O9A.411
BillableSexual abuse complicating pregnancy, first trimester
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is O9A.411 an HCC code?
No. O9A.411 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
O9A.411 is the ICD-10-CM diagnosis code for sexual abuse complicating pregnancy, first trimester. A pregnant woman is experiencing sexual abuse during the first trimester (weeks 1-13 of pregnancy). This code documents that the sexual abuse is occurring during the earliest stage of pregnancy. O9A.411 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).
O9A.411 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.
Sexual abuse during early pregnancy may have significant implications for fetal development; document any complications thoroughly.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for O9A.411 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.