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O09.0 ICD-10-CM Code: Supervision of pregnancy with history of infertility

ICD-10-CM Code View

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FY 2026 Apr update / Pregnancy, childbirth and the puerperium (O00-O9A) / Supervision of high risk pregnancy (O09)

O09.0

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Supervision of pregnancy with history of infertility

Supervision of pregnancy with history of infertility

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
O09Supervision of high risk pregnancy
O09.0Supervision of pregnancy with history of infertility

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for O09.0 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for O09.0 in this effective period.

Related Child Codes

Official
O09.00Supervision of pregnancy with history of infertility, unspecified trimester
O09.01Supervision of pregnancy with history of infertility, first trimester
O09.02Supervision of pregnancy with history of infertility, second trimester
O09.03Supervision of pregnancy with history of infertility, third trimester

Includes

Official

ICD-10-CM does not list Includes notes for O09.0 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for O09.0 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for O09.0 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for O09.0 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for O09.0 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
O09.0
Description
Supervision of pregnancy with history of infertility
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

O09.0 is the ICD-10-CM diagnosis code for supervision of pregnancy with history of infertility. O09.0 sits in the ICD-10-CM chapter for pregnancy, childbirth and the puerperium (o00-o9a), within the section covering supervision of high risk pregnancy (o09).

Header codes like O09.0 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at O09.0's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for O09.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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