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

ICD-10 O10.211

Billable / Specific

Pre-existing hypertensive chronic kidney disease complicating pregnancy, first trimester

O10
Block
0
Synonyms
7
LCDs
4
Payer Policies
0
Linked CPTs

About ICD-10-CM O10.211

ICD-10-CM code O10.211 represents Pre-existing hypertensive chronic kidney disease complicating pregnancy, first trimester. This is a billable/specific code in the Pregnancy, Childbirth, and Puerperium chapter (block O10). The 2026 edition of ICD-10-CM O10.211 became effective on October 1, 2025.

Coding Tips for O10.211

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 O10.211

Local Coverage Determinations (LCDs) from CMS MACs that list O10.211 as a covered diagnosis.

7 LCDs

Showing top 7. Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93000 →
CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93041 →
CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93040 →
CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93042 →
CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93005 →
CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93010 →
CMS LCD: Billing and Coding: Serum Magnesium
Article ID: 57189, Effective: 2025-10-16 00:00:00, 1405 covered, 0 non-covered
CPT 83735 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing O10.211.

4 policies

2 Cigna

Genetic Testing for Reproductive Carrier Screening and Prenatal Diagnosis - (0514)
Policy ID: MM_0514
Remote Physiologic Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) - (0563)
Policy ID: MM_0563

2 Medicare

Billing and Coding: Serum Magnesium
Policy ID: ART-57189
Billing and Coding: Electrocardiograms
Policy ID: ART-57326

CPT Codes Commonly Billed with O10.211

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

No procedure linkages on file for O10.211

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 O10.211 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
O10.211 64221 10000
O10.211 64223 10000

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

Codes Adjacent To O10.211

Other codes in section O10-O16 (Edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium).

O10 Pre-existing hypertension complicating pregnancy, childbirth and the puerperium (non-billable) O10.0 Pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium (non-billable) O10.01 Pre-existing essential hypertension complicating pregnancy (non-billable) O10.011 Pre-existing essential hypertension complicating pregnancy, first trimester O10.012 Pre-existing essential hypertension complicating pregnancy, second trimester O10.013 Pre-existing essential hypertension complicating pregnancy, third trimester O10.019 Pre-existing essential hypertension complicating pregnancy, unspecified trimester O10.02 Pre-existing essential hypertension complicating childbirth O10.03 Pre-existing essential hypertension complicating the puerperium O10.1 Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium (non-billable) O10.11 Pre-existing hypertensive heart disease complicating pregnancy (non-billable) O10.111 Pre-existing hypertensive heart disease complicating pregnancy, first trimester O10.112 Pre-existing hypertensive heart disease complicating pregnancy, second trimester O10.113 Pre-existing hypertensive heart disease complicating pregnancy, third trimester O10.119 Pre-existing hypertensive heart disease complicating pregnancy, unspecified trimester O10.12 Pre-existing hypertensive heart disease complicating childbirth O10.13 Pre-existing hypertensive heart disease complicating the puerperium O10.2 Pre-existing hypertensive chronic kidney disease complicating pregnancy, childbirth and the puerperium (non-billable) O10.21 Pre-existing hypertensive chronic kidney disease complicating pregnancy (non-billable) O10.212 Pre-existing hypertensive chronic kidney disease complicating pregnancy, second trimester

ICD-10 O10.211, Billing FAQ

Is ICD-10 code O10.211 billable? +

Yes, O10.211 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does O10.211 map to? +

Per CMS GEMs, O10.211 maps to ICD-9 codes: 64221, 64223. 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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