O99.113 ICD-10-CM Code: Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, third trimester
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.
- MS-DRG 817 — OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC (MDC 14)
- MS-DRG 818 — OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC (MDC 14)
- MS-DRG 819 — OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC (MDC 14)
- MS-DRG 831 — OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC (MDC 14)
- MS-DRG 832 — OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC (MDC 14)
- MS-DRG 833 — OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC (MDC 14)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for O99.113 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- hemorrhage with coagulation defects (O45.-, O46.0-, O67.0, O72.3)
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- when the reason for maternal care is that the condition is known or suspected to have affected the fetus (O35-O36)
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code to identify specific condition
Nearest Codes in This Family
Official ICD-10-CM classifications closest to O99.113 in its code family, with their registry titles.
- O99.03 — Anemia complicating the puerperium
- O99.1 — Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium
- O99.11 — Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy
- O99.111 — Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, first trimester
- O99.112 — Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, second trimester
- O99.119 — Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, unspecified trimester
- O99.12 — Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating childbirth
- O99.13 — Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating the puerperium
- O99.2 — Endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium
- O99.21 — Obesity complicating pregnancy, childbirth, and the puerperium