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

ICD-10 O99.810

Billable / Specific

Abnormal glucose complicating pregnancy

O99
Block
0
Synonyms
2
LCDs
3
Payer Policies
1
Linked CPTs

About ICD-10-CM O99.810

ICD-10-CM code O99.810 represents Abnormal glucose complicating pregnancy. This is a billable/specific code in the Pregnancy, Childbirth, and Puerperium chapter (block O99). The 2026 edition of ICD-10-CM O99.810 became effective on October 1, 2025.

Coding Tips for O99.810

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 O99.810

Local Coverage Determinations (LCDs) from CMS MACs that list O99.810 as a covered diagnosis.

2 LCDs

Showing top 2. Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: HbA1c
Article ID: 56686, Effective: 2025-01-01 00:00:00, 299 covered, 0 non-covered
CPT M1211 →
CMS LCD: Billing and Coding: HbA1c
Article ID: 56686, Effective: 2025-01-01 00:00:00, 299 covered, 0 non-covered
CPT 83036 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing O99.810.

3 policies

2 Aetna

Diabetes Tests, Programs and Supplies - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0070
Antepartum Fetal Surveillance - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0088

1 Medicare

Billing and Coding: HbA1c
Policy ID: ART-56686

CPT Codes Commonly Billed with O99.810

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

1 linkages
  • 59400 Vaginal delivery global — uncomplicated delivery, C-section, single liveborn, post-term, preterm labor, premature rupture membranes, small for gestational age, supervision high-risk pregnancy OB/GYN

Convert O99.810 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
O99.810 64881 10000
O99.810 64883 10000

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

ICD-10 O99.810, Billing FAQ

Is ICD-10 code O99.810 billable? +

Yes, O99.810 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 O99.810? +

Procedures frequently paired with O99.810 include: 59400.

What ICD-9 codes does O99.810 map to? +

Per CMS GEMs, O99.810 maps to ICD-9 codes: 64881, 64883. 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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