InnovaRx Innova Health Strategies

O99.331

Smoking (tobacco) complicating pregnancy, first trimester

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 6 never code together
O99code
Excludes2
  • when the reason for maternal care is that the condition is known or suspected to have affected the fetus (O35-O36)O35-O36
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 9
O99code
Includes
  • conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care
Use additional code
  • code to identify specific condition
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
  • Pregnancy (single) (uterine) Z33.1
    • complicated by (care of) (management affected by)
      • mental disorders (conditions in F01-F09, F20-F52 and F54-F99) O99.34
      • smoking (tobacco) O99.33
      • tobacco use disorder (smoking) O99.33
  • Tobacco (nicotine)
Alongside this code 5 same parent — O99.33
Medications 3

MED-RT files conditions by MeSH, which carves the world differently from ICD-10. These are name matches on this code's description, offered as candidates — not as an assertion that they are this code.

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.

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
O99.33
Block
O94-O9A
Siblings
5

Present FY2024–FY2027.