Is O12.1 a billable ICD-10 code?

No. O12.1 is a non-billable header code. Use a more specific subcategory for claims.

O12.1 ⚠ Non-billable

Gestational proteinuria

Q: What is ICD-10 code O12.1?

ICD-10-CM code O12.1 stands for "Gestational proteinuria". It is a non-billable header code in the Pregnancy, Childbirth and the Puerperium chapter, effective FY2026 (Oct 1, 2025 – Sep 30, 2026).

ICD-10-CM · FY2026 · Pregnancy, Childbirth and the Puerperium

Code

O12.1

System

ICD-10-CM

Billable

No — use specific code

Effective

FY2026

Chapter

Pregnancy, Childbirth and the Puerperium

Source

CMS / CDC NCHS

⚠ Verify before billing. Confirm against the current CMS/NCHS ICD-10-CM files and your payer's rules before claims submission.

Frequently asked questions

What is ICD-10 code O12.1?

ICD-10-CM code O12.1 represents Gestational proteinuria. It is a non-billable header code requiring a more specific subcategory in the Pregnancy, Childbirth and the Puerperium chapter, effective October 1, 2025 – September 30, 2026.

Is O12.1 billable?

No. O12.1 is a non-billable header. Select a more specific subcategory for claims submission.

What chapter is O12.1 in?

O12.1 belongs to the Pregnancy, Childbirth and the Puerperium chapter (O00–O9A) of ICD-10-CM.

Related codes in the O12 category

O12 Gestational [pregnancy-induced] edema and proteinuria without hypertension Non-billable O12.0 Gestational edema Non-billable O12.2 Gestational edema with proteinuria Non-billable O12.00 Gestational edema, unspecified trimester Billable O12.01 Gestational edema, first trimester Billable O12.02 Gestational edema, second trimester Billable O12.03 Gestational edema, third trimester Billable O12.04 Gestational edema, complicating childbirth Billable

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