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Pregnancy-Related Anemia ICD-10 Codes (O99.00–O99.03) Pregnancy anemia needs three codes in every clean claim: The pregnancy-related anemia code The underlying anemia code The gestational age (Z3A.xx) For example, A woman at 18 weeks of gestation with iron deficiency anemia: O99.012 — Anemia in pregnancy, second trimester D50.9 — Iron deficiency anemia, unspecified Z3A.18 — 18 weeks of gestation Missing the Z3A code is the #1 reason OB anemia claims get denied