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O30.202

Billable

Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is O30.202 an HCC code?

No. O30.202 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

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

What This Code Means

O30.202 is the ICD-10-CM diagnosis code for quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester. A pregnancy with four fetuses where the number of placentas and fluid sacs is not specified, occurring in the second trimester (weeks 13-27 of pregnancy). O30.202 sits in the ICD-10-CM chapter for pregnancy, childbirth and the puerperium (o00-o9a), within the section covering maternal care related to the fetus and amniotic cavity and possible delivery problems (o30-o48).

O30.202 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Document the trimester clearly in the medical record to ensure accurate code selection.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for O30.202 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Document the trimester clearly in the medical record to ensure accurate code selection
  • If ultrasound findings later clarify the placental arrangement, consider updating the code to reflect monochorionic status if applicable

Code Hierarchy

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