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O26.11

Billable

Low weight gain in pregnancy, first trimester

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A pregnant woman has gained less weight than is typically recommended during the first three months of pregnancy.

Coding Tips

  • First trimester is weeks 1-13; ensure documentation clearly indicates the timing of inadequate weight gain.
  • Investigate and document causes such as morning sickness, hyperemesis gravidarum, or nutritional deficiencies.

Code Hierarchy

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