Is O48 a billable ICD-10-CM code?

No. O48 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does O48 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48).

O48

O48 — Late pregnancy

Non-billable headerICD-10-CM

O48 is a non-billable header ICD-10-CM code for late pregnancy. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

O48 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 O48

2 child codes. Green means billable.

O48.0Post-term pregnancy
O48.1Prolonged pregnancy

Questions about O48

Is O48 a billable ICD-10-CM code?: No. O48 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does O48 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48).