O10.111 Pre-existing hypertensive heart disease complicating pregnancy, first trimester

Billable ICD-10-CM code, FY2026.

Applies from O10 Pre-existing hypertension complicating pregnancy, childbirth and the puerperium

Includes

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

Excludes2 (not included here)

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

Applies from O10.1 Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium

Applicable to

• Any condition in I11 specified as a reason for obstetric care during pregnancy, childbirth or the puerperium

Use additional code

• code from I11 to identify the type of hypertensive heart disease

MS-DRG index

Defines the logic of DRG(s) 817-819 in MDC 14.

Approximate ICD-9-CM (GEMs)

• 642.21 Other pre-existing hypertension, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition (approximate)
• 642.23 Other pre-existing hypertension, complicating pregnancy, childbirth, and the puerperium, antepartum condition or complication (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Maternity diagnoses (age 9 through 64): Age conflict edit. These diagnoses are clinically expected only in patients age 9 through 64.

Code annotations containing back-references to O10.111

Back-references to O10

• Type 1 Excludes: I10 Essential (primary) hypertension ("hypertensive disease complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)")
• Use Additional: O11 Pre-existing hypertension with pre-eclampsia ("code from O10 to identify the type of hypertension")
• Type 2 Excludes: O99.4 Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium ("hypertensive disorders (O10-O16)")

Nearby codes

• O10.019 Pre-existing essential hypertension complicating pregnancy, unspecified trimester
• O10.02 Pre-existing essential hypertension complicating childbirth
• O10.03 Pre-existing essential hypertension complicating the puerperium
• O10.1 Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium
• O10.11 Pre-existing hypertensive heart disease complicating pregnancy
• O10.111 Pre-existing hypertensive heart disease complicating pregnancy, first trimester (this code)
• O10.112 Pre-existing hypertensive heart disease complicating pregnancy, second trimester
• O10.113 Pre-existing hypertensive heart disease complicating pregnancy, third trimester
• O10.119 Pre-existing hypertensive heart disease complicating pregnancy, unspecified trimester
• O10.12 Pre-existing hypertensive heart disease complicating childbirth
• O10.13 Pre-existing hypertensive heart disease complicating the puerperium