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 conditions | R53.8Other malaise and fatigue | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Other 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