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O09.292 ICD-10-CM Code: Supervision of pregnancy with other poor reproductive or obstetric history, second trimester

O09.292 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC Buddy coding tools

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

O09.292

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Supervision of pregnancy with other poor reproductive or obstetric history, second trimester

Medical supervision of a pregnancy in a woman with other significant problems in her reproductive or obstetric history, during the second trimester of the current pregnancy.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

HCC 212

Varies by metal level

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
O09.2Supervision of pregnancy with other poor reproductive or obstetric history
O09.29Supervision of pregnancy with other poor reproductive or obstetric history
O09.292Supervision of pregnancy with other poor reproductive or obstetric history, second trimester

Inclusion Terms

Official
  • Supervision of pregnancy with history of neonatal death
  • Supervision of pregnancy with history of stillbirth

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for O09.292 in this effective period.

Related Child Codes

Official
O09.291Supervision of pregnancy with other poor reproductive or obstetric history, first trimester
O09.293Supervision of pregnancy with other poor reproductive or obstetric history, third trimester
O09.299Supervision of pregnancy with other poor reproductive or obstetric history, unspecified trimester

Includes

Official

ICD-10-CM does not list Includes notes for O09.292 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for O09.292 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for O09.292 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for O09.292 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for O09.292 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This is a catch-all code for various obstetric risk factors beyond ectopic pregnancy and preterm labor.
Ensure documentation clearly identifies the specific poor reproductive history to support medical necessity for increased supervision.

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 →

Is O09.292 an HCC code?

No. O09.292 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
O09.292
Description
Supervision of pregnancy with other poor reproductive or obstetric history, second trimester
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

O09.292 is the ICD-10-CM diagnosis code for supervision of pregnancy with other poor reproductive or obstetric history, second trimester. Medical supervision of a pregnancy in a woman with other significant problems in her reproductive or obstetric history, during the second trimester of the current pregnancy. O09.292 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).

O09.292 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

This is a catch-all code for various obstetric risk factors beyond ectopic pregnancy and preterm labor.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for O09.292 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This is a catch-all code for various obstetric risk factors beyond ectopic pregnancy and preterm labor.
  • Ensure documentation clearly identifies the specific poor reproductive history to support medical necessity for increased supervision.

Child Codes

Code Hierarchy

Work O09.292 in HCC Buddy

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