ICD-10 O44.12
Billable / Specific MCCComplete placenta previa with hemorrhage, second trimester
About ICD-10-CM O44.12
ICD-10-CM code O44.12 represents Complete placenta previa with hemorrhage, second trimester. This is a billable/specific code in the Pregnancy, Childbirth, and Puerperium chapter (block O44). The 2026 edition of ICD-10-CM O44.12 became effective on October 1, 2025.
Coding Tips for O44.12
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
O44.12 is designated MCC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-MCC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag MCC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
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.
Inpatient DRG Impact, MCC
codes Complete placenta previa with hemorrhage, second trimester. As a Major Complication/Comorbidity (MCC), this can shift the DRG assignment to a higher-weighted category, substantial reimbursement impact.
Medicare LCD Coverage for O44.12
Local Coverage Determinations (LCDs) from CMS MACs that list O44.12 as a covered diagnosis.
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Commercial Payer Coverage
Coverage policies from major commercial payers referencing O44.12.
1 Medicare
CPT Codes Commonly Billed with O44.12
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 O44.12 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 |
|---|---|---|
| O44.12 | 64111 | 10000 |
| O44.12 | 64113 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To O44.12
Other codes in section O30-O48 (Maternal care related to the fetus and amniotic cavity and possible delivery problems).
ICD-10 O44.12, Billing FAQ
Is ICD-10 code O44.12 billable? +
Yes, O44.12 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Is O44.12 a CC or MCC for inpatient DRG? +
Yes, this code is designated as MCC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What ICD-9 codes does O44.12 map to? +
Per CMS GEMs, O44.12 maps to ICD-9 codes: 64111, 64113. 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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