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O22 ICD-10-CM Code: Venous complications and hemorrhoids in 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)

O22

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

Venous complications and hemorrhoids in pregnancy

Venous complications and hemorrhoids in 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)
O22Venous complications and hemorrhoids in pregnancy

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for O22 in this effective period.

Excludes 2

Official
  • obstetric pulmonary embolism (O88.-)
  • venous complications and hemorrhoids of childbirth and the puerperium (O87.-)

Related Child Codes

Official
O22.0Varicose veins of lower extremity in pregnancy
O22.1Genital varices in pregnancy
O22.2Superficial thrombophlebitis in pregnancy
O22.3Deep phlebothrombosis in pregnancy
O22.4Hemorrhoids in pregnancy

Includes

Official

ICD-10-CM does not list Includes notes for O22 in this effective period.

Excludes 1

Official
  • venous complications of:
  • abortion NOS (O03.9)
  • ectopic or molar pregnancy (O08.7)
  • failed attempted abortion (O07.35)
  • induced abortion (O04.85)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for O22 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for O22 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for O22 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

O22 is the ICD-10-CM diagnosis code for venous complications and hemorrhoids in pregnancy. O22 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 O22 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 O22'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 O22 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • venous complications of:
  • abortion NOS (O03.9)
  • ectopic or molar pregnancy (O08.7)
  • failed attempted abortion (O07.35)
  • induced abortion (O04.85)
  • spontaneous abortion (O03.89)

Excludes 2, Not included here, may code separately

  • obstetric pulmonary embolism (O88.-)
  • venous complications and hemorrhoids of childbirth and the puerperium (O87.-)

Child Codes

Code Hierarchy

O22Venous complications and hemorrhoids in pregnancy
O22Venous complications and hemorrhoids in pregnancy

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