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I10 vs O13

I10 (Essential (primary) hypertension) compared with O13 (Gestational [pregnancy-induced] hypertension without significant proteinuria), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. I10 carries an Excludes1 note covering O13: “hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

I10Essential (primary) hypertensionO13Gestational [pregnancy-induced] hypertension without significant proteinuria
Billing statusBillableNon-billable header

Report instead: O13.1, O13.2, O13.3, O13.4, O13.5

ClassificationI00-I99 — Diseases of the Circulatory System (I00-I99)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionEssential (primary) hypertension is a billable ICD-10-CM diagnosis code (I10).Gestational [pregnancy-induced] hypertension without significant proteinuria is a non-billable ICD-10-CM category code (O13).
Includes
high blood pressure
hypertension (arterial) (benign) (essential) (malignant) (primary) (systemic)
gestational hypertension NOS
transient hypertension of pregnancy
Use additional code
code to identify:
exposure to environmental tobacco smoke (Z77.22)
history of tobacco dependence (Z87.891)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources