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

ICD-10 O21.0

Billable / Specific

Mild hyperemesis gravidarum

O21
Block
1
Synonyms
1
LCDs
7
Payer Policies
0
Linked CPTs

About ICD-10-CM O21.0

ICD-10-CM code O21.0 represents Mild hyperemesis gravidarum. This is a billable/specific code in the Pregnancy, Childbirth, and Puerperium chapter (block O21). The 2026 edition of ICD-10-CM O21.0 became effective on October 1, 2025.

Coding Tips for O21.0

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 O21.0. Per CMS ICD-10-CM Tabular 2026.

  • Hyperemesis gravidarum, mild or unspecified, starting before the end of the 20th week of gestation

Medicare LCD Coverage for O21.0

Local Coverage Determinations (LCDs) from CMS MACs that list O21.0 as a covered diagnosis.

1 LCDs

Showing top 1. Click a CPT for full coverage scope.

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 O21.0.

7 policies

4 Aetna

Nutritional Support - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0061
Acupuncture and Dry Needling
Policy ID: CPB-0135
Electrical Stimulation for Nausea, Vomiting, Motion Sickness and Other Selected Indications
Policy ID: CPB-0676
Antiemetic Therapy
Policy ID: CPB-0724

2 Cigna

Acupuncture - (CPG024)
Policy ID: CPG024_ACUPUNCTURE
Genetic Testing for Reproductive Carrier Screening and Prenatal Diagnosis - (0514)
Policy ID: MM_0514

1 Medicare

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

CPT Codes Commonly Billed with O21.0

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

No procedure linkages on file for O21.0

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 O21.0 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
O21.0 64303 10000

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

ICD-10 O21.0, Billing FAQ

Is ICD-10 code O21.0 billable? +

Yes, O21.0 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 O21.0? +

ICD-10 O21.0 includes: Hyperemesis gravidarum, mild or unspecified, starting before the end of the 20th week of gestation.

What ICD-9 codes does O21.0 map to? +

Per CMS GEMs, O21.0 maps to ICD-9 codes: 64303. 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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