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Compare/O26 vs O48

O26 vs O48

O26 (Maternal care for other conditions predominantly related to pregnancy) compared with O48 (Late pregnancy), 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. O26 carries an Excludes2 note covering O48: “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

O26Maternal care for other conditions predominantly related to pregnancyO48Late pregnancy
Billing statusNon-billable header

Report instead: O26.00, O26.01, O26.02, O26.03, O26.10

Non-billable header

Report instead: O48.0, O48.1

ClassificationO00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionMaternal care for other conditions predominantly related to pregnancy is a non-billable ICD-10-CM category code (O26).Late pregnancy is a non-billable ICD-10-CM category code (O48).
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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