O09.4

Non-billable

Supervision of pregnancy with grand multiparity

Supervision of pregnancy with grand multiparity

This is a header/category code. For billing purposes, use a more specific child code from the list below.

Status

Non-billable / Header

Block

O09-O09

Parent Code

O09

Child Codes

4

Coding Notes

Excludes 1

Codes that cannot be used together with this code (mutual exclusion)

  • supervision of normal pregnancy (Z34.-)

Excludes 2

Conditions not included here, but the patient may have both

  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)

Use Additional Code

Additional codes that should follow this code

  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Child Codes (4)

Also Known As / Clinical Terms

Frequently Asked Questions

What is ICD-10 code O09.4?

ICD-10-CM code O09.4 represents "Supervision of pregnancy with grand multiparity". It is a non-billable header code — use a more specific child code for billing purposes.

Is O09.4 a billable code?

No, O09.4 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 4 child codes under O09.4.

What chapter is O09.4 in?

O09.4 is in Chapter 15: Pregnancy, Childbirth and the Puerperium (codes O00-O9A).

What codes cannot be used with O09.4?

O09.4 has Excludes1 notes indicating codes that cannot be used together with it, including: supervision of normal pregnancy (Z34.-).

What are the subcategories under O09.4?

O09.4 has 4 child codes, including: O09.40 (Supervision of pregnancy w grand multiparity, unsp trimester), O09.41 (Suprvsn of pregnancy w grand multiparity, first trimester), O09.42 (Suprvsn of pregnancy w grand multiparity, second trimester), O09.43 (Suprvsn of pregnancy w grand multiparity, third trimester).

Are additional codes required with O09.4?

Yes, when using O09.4 you should also code: code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known..

What are the UMLS CUIs for O09.4?

O09.4 is linked to 1 UMLS Concept Unique Identifier: C2919003. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.

Automate ICD-10 Coding With AI

Send clinical text to the AutoICD API and get back structured ICD-10 codes with confidence scores. Integrates into any EHR or billing system in minutes.

Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.