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Compare/O26.8 vs R53.8

O26.8 vs R53.8

O26.8 (Other specified pregnancy related conditions) compared with R53.8 (Other malaise and fatigue), 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. R53.8 carries an Excludes1 note covering O26.8: “exhaustion and fatigue due to pregnancy (O26.8-)”

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

O26.8Other specified pregnancy related conditionsR53.8Other malaise and fatigue
Billing statusNon-billable header

Report instead: O26.811, O26.812, O26.813, O26.819, O26.821

Non-billable header

Report instead: R53.81, R53.82, R53.83

ClassificationO00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
DefinitionOther specified pregnancy related conditions is a non-billable ICD-10-CM category code (O26.8).Other malaise and fatigue is a non-billable ICD-10-CM category code (R53.8).

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