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O20 ICD-10-CM Code: Hemorrhage in early pregnancy

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Pregnancy, childbirth and the puerperium (O00-O9A) / Other maternal disorders predominantly related to pregnancy (O20-O29)

O20

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

Hemorrhage in early pregnancy

Hemorrhage in early pregnancy

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
O2Other maternal disorders predominantly related to pregnancy (O20-O29)
O20Hemorrhage in early pregnancy

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for O20 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for O20 in this effective period.

Related Child Codes

Official
O20.0Threatened abortion
O20.8Other hemorrhage in early pregnancy
O20.9Hemorrhage in early pregnancy, unspecified

Includes

Official
  • hemorrhage before completion of 20 weeks gestation

Excludes 1

Official
  • pregnancy with abortive outcome (O00-O08)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for O20 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for O20 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for O20 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

O20 is the ICD-10-CM diagnosis code for hemorrhage in early pregnancy. O20 sits in the ICD-10-CM chapter for pregnancy, childbirth and the puerperium (o00-o9a), within the section covering other maternal disorders predominantly related to pregnancy (o20-o29).

Header codes like O20 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 O20'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 O20 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • hemorrhage before completion of 20 weeks gestation

Excludes 1, Do NOT code together

  • pregnancy with abortive outcome (O00-O08)

Child Codes

Code Hierarchy

O20Hemorrhage in early pregnancy
O20Hemorrhage in early pregnancy

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