O99.011 Anemia complicating pregnancy, first trimester

Billable ICD-10-CM code, FY2026.

Applies from O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

Includes

• conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care

Excludes2 (not included here)

• when the reason for maternal care is that the condition is known or suspected to have affected the fetus (O35-O36)

Use additional code

• code to identify specific condition

Applies from O99.0 Anemia complicating pregnancy, childbirth and the puerperium

Applicable to

• Conditions in D50-D64

Excludes1 (never code together)

• anemia arising in the puerperium (O90.81)
• postpartum anemia NOS (O90.81)

MS-DRG index

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

Approximate ICD-9-CM (GEMs)

• 648.21 Anemia of mother, delivered, with or without mention of antepartum condition (approximate)
• 648.23 Anemia of mother, 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.

Nearby codes

• O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
• O99.0 Anemia complicating pregnancy, childbirth and the puerperium
• O99.01 Anemia complicating pregnancy
• O99.011 Anemia complicating pregnancy, first trimester (this code)
• O99.012 Anemia complicating pregnancy, second trimester
• O99.013 Anemia complicating pregnancy, third trimester
• O99.019 Anemia complicating pregnancy, unspecified trimester
• O99.02 Anemia complicating childbirth
• O99.03 Anemia complicating the puerperium