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O26.13

Billable

Low weight gain in pregnancy, third 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 third trimester (weeks 21 until delivery).

Coding Tips

  • Third trimester begins at week 21 and continues until delivery; confirm documentation specifies this late pregnancy period.
  • Inadequate weight gain in the third trimester may affect fetal growth and development; document clinical monitoring and interventions.

Code Hierarchy

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