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

ICD-10 O26.63

Billable / Specific

Liver and biliary tract disorders in the puerperium

O26
Block
0
Synonyms
1
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM O26.63

ICD-10-CM code O26.63 represents Liver and biliary tract disorders in the puerperium. This is a billable/specific code in the Pregnancy, Childbirth, and Puerperium chapter (block O26). The 2026 edition of ICD-10-CM O26.63 became effective on October 1, 2025.

Coding Tips for O26.63

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 O26.63

Local Coverage Determinations (LCDs) from CMS MACs that list O26.63 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 O26.63.

1 policies

1 Medicare

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

CPT Codes Commonly Billed with O26.63

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

No procedure linkages on file for O26.63

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 O26.63 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
O26.63 64684 10000

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

ICD-10 O26.63, Billing FAQ

Is ICD-10 code O26.63 billable? +

Yes, O26.63 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does O26.63 map to? +

Per CMS GEMs, O26.63 maps to ICD-9 codes: 64684. 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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