ICD-10-CM Code O09.40
Supervision of pregnancy with grand multiparity, unspecified trimester

BILLABLE

Billable Code

Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.

POA Exempt

POA Exempt Code

The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.

Female Only

Code is only used for female patients.

Maternity Only

Code is only used for diagnoses related to pregnancy.

| ICD-10 from 2011 - 2016

O09.40 is a billable ICD code used to specify a diagnosis of supervision of pregnancy with grand multiparity, unspecified trimester. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

POA Indicators on CMS form 4010A are as follows:

Indicator	Meaning	CMS Will Pay CC/MCC DRG Costs
Y	Diagnosis was present at time of inpatient admission	Yes
N	Diagnosis was not present at time of inpatient admission	No
U	Documentation insufficient to determine if the condition was present at the time of inpatient admission.	No
W	Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission.	Yes
1	Exempt from POA reporting	No

MS-DRG Mapping

DRG Group #998 - Principal diagnosis invalid as discharge diagnosis.

Coding Advice SNOMET-CT

Consider trimester specification

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

V23.3

Supervision of high-risk pregnancy with grand multiparity (approximate match)

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code O09.40 and a single ICD9 code, V23.3 is an approximate match for comparison and conversion purposes.

Parent Code: O09.4 - Supervision of pregnancy with grand multiparity

Code Navigator: ICD

ICD-10-CM Code O09.40 Supervision of pregnancy with grand multiparity, unspecified trimester