O10.22 Pre-existing hypertensive chronic kidney disease complicating childbirth

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 O10.2 Pre-existing hypertensive chronic kidney disease complicating pregnancy, childbirth and the puerperium

Applicable to

• Any condition in I12 specified as a reason for obstetric care during pregnancy, childbirth or the puerperium

Use additional code

• code from I12 to identify the type of hypertensive chronic kidney disease

MS-DRG index

Defines the logic of DRG(s) 998 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)

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 O10.22

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)")

Diagnosis Index entries for O10.22

• Hypertension, hypertensive (accelerated) (benign) (essential) (idiopathic) (malignant) (systemic) › complicating › childbirth (labor) › pre-existing › with › renal disease

Nearby codes

• O10.21 Pre-existing hypertensive chronic kidney disease complicating pregnancy
• 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
• O10.219 Pre-existing hypertensive chronic kidney disease complicating pregnancy, unspecified trimester
• O10.22 Pre-existing hypertensive chronic kidney disease complicating childbirth (this code)
• O10.23 Pre-existing hypertensive chronic kidney disease complicating the puerperium
• O10.3 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, childbirth and the puerperium
• O10.31 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy
• O10.311 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, first trimester
• O10.312 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, second trimester