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ICD-10/O10.3

O10.3 ICD-10-CM Code: Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, childbirth and the puerperium

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.

Official Registry Overview & Definition

Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, childbirth and the puerperium is a non-billable ICD-10-CM category code (O10.3). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for O10.3 in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • pre-existing hypertension with pre-existing proteinuria complicating pregnancy, childbirth and the puerperium

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Any condition in I13 specified as a reason for obstetric care during pregnancy, childbirth or the puerperium

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

  • pre-existing hypertension with superimposed pre-eclampsia complicating pregnancy, childbirth and the puerperium (O11.-)

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code from I13 to identify the type of hypertensive heart and chronic kidney disease

Frequently Asked Questions (FAQ) & Clinical Guidance

Can O10.3 be billed directly?

No. O10.3 (Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, childbirth and the puerperium) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to O10.3 in its code family, with their registry titles.

  • O10.212 — Pre-existing hypertensive chronic kidney disease complicating pregnancy, second trimester
  • O10.213 — Pre-existing hypertensive chronic kidney disease complicating pregnancy, third trimester
  • O10.219 — Pre-existing hypertensive chronic kidney disease complicating pregnancy, unspecified trimester
  • O10.22 — Pre-existing hypertensive chronic kidney disease complicating childbirth
  • O10.23 — Pre-existing hypertensive chronic kidney disease complicating the puerperium
  • O10.31 — Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy
  • O10.311 — Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, first trimester
  • O10.312 — Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, second trimester
  • O10.313 — Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, third trimester
  • O10.319 — Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, unspecified trimester

View all codes in the O10 family