O22 vs O30

O22 (Venous complications and hemorrhoids in pregnancy) compared with O30 (Multiple gestation), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. O22 carries an Excludes2 note covering O30: “maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

	O22Venous complications and hemorrhoids in pregnancy	O30Multiple gestation
Billing status	Non-billable header Report instead: O22.00, O22.01, O22.02, O22.03, O22.10	Non-billable header Report instead: O30.001, O30.002, O30.003, O30.009, O30.011
Classification	O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)	O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
Definition	Venous complications and hemorrhoids in pregnancy is a non-billable ICD-10-CM category code (O22).	Multiple gestation is a non-billable ICD-10-CM category code (O30).

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