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ICD-10-CM 2027 diagnosis code

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

✓ Billable / specificMaternity · age 9–64Female only

O26.86 is a valid, billable ICD-10-CM code for pruritic urticarial papules and plaques of pregnancy (puppp). It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

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 O26.86

O26.86 is the ICD-10-CM diagnosis code for pruritic urticarial papules and plaques of pregnancy (PUPPP). It belongs to category O26 (maternal care for other conditions predominantly related to pregnancy), block O20-O29 (other maternal disorders predominantly related to pregnancy) and chapter 15 (pregnancy, childbirth and the puerperium). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within O26.8 (other specified pregnancy related conditions), O26.86 is specifically for pruritic urticarial papules and plaques of pregnancy (PUPPP). Related codes cover pregnancy related exhaustion and fatigue (O26.81), pregnancy related peripheral neuritis (O26.82), pregnancy related renal disease (O26.83), uterine size-date discrepancy complicating pregnancy (O26.84), Spotting complicating pregnancy (O26.85), cervical shortening (O26.87) and other specified pregnancy related conditions (O26.89).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 817 (Other Antepartum Diagnoses with O.R. Procedures with MCC, relative weight 2.0534), DRG 818 (Other Antepartum Diagnoses with O.R. Procedures with CC, relative weight 1.2942), DRG 819 (Other Antepartum Diagnoses with O.R. Procedures without CC/MCC, relative weight 0.7739), DRG 831 (Other Antepartum Diagnoses without O.R. Procedures with MCC, relative weight 1.1558), DRG 832 (Other Antepartum Diagnoses without O.R. Procedures with CC, relative weight 0.7585) and DRG 833 (Other Antepartum Diagnoses without O.R. Procedures without CC/MCC, relative weight 0.5002), in MDC 14 (Pregnancy, Childbirth and the Puerperium), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

The Medicare Code Editor treats this as a maternity diagnosis, expected only for patients age 9 through 64.

It is on the CMS list of diagnoses consistent only with female patients (the sex-conflict edit itself was retired in FY2025).

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 646.81 (other specified complications of pregnancy, delivered, with or without mention of antepartum condition) and 646.83 (other specified complications of pregnancy, antepartum condition or complication).

Coding notes

Applicable toConditions and synonyms classified to this code
  • Polymorphic eruption of pregnancy

Notes that apply from higher levels

Instructions written at a parent level also apply to O26.86.

Broader instructions also apply from O20-O29 Other maternal disorders predominantly related to pregnancy and Chapter 15: Pregnancy, childbirth and the puerperium.

Alphabetic index entries

3 entries

Terms in the official ICD-10-CM index that lead to O26.86.

Codes whose notes reference O26.86

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 646.81Other specified complications of pregnancy, delivered, with or without mention of antepartum conditionapproximate
  • 646.83Other specified complications of pregnancy, antepartum condition or complicationapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about O26.86

Is O26.86 billable?

Yes. O26.86 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can O26.86 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict O26.86 as a principal diagnosis.

Is O26.86 a CC or MCC?

No. O26.86 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does O26.86 group to?

O26.86 is used in the MS-DRG v44.0 logic for MS-DRG 817 (Other Antepartum Diagnoses with O.R. Procedures with MCC), MS-DRG 818 (Other Antepartum Diagnoses with O.R. Procedures with CC), MS-DRG 819 (Other Antepartum Diagnoses with O.R. Procedures without CC/MCC), MS-DRG 831 (Other Antepartum Diagnoses without O.R. Procedures with MCC), MS-DRG 832 (Other Antepartum Diagnoses without O.R. Procedures with CC) and MS-DRG 833 (Other Antepartum Diagnoses without O.R. Procedures without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for O26.86?

The CMS General Equivalence Mappings map O26.86 to ICD-9-CM 646.81 and 646.83.