O01
O01 — Hydatidiform mole
Non-billable headerICD-10-CM
O01 is a non-billable header ICD-10-CM code for hydatidiform mole. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Use additional code
Add a secondary code to capture the detail described below.
- code from category O08 to identify any associated complication.
Other codes that can never be billed with O01
These codes carry an Excludes1 note pointing at O01. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O01 alone.
Risk adjustment
O01 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead O01
3 child codes. Green means billable.
Questions about O01
- Is O01 a billable ICD-10-CM code?
- No. O01 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does O01 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Pregnancy with abortive outcome (O00-O08).
- What cannot be coded together with O01?
- O01 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.