ICD-10 O14
Non-Billable HeaderPre-eclampsia
About ICD-10-CM O14
ICD-10-CM code O14 represents Pre-eclampsia. This is a non-billable header code in the Pregnancy, Childbirth, and Puerperium chapter (block O14). The 2026 edition of ICD-10-CM O14 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Coding Tips for O14
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
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.
Type 1 Excludes
Pure excludes, these codes can never be coded together with O14. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- pre-existing hypertension with pre-eclampsia (O11)
Medicare LCD Coverage for O14
Local Coverage Determinations (LCDs) from CMS MACs that list O14 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing O14.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but O14 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with O14
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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.
Codes Adjacent To O14
Other codes in section O10-O16 (Edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium).
ICD-10 O14, Billing FAQ
Is ICD-10 code O14 billable? +
No, O14 is a non-billable header code. Use a more specific child code from block O14 when submitting claims.
What codes are Type 1 Excludes for O14? +
Type 1 Excludes (never code together with O14): pre-existing hypertension with pre-eclampsia (O11)
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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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