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O28 ICD-10-CM Code: Abnormal findings on antenatal screening of mother

ICD-10-CM Code View

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

O28

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

Abnormal findings on antenatal screening of mother

Abnormal findings on antenatal screening of mother

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)
O28Abnormal findings on antenatal screening of mother

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for O28 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for O28 in this effective period.

Related Child Codes

Official
O28.0Abnormal hematological finding on antenatal screening of mother
O28.1Abnormal biochemical finding on antenatal screening of mother
O28.2Abnormal cytological finding on antenatal screening of mother
O28.3Abnormal ultrasonic finding on antenatal screening of mother
O28.4Abnormal radiological finding on antenatal screening of mother

Includes

Official

ICD-10-CM does not list Includes notes for O28 in this effective period.

Excludes 1

Official
  • diagnostic findings classified elsewhere - see Alphabetical Index

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for O28 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for O28 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for O28 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

O28 is the ICD-10-CM diagnosis code for abnormal findings on antenatal screening of mother. O28 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 O28 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 O28'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 O28 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • diagnostic findings classified elsewhere - see Alphabetical Index

Child Codes

Code Hierarchy

O28Abnormal findings on antenatal screening of mother
O28Abnormal findings on antenatal screening of mother

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