O26.86 Pruritic urticarial papules and plaques of pregnancy (PUPPP)

Billable ICD-10-CM code, FY2026.

Applicable to

• Polymorphic eruption of pregnancy

MS-DRG index

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

Approximate ICD-9-CM (GEMs)

• 646.81 Other specified complications of pregnancy, delivered, with or without mention of antepartum condition (approximate)
• 646.83 Other specified complications of pregnancy, 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 O26.86

Back-references to O26.86

• Type 2 Excludes: O99.7 Diseases of the skin and subcutaneous tissue complicating pregnancy, childbirth and the puerperium ("pruritic urticarial papules and plaques of pregnancy (PUPPP) (O26.86)")

Back-references to O26.8

• Type 2 Excludes: O99.35 Diseases of the nervous system complicating pregnancy, childbirth, and the puerperium ("pregnancy related peripheral neuritis (O26.8-)")
• Type 1 Excludes: R53.8 Other malaise and fatigue ("exhaustion and fatigue due to pregnancy (O26.8-)")

Back-references to O26

• Type 1 Excludes: Z03.7 Encounter for suspected maternal and fetal conditions ruled out ("known or suspected fetal anomalies affecting management of mother, not ruled out (O26.-, O35.-, O36.-, O40.-, O41.-)")

Diagnosis Index entries for O26.86

• Pregnancy (single) (uterine) › complicated by (care of) (management affected by) › polymorphic eruption of pregnancy
• Pregnancy (single) (uterine) › complicated by (care of) (management affected by) › pruritic urticarial papules and plaques of pregnancy (PUPPP)
• Pregnancy (single) (uterine) › complicated by (care of) (management affected by) › PUPPP (pruritic urticarial papules and plaques of pregnancy)

Nearby codes

• O26.85 Spotting complicating pregnancy
• O26.851 Spotting complicating pregnancy, first trimester
• O26.852 Spotting complicating pregnancy, second trimester
• O26.853 Spotting complicating pregnancy, third trimester
• O26.859 Spotting complicating pregnancy, unspecified trimester
• O26.86 Pruritic urticarial papules and plaques of pregnancy (PUPPP) (this code)
• O26.87 Cervical shortening
• O26.872 Cervical shortening, second trimester
• O26.873 Cervical shortening, third trimester
• O26.879 Cervical shortening, unspecified trimester
• O26.89 Other specified pregnancy related conditions