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

ICD-10 O28.9

Billable / Specific

Unspecified abnormal findings on antenatal screening of mother

O28
Block
0
Synonyms
0
LCDs
3
Payer Policies
2
Linked CPTs

About ICD-10-CM O28.9

ICD-10-CM code O28.9 represents Unspecified abnormal findings on antenatal screening of mother. This is a billable/specific code in the Pregnancy, Childbirth, and Puerperium chapter (block O28). The 2026 edition of ICD-10-CM O28.9 became effective on October 1, 2025.

Coding Tips for O28.9

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 O28.9

Local Coverage Determinations (LCDs) from CMS MACs that list O28.9 as a covered diagnosis.

No Medicare LCDs reference O28.9 as covered

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 O28.9.

3 policies

2 Aetna

Antepartum Fetal Surveillance - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0088
Genetic Counseling
Policy ID: CPB-0189

1 Cigna

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

CPT Codes Commonly Billed with O28.9

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

2 linkages
  • 76801 OB ultrasound first trimester — pregnancy supervision, high-risk pregnancy, abnormal prenatal screening, prenatal screening, spontaneous abortion OB/GYN
  • 76805 OB ultrasound after first trimester — same as 76801 plus SGA, polyhydramnios OB/GYN

Convert O28.9 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
O28.9 7965 10000

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

ICD-10 O28.9, Billing FAQ

Is ICD-10 code O28.9 billable? +

Yes, O28.9 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with O28.9? +

Procedures frequently paired with O28.9 include: 76801, 76805.

What ICD-9 codes does O28.9 map to? +

Per CMS GEMs, O28.9 maps to ICD-9 codes: 7965. 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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