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ICD-10-CM 2027 diagnosis code

O30.293Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester

✓ Billable / specificCC — complication/comorbidityMaternity · age 9–64Female only

O30.293 is a valid, billable ICD-10-CM code for quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Quad preg, unable to dtrm num plcnta & amnio sacs, third tri

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 O30.293

O30.293 is the ICD-10-CM diagnosis code for Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester. It belongs to category O30 (multiple gestation), block O30-O48 (maternal care related to the fetus and amniotic cavity and possible delivery problems) 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 O30.29 (Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs), O30.293 is specifically for Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester. Related codes cover first trimester (O30.291), second trimester (O30.292) and unspecified trimester (O30.299).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

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 651.21 (Quadruplet pregnancy, delivered, with or without mention of antepartum condition), 651.23 (Quadruplet pregnancy, antepartum condition or complication) and V91.29 (Quadruplet gestation, unable to determine number of placenta and number of amniotic sacs).

Notes that apply from higher levels

Instructions written at a parent level also apply to O30.293.

› From O30 Multiple gestation
Code also
  • any complications specific to multiple gestation

Broader instructions also apply from Chapter 15: Pregnancy, childbirth and the puerperium.

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 →
  • 651.21Quadruplet pregnancy, delivered, with or without mention of antepartum conditionapproximate, combination
  • 651.23Quadruplet pregnancy, antepartum condition or complicationapproximate, combination
  • V91.29Quadruplet gestation, unable to determine number of placenta and number of amniotic sacsapproximate, combination

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 O30.293

Is O30.293 billable?

Yes. O30.293 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can O30.293 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict O30.293 as a principal diagnosis.

Is O30.293 a CC or MCC?

O30.293 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.

What DRG does O30.293 group to?

O30.293 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 O30.293?

The CMS General Equivalence Mappings map O30.293 to ICD-9-CM 651.21, 651.23 and V91.29.