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O15 ICD-10-CM Code: Eclampsia

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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)

O15

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

Eclampsia

Eclampsia

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)
O15Eclampsia

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for O15 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for O15 in this effective period.

Related Child Codes

Official
O15.0Eclampsia complicating pregnancy
O15.1Eclampsia complicating labor
O15.2Eclampsia complicating the puerperium
O15.9Eclampsia, unspecified as to time period

Includes

Official
  • convulsions following conditions in O10-O14 and O16

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for O15 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for O15 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for O15 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for O15 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.

What This Code Means

O15 is the ICD-10-CM diagnosis code for eclampsia. O15 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 O15 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 O15'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 O15 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • convulsions following conditions in O10-O14 and O16

Child Codes

Code Hierarchy

O15Eclampsia
O15Eclampsia

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