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O9A ICD-10-CM Code: Maternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

ICD-10-CM Code View

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FY 2026 Apr update / Pregnancy, childbirth and the puerperium (O00-O9A) / Other obstetric conditions, not elsewhere classified (O94-O9A)

O9A

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

Maternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

Maternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

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
O9AOther obstetric conditions, not elsewhere classified (O94-O9A)
O9AMaternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for O9A in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for O9A in this effective period.

Related Child Codes

Official
O9A.1Malignant neoplasm complicating pregnancy, childbirth and the puerperium
O9A.2Injury, poisoning and certain other consequences of external causes complicating pregnancy, childbirth and the puerperium
O9A.3Physical abuse complicating pregnancy, childbirth and the puerperium
O9A.4Sexual abuse complicating pregnancy, childbirth and the puerperium
O9A.5Psychological abuse complicating pregnancy, childbirth and the puerperium

Includes

Official

ICD-10-CM does not list Includes notes for O9A in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for O9A in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for O9A in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for O9A in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for O9A 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

O9A is the ICD-10-CM diagnosis code for maternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and the puerperium. O9A sits in the ICD-10-CM chapter for pregnancy, childbirth and the puerperium (o00-o9a), within the section covering other obstetric conditions, not elsewhere classified (o94-o9a).

Header codes like O9A 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 O9A'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 O9A sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

O9AMaternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
O9AMaternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

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