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

ICD-10 O99.891

Billable / Specific

Other specified diseases and conditions complicating pregnancy

O99
Block
0
Synonyms
2
LCDs
4
Payer Policies
0
Linked CPTs

About ICD-10-CM O99.891

ICD-10-CM code O99.891 represents Other specified diseases and conditions complicating pregnancy. This is a billable/specific code in the Pregnancy, Childbirth, and Puerperium chapter (block O99). The 2026 edition of ICD-10-CM O99.891 became effective on October 1, 2025.

Coding Tips for O99.891

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 O99.891

Local Coverage Determinations (LCDs) from CMS MACs that list O99.891 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 O99.891.

4 policies

2 Aetna

Antepartum Fetal Surveillance - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0088
Fetal Echocardiography and Magnetocardiography
Policy ID: CPB-0106

1 Cigna

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

1 Medicare

Billing and Coding: HbA1c
Policy ID: ART-56686

CPT Codes Commonly Billed with O99.891

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

No procedure linkages on file for O99.891

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.

ICD-10 O99.891, Billing FAQ

Is ICD-10 code O99.891 billable? +

Yes, O99.891 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 2, 2026.

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