O12.04 Gestational edema, complicating childbirth

Billable ICD-10-CM code, FY2026.

MS-DRG index

Defines the logic of DRG(s) 998 in MDC 14.

Approximate ICD-9-CM (GEMs)

• 646.11 Edema or excessive weight gain in pregnancy, without mention of hypertension, delivered, with or without mention of antepartum 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 O12.04

Back-references to O12.0

• Type 2 Excludes: O26.0 Excessive weight gain in pregnancy ("gestational edema (O12.0, O12.2)")
• Type 1 Excludes: R60 Edema, not elsewhere classified ("gestational edema (O12.0-)")

Back-references to O12

• Type 2 Excludes: O99.4 Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium ("hypertensive disorders (O10-O16)")

Diagnosis Index entries for O12.04

• Delivery (childbirth) (labor) › complicated › by › gestational › edema

Nearby codes

• O12.0 Gestational edema
• O12.00 Gestational edema, unspecified trimester
• O12.01 Gestational edema, first trimester
• O12.02 Gestational edema, second trimester
• O12.03 Gestational edema, third trimester
• O12.04 Gestational edema, complicating childbirth (this code)
• O12.05 Gestational edema, complicating the puerperium
• O12.1 Gestational proteinuria
• O12.10 Gestational proteinuria, unspecified trimester
• O12.11 Gestational proteinuria, first trimester
• O12.12 Gestational proteinuria, second trimester