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

ICD-10 O44.40

Billable / Specific

Low lying placenta NOS or without hemorrhage, unspecified trimester

O44
Block
0
Synonyms
0
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM O44.40

ICD-10-CM code O44.40 represents Low lying placenta NOS or without hemorrhage, unspecified trimester. This is a billable/specific code in the Pregnancy, Childbirth, and Puerperium chapter (block O44). The 2026 edition of ICD-10-CM O44.40 became effective on October 1, 2025.

Coding Tips for O44.40

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 O44.40

Local Coverage Determinations (LCDs) from CMS MACs that list O44.40 as a covered diagnosis.

No Medicare LCDs reference O44.40 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 O44.40.

1 policies

1 Cigna

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

CPT Codes Commonly Billed with O44.40

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

No procedure linkages on file for O44.40

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 O44.40 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
O44.40 64100 10000

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

Codes Adjacent To O44.40

Other codes in section O30-O48 (Maternal care related to the fetus and amniotic cavity and possible delivery problems).

ICD-10 O44.40, Billing FAQ

Is ICD-10 code O44.40 billable? +

Yes, O44.40 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does O44.40 map to? +

Per CMS GEMs, O44.40 maps to ICD-9 codes: 64100. 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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