune Globulins
Article ID: 57554, Effective: 2026-04-09 00:00:00, 1176 covered, 0 non-covered
CPT J1459 →
CMS LCD: Billing and Coding: Immune Globulins
Article ID: 57554, Effective: 2026-04-09 00:00:00, 1176 covered, 0 non-covered
CPT J1573 →
CMS LCD: Billing and Coding: Immune Globulins
Article ID: 57554, Effective: 2026-04-09 00:00:00, 1176 covered, 0 non-covered
CPT J1552 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing O09.891.

12 policies

1 Cigna

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

5 Medicare

Billing and Coding: Paclitaxel (e.g., Taxol�/Abraxane �)
Policy ID: ART-52450
Billing and Coding: Zika Virus Testing by PCR and ELISA Methods
Policy ID: ART-55326
Billing and Coding: Frequency of Hemodialysis
Policy ID: ART-55354
Billing and Coding: Frequency of Hemodialysis
Policy ID: ART-55672
Billing and Coding: Frequency of Hemodialysis
Policy ID: ART-55675

CPT Codes Commonly Billed with O09.891

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

1 linkages
  • 90999 CMS LCD: Billing and Coding: Frequency of Hemodialysis CMS LCD

Convert O09.891 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
O09.891 V2389 10000

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

Codes Adjacent To O09.891

Other codes in section O09 (Supervision of high risk pregnancy).

O09 Supervision of high risk pregnancy (non-billable) O09.0 Supervision of pregnancy with history of infertility (non-billable) O09.00 Supervision of pregnancy with history of infertility, unspecified trimester O09.01 Supervision of pregnancy with history of infertility, first trimester O09.02 Supervision of pregnancy with history of infertility, second trimester O09.03 Supervision of pregnancy with history of infertility, third trimester O09.1 Supervision of pregnancy with history of ectopic pregnancy (non-billable) O09.10 Supervision of pregnancy with history of ectopic pregnancy, unspecified trimester O09.11 Supervision of pregnancy with history of ectopic pregnancy, first trimester O09.12 Supervision of pregnancy with history of ectopic pregnancy, second trimester O09.13 Supervision of pregnancy with history of ectopic pregnancy, third trimester O09.2 Supervision of pregnancy with other poor reproductive or obstetric history (non-billable) O09.21 Supervision of pregnancy with history of pre-term labor (non-billable) O09.211 Supervision of pregnancy with history of pre-term labor, first trimester O09.212 Supervision of pregnancy with history of pre-term labor, second trimester O09.213 Supervision of pregnancy with history of pre-term labor, third trimester O09.219 Supervision of pregnancy with history of pre-term labor, unspecified trimester O09.29 Supervision of pregnancy with other poor reproductive or obstetric history (non-billable) O09.291 Supervision of pregnancy with other poor reproductive or obstetric history, first trimester O09.292 Supervision of pregnancy with other poor reproductive or obstetric history, second trimester

ICD-10 O09.891, Billing FAQ

Is ICD-10 code O09.891 billable? +

Yes, O09.891 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with O09.891? +

Procedures frequently paired with O09.891 include: 90999.

What ICD-9 codes does O09.891 map to? +

Per CMS GEMs, O09.891 maps to ICD-9 codes: V2389. 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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