O10.21
Pre-existing hypertensive chronic kidney disease complicating pregnancy
O10.21 is a non-billable ICD-10-CM code header for pre-existing hypertensive chronic kidney disease complicating pregnancy. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are O10.211 Pre-existing hypertensive chronic kidney disease complicating pregnancy, first trimester; O10.212 Pre-existing hypertensive chronic kidney disease complicating pregnancy, second trimester; O10.213 Pre-existing hypertensive chronic kidney disease complicating pregnancy, third trimester and O10.219 Pre-existing hypertensive chronic kidney disease complicating pregnancy, unspecified trimester. Its coding notes include a Use additional code instruction, 1 Excludes1 entry and 5 Excludes2 entries.
Guidelines tips
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
The trimester character comes from the provider's documentation for the current encounter. The unspecified trimester code should rarely be used.
O10 codes that include hypertensive heart or kidney disease need a secondary hypertension-category code to specify the type of heart failure or CKD.
Use additional code
Add the listed code as a secondary code, if known.
- code from I12 to identify the type of hypertensive chronic kidney disease
Also from chapter/block level (1 note)
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Excludes1
Not coded here. The listed conditions generally should not be reported together.
Also from chapter/block level (1 note)
- supervision of normal pregnancy (Z34.-)
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
- pre-existing hypertension with superimposed pre-eclampsia complicating pregnancy, childbirth and the puerperium (O11.-)
Also from chapter/block level (4 notes)
Includes
Further defines or gives examples of the content of the category.
- pre-existing hypertension with pre-existing proteinuria complicating pregnancy, childbirth and the puerperium
Notes
Also from chapter/block level (6 notes)
- CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
- Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
- Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
- 1st trimester- less than 14 weeks 0 days
- 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
- 3rd trimester- 28 weeks 0 days until delivery
Alphabetic Index terms
Terms the official Alphabetic Index lists for this code. 1 entry
More specific codes under O10.21 4
- O10.211Pre-existing hypertensive chronic kidney disease complicating pregnancy, first trimesterBillable
- O10.212Pre-existing hypertensive chronic kidney disease complicating pregnancy, second trimesterBillable
- O10.213Pre-existing hypertensive chronic kidney disease complicating pregnancy, third trimesterBillable
- O10.219Pre-existing hypertensive chronic kidney disease complicating pregnancy, unspecified trimesterBillable