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

ICD-10-CM Code View

HCC Buddy Code Card

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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

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
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.

Buddy Documentation Tip

HCC Buddy guidance
O13 is a non-billable category for gestational [pregnancy-induced] hypertension without significant proteinuria. Move through the official child-code path until the documented detail supports a reportable code.
For this DOS, capture the provider's current assessment and the care action documented for gestational [pregnancy-induced] hypertension without significant proteinuria. Keep the checklist tied to the note.
Do not swap O13 with O13.1. The FY2026 tabular describes O13.1 as gestational [pregnancy-induced] hypertension without significant proteinuria, first trimester. Follow the documented detail.
Ask Buddy to show the official notes for O13 or compare its code path with O13.1.

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
O13
Description
Gestational [pregnancy-induced] hypertension without significant proteinuria
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
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).

O13 is a non-billable category for gestational [pregnancy-induced] hypertension without significant proteinuria. Move through the official child-code path until the documented detail supports a reportable code.

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.

Coding Tips

  • O13 is a non-billable category for gestational [pregnancy-induced] hypertension without significant proteinuria. Move through the official child-code path until the documented detail supports a reportable code.
  • For this DOS, capture the provider's current assessment and the care action documented for gestational [pregnancy-induced] hypertension without significant proteinuria. Keep the checklist tied to the note.
  • Do not swap O13 with O13.1. The FY2026 tabular describes O13.1 as gestational [pregnancy-induced] hypertension without significant proteinuria, first trimester. Follow the documented detail.
  • Ask Buddy to show the official notes for O13 or compare its code path with O13.1.

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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