O11.9

Pre-existing hypertension with pre-eclampsia, unspecified trimester

FY2027Chapter 15: Pregnancy, childbirth and the puerperium/O10–O16 Edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium

BillableComplete code, valid to report

O11.9 (also written O119) is a billable ICD-10-CM diagnosis code for pre-existing hypertension with pre-eclampsia, unspecified trimester. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 6 codes in category O11 (Pre-existing hypertension with pre-eclampsia). Its coding notes include a Use additional code instruction, 1 Excludes1 entry and 4 Excludes2 entries.

Guidelines tip

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.

Guidelines I.C.15.a.3; I.C.15.a.5Pregnancy: the trimester characterRead the official text

Use additional code

Add the listed code as a secondary code, if known.

Inherited from O11 Pre-existing hypertension with pre-eclampsia
  • code from O10 to identify the type of hypertension
Also from chapter/block level (1 note)
Inherited from Chapter 15 Pregnancy, childbirth and the puerperium
  • 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)
Inherited from Chapter 15 Pregnancy, childbirth and the puerperium
  • supervision of normal pregnancy (Z34.-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (4 notes)
Inherited from Chapter 15 Pregnancy, childbirth and the puerperium
  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)

Includes

Further defines or gives examples of the content of the category.

Inherited from O11 Pre-existing hypertension with pre-eclampsia
  • conditions in O10 complicated by pre-eclampsia
  • pre-eclampsia superimposed pre-existing hypertension

Notes

Also from chapter/block level (6 notes)
Inherited from Chapter 15 Pregnancy, childbirth and the puerperium
  • 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