ICD-10 O22
Non-Billable HeaderVenous complications and hemorrhoids in pregnancy
About ICD-10-CM O22
ICD-10-CM code O22 represents Venous complications and hemorrhoids in pregnancy. This is a non-billable header code in the Pregnancy, Childbirth, and Puerperium chapter (block O22). The 2026 edition of ICD-10-CM O22 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 O22
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 O22. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- venous complications of:
- abortion NOS (O03.9)
- ectopic or molar pregnancy (O08.7)
- failed attempted abortion (O07.35)
- induced abortion (O04.85)
- spontaneous abortion (O03.89)
Type 2 Excludes
Not included here, the excluded code is not part of O22, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- obstetric pulmonary embolism (O88.-)
- venous complications and hemorrhoids of childbirth and the puerperium (O87.-)
Medicare LCD Coverage for O22
Local Coverage Determinations (LCDs) from CMS MACs that list O22 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 O22.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but O22 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with O22
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 O22
Other codes in section O20-O29 (Other maternal disorders predominantly related to pregnancy).
ICD-10 O22, Billing FAQ
Is ICD-10 code O22 billable? +
No, O22 is a non-billable header code. Use a more specific child code from block O22 when submitting claims.
What codes are Type 1 Excludes for O22? +
Type 1 Excludes (never code together with O22): venous complications of:; abortion NOS (O03.9); ectopic or molar pregnancy (O08.7)
What codes are Type 2 Excludes for O22? +
Type 2 Excludes (may be coded together when both conditions exist): obstetric pulmonary embolism (O88.-); venous complications and hemorrhoids of childbirth and the puerperium (O87.-)
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team