O22.12 Genital varices in pregnancy, second trimester

Billable ICD-10-CM code, FY2026.

Applies from O22 Venous complications and hemorrhoids in pregnancy

Excludes1 (never code together)

• venous complications of:
• abortion NOS (O03.9)
• ectopic or molar pregnancy (O08.7)
• failed attempted abortion (O07.35)
• induced abortion (O04.85)
• spontaneous abortion (O03.89)

Excludes2 (not included here)

• obstetric pulmonary embolism (O88.-)
• venous complications and hemorrhoids of childbirth and the puerperium (O87.-)

Applies from O22.1 Genital varices in pregnancy

Applicable to

• Perineal varices in pregnancy
• Vaginal varices in pregnancy
• Vulval varices in pregnancy

MS-DRG index

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

Approximate ICD-9-CM (GEMs)

• 671.11 Varicose veins of vulva and perineum complicating pregnancy and the puerperium, delivered, with or without mention of antepartum condition (approximate)
• 671.12 Varicose veins of vulva and perineum complicating pregnancy and the puerperium, delivered, with mention of postpartum complication (approximate)
• 671.13 Varicose veins of vulva and perineum complicating pregnancy and the puerperium, antepartum condition or complication (approximate)
• 671.14 Varicose veins of vulva and perineum complicating pregnancy and the puerperium, postpartum 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 O22.12

Back-references to O22.1

• Type 1 Excludes: I86.3 Vulval varices ("vulval varices complicating pregnancy (O22.1-)")
• Type 2 Excludes: O34.6 Maternal care for abnormality of vagina ("maternal care for vaginal varices in pregnancy (O22.1-)")
• Type 2 Excludes: O34.7 Maternal care for abnormality of vulva and perineum ("maternal care for perineal and vulval varices in pregnancy (O22.1-)")

Back-references to O22

• Code First: I80 Phlebitis and thrombophlebitis ("phlebitis and thrombophlebitis complicating pregnancy, childbirth and the puerperium (O22.-, O87.-)")
• Code First: I82 Other venous embolism and thrombosis ("pregnancy, childbirth and the puerperium (O22.-, O87.-)")
• Type 2 Excludes: O87 Venous complications and hemorrhoids in the puerperium ("venous complications in pregnancy (O22.-)")
• Type 2 Excludes: O99.4 Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium ("venous complications and cerebrovenous sinus thrombosis in pregnancy (O22.-)")

Nearby codes

• O22.02 Varicose veins of lower extremity in pregnancy, second trimester
• O22.03 Varicose veins of lower extremity in pregnancy, third trimester
• O22.1 Genital varices in pregnancy
• O22.10 Genital varices in pregnancy, unspecified trimester
• O22.11 Genital varices in pregnancy, first trimester
• O22.12 Genital varices in pregnancy, second trimester (this code)
• O22.13 Genital varices in pregnancy, third trimester
• O22.2 Superficial thrombophlebitis in pregnancy
• O22.20 Superficial thrombophlebitis in pregnancy, unspecified trimester
• O22.21 Superficial thrombophlebitis in pregnancy, first trimester
• O22.22 Superficial thrombophlebitis in pregnancy, second trimester