Diseases of the respiratory system complicating pregnancy, third trimester
ACA/HHS
HCC 212
RAF Varies by metal level
Index trail
Diseases of the respiratory system complicating pregnancy
See Tabular List: O99.513
O99, Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
O99.5, Diseases of the respiratory system complicating pregnancy, childbirth and the puerperium
O99.51, Diseases of the respiratory system complicating pregnancy
O99.513, Diseases of the respiratory system complicating pregnancy, third trimester
Selected code, source checked for the selected effective period
Not listed for this effective period.
Diseases of the respiratory system complicating pregnancy, third trimester
Open the shareable code page for O99.513→Not listed for this effective period.
No Excludes 1 note is listed in this source payload.
No Excludes 2 note is listed in this source payload.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this code in the selected Tabular payload.
Not listed for this code in the selected Tabular payload.
No laterality instruction is listed for this code in the selected Tabular payload.
Index trail
Diseases of the respiratory system complicating pregnancy
See Tabular List: O99.513
O99, Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
O99.5, Diseases of the respiratory system complicating pregnancy, childbirth and the puerperium
O99.51, Diseases of the respiratory system complicating pregnancy
O99.513, Diseases of the respiratory system complicating pregnancy, third trimester
Selected code, source checked for the selected effective period
Not listed for this effective period.
Diseases of the respiratory system complicating pregnancy, third trimester
Open the shareable code page for O99.513→Not listed for this effective period.
No Excludes 1 note is listed in this source payload.
No Excludes 2 note is listed in this source payload.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this code in the selected Tabular payload.
Not listed for this code in the selected Tabular payload.
No laterality instruction is listed for this code in the selected Tabular payload.
HCC Mapping
RAF Value
Model Period
Source
Audit Caution
HCC mapping, RAF, MEAT, source trail, and audit caution stay in view.
HHS-HCC
HCC 212
HHS-HCC 212; HHS-HCC 2026 benefit year
RAF: Varies by metal level
MEAT checklist
Reviewed by Jess P., CPCMonitor, Evaluate, Assess, or Treat must be supported in the provider note.
HCC Buddy guidance, not official ICD-10-CM text.
Audit caution
Reviewed by Jess P., CPCClose codes need documentation support before selection. Do not assume relationships.
HCC Buddy guidance, not official ICD-10-CM text.
Reviewer sign-off
Reviewed by Jess P., CPCMEAT, documentation support, audit cautions, and close-code guidance are reviewed and approved for this effective period.
HCC Buddy enrichment is separate from official source text.
Diseases of the respiratory system complicating pregnancy, third trimester
ACA/HHS
HCC 212
RAF Varies by metal level
Code
O99.513
V28 HCC
Not mapped
RAF
source required
Add close codes to compare documentation differences.