ICD-10 O26.851
Billable / SpecificSpotting complicating pregnancy, first trimester
About ICD-10-CM O26.851
ICD-10-CM code O26.851 represents Spotting complicating pregnancy, first trimester. This is a billable/specific code in the Pregnancy, Childbirth, and Puerperium chapter (block O26). The 2026 edition of ICD-10-CM O26.851 became effective on October 1, 2025.
Coding Tips for O26.851
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.
Medicare LCD Coverage for O26.851
Local Coverage Determinations (LCDs) from CMS MACs that list O26.851 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 O26.851.
1 Cigna
CPT Codes Commonly Billed with O26.851
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.
Convert O26.851 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| O26.851 | 64951 | 10000 |
| O26.851 | 64953 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To O26.851
Other codes in section O20-O29 (Other maternal disorders predominantly related to pregnancy).
ICD-10 O26.851, Billing FAQ
Is ICD-10 code O26.851 billable? +
Yes, O26.851 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does O26.851 map to? +
Per CMS GEMs, O26.851 maps to ICD-9 codes: 64951, 64953. 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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