InnovaRx Innova Health Strategies

O21.1

Hyperemesis gravidarum with metabolic disturbance

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 7 never code together
O20-O29block
Excludes2
  • maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)O30-O48
  • maternal diseases classifiable elsewhere but complicating pregnancy, labor and delivery, and the puerperium (O98-O99)O98-O99
O00-O9Achapter
Excludes1
  • supervision of normal pregnancy (Z34.-)Z34.-
Excludes2
  • mental and behavioral disorders associated with the puerperium (F53.-)F53.-
  • obstetrical tetanus (A34)A34
  • postpartum necrosis of pituitary gland (E23.0)E23.0
  • puerperal osteomalacia (M83.0)M83.0

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 10
O21.1code
Inclusion terms
  • Hyperemesis gravidarum, starting before the end of the 20th week of gestation, with metabolic disturbance such as carbohydrate depletion
  • Hyperemesis gravidarum, starting before the end of the 20th week of gestation, with metabolic disturbance such as dehydration
  • Hyperemesis gravidarum, starting before the end of the 20th week of gestation, with metabolic disturbance such as electrolyte imbalance
O00-O9Achapter
Notes
  • CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
  • Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
  • Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
  • 1st trimester- less than 14 weeks 0 days
  • 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
  • 3rd trimester- 28 weeks 0 days until delivery
Use additional code
  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.Z3A
Index entries leading here 2
  • Hyperemesis R11.10
    • gravidarum (mild) O21.0
      • with
        • carbohydrate depletion O21.1
        • dehydration O21.1
        • electrolyte imbalance O21.1
        • metabolic disturbance O21.1
      • severe (with metabolic disturbance) O21.1
  • Imbalance R26.89
    • electrolyte E87.8
      • due to hyperemesis gravidarum O21.1
Alongside this code 4 same parent — O21
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

Maps to no condition category in any loaded model.

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This code

Billable
yes
Code set
FY2026
Parent
O21
Block
O20-O29
Siblings
4

Present FY2024–FY2027.