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O13 ICD-10-CM Code: Gestational [pregnancy-induced] hypertension without significant proteinuria

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FY 2026 Apr update / Pregnancy, childbirth and the puerperium (O00-O9A) / Edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium (O10-O16)

O13

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

Gestational [pregnancy-induced] hypertension without significant proteinuria

Gestational [pregnancy-induced] hypertension without significant proteinuria

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
O1Edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium (O10-O16)
O13Gestational [pregnancy-induced] hypertension without significant proteinuria

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for O13 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for O13 in this effective period.

Related Child Codes

Official
O13.1Gestational [pregnancy-induced] hypertension without significant proteinuria, first trimester
O13.2Gestational [pregnancy-induced] hypertension without significant proteinuria, second trimester
O13.3Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester
O13.4Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating childbirth
O13.5Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating the puerperium

Includes

Official
  • gestational hypertension NOS
  • transient hypertension of pregnancy

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for O13 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for O13 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for O13 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for O13 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

O13 is the ICD-10-CM diagnosis code for gestational [pregnancy-induced] hypertension without significant proteinuria. O13 sits in the ICD-10-CM chapter for pregnancy, childbirth and the puerperium (o00-o9a), within the section covering edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium (o10-o16).

Header codes like O13 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 O13'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 O13 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • gestational hypertension NOS
  • transient hypertension of pregnancy

Child Codes

Code Hierarchy

O13Gestational [pregnancy-induced] hypertension without significant proteinuria
O13Gestational [pregnancy-induced] hypertension without significant proteinuria

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