ICD-10-CM 2027 diagnosis code
O10.3Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, childbirth and the puerperium
O10.3 is a header code, so it can't be reported by itself. Choose one of the 3 more specific codes beneath it.Short description: Pre-exist hyp heart and chr kidney dis compl preg/chldbrth
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About O10.3
O10.3 is the ICD-10-CM diagnosis code for pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, childbirth and the puerperium. It belongs to category O10 (pre-existing hypertension complicating pregnancy, childbirth and the puerperium), block O10-O16 (edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium) and chapter 15 (pregnancy, childbirth and the puerperium). It is a header code, so it can't be reported by itself; one of its 3 subcodes must be used instead.
Within O10 (pre-existing hypertension complicating pregnancy, childbirth and the puerperium), O10.3 is specifically for pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, childbirth and the puerperium. Related codes cover pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium (O10.0), pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium (O10.1), pre-existing hypertensive chronic kidney disease complicating pregnancy, childbirth and the puerperium (O10.2), pre-existing secondary hypertension complicating pregnancy, childbirth and the puerperium (O10.4) and unspecified pre-existing hypertension complicating pregnancy, childbirth and the puerperium (O10.9).
To report this condition, pick the subcode that matches the documentation: O10.31 (pregnancy), O10.32 (childbirth) and O10.33 (puerperium).
Use an additional code from I13 to identify the type of hypertensive heart and chronic kidney disease.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Specific codes under O10.3
- O10.31Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy
- O10.311Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, first trimesterBillable
- O10.312Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, second trimesterBillable
- O10.313Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, third trimesterBillable
- O10.319Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, unspecified trimesterBillable
- O10.32Pre-existing hypertensive heart and chronic kidney disease complicating childbirthBillable
- O10.33Pre-existing hypertensive heart and chronic kidney disease complicating the puerperiumBillable
Coding notes
- Any condition in I13 specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
- code from I13 to identify the type of hypertensive heart and chronic kidney disease
Notes that apply from higher levels
Instructions written at a parent level also apply to O10.3.
› From O10 Pre-existing hypertension complicating pregnancy, childbirth and the puerperium
- pre-existing hypertension with pre-existing proteinuria complicating pregnancy, childbirth and the puerperium
- pre-existing hypertension with superimposed pre-eclampsia complicating pregnancy, childbirth and the puerperium (O11.-)
Broader instructions also apply from Chapter 15: Pregnancy, childbirth and the puerperium.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about O10.3
Is O10.3 billable?
- No. O10.3 is a header code. Report one of its more specific subcodes instead.