ICD-10-CM (2010)/CHAPTER 15

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617655ICD-10-CM TABULAR LIST of DISEASES and INJURIES — CHAPTER 15 - Pregnancy, childbirth and the puerperium (O00-O99)2010


Pregnancy, childbirth and the puerperium (O00-O99)[edit]

Note: 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 aggrevated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
Note: 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
Excludes1: supervision of normal pregnancy (Z34.-)
Excludes2: mental and behavioral disorders associated with the puerperium (F53)
obstetrical tetanus (A34)
postpartum necrosis of pituitary gland (E23.0)
puerperal osteomalacia (M83.0)
This chapter contains the following blocks:
O00-O08 Pregnancy with abortive outcome
O09 Supervision of high risk pregnancy
O10-O16 Edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium
O20-O29 Other maternal disorders predominantly related to pregnancy
O30-O48 Maternal care related to the fetus and amniotic cavity and possible delivery problems
O60-O77 Complications of labor and delivery
O80, O82 Encounter for delivery
O85-O92 Complications predominantly related to the puerperium
O94-O9A Other obstetric conditions, not elsewhere classified

Pregnancy with abortive outcome (O00-O08)[edit]

Excludes1: continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1-, O31.3-)

O00 Ectopic pregnancy[edit]

Includes: ruptured ectopic pregnancy
Use additional code from category O08 to identify any associated complication

O00.0 Abdominal pregnancy
Excludes1: maternal care for viable fetus in abdominal pregnancy (O36.7-)
O00.1 Tubal pregnancy
Fallopian pregnancy
Rupture of (fallopian) tube due to pregnancy
Tubal abortion
O00.2 Ovarian pregnancy
O00.8 Other ectopic pregnancy
Cervical pregnancy
Cornual pregnancy
Intraligamentous pregnancy
Mural pregnancy
O00.9 Ectopic pregnancy, unspecified

O01 Hydatidiform mole[edit]

Use additional code from category O08 to identify any associated complication.
Excludes1: chorioadenoma (destruens) (D39.2)
malignant hydatidiform mole (D39.2)
O01.0 Classical hydatidiform mole
Complete hydatidiform mole
O01.1 Incomplete and partial hydatidiform mole
O01.9 Hydatidiform mole, unspecified
Trophoblastic disease NOS
Vesicular mole NOS

O02 Other abnormal products of conception[edit]

Use additional code from category O08 to identify any associated complication.
Excludes1: papyraceous fetus (O31.0-)
O02.0 Blighted ovum and nonhydatidiform mole
Carneous mole
Fleshy mole
Intrauterine mole NOS
Molar pregnancy NEC
Pathological ovum
O02.1 Missed abortion
Early fetal death, before completion of 20 weeks of gestation, with retention of dead fetus
Excludes1: failed induced abortion (O07.-)
fetal death (intrauterine) (late) (O36.4)
missed abortion with blighted ovum (O02.0)
missed abortion with hydatidiform mole (O01.-)
missed abortion with nonhydatidiform (O02.0)
missed delivery (O36.4)
stillbirth (P95)
O02.8 Other specified abnormal products of conception
Excludes1: abnormal products of conception with blighted ovum (O02.0)
abnormal products of conception with hydatidiform mole (O01.-)
abnormal products of conception with nonhydatidiform mole (O02.0)
O02.9 Abnormal product of conception, unspecified

O03 Spontaneous abortion[edit]

Note: Incomplete abortion includes retained products of conception following spontaneous abortion
Includes: miscarriage
O03.0 Genital tract and pelvic infection following incomplete spontaneous abortion
Endometritis following incomplete spontaneous abortion
Oophoritis following incomplete spontaneous abortion
Parametritis following incomplete spontaneous abortion
Pelvic peritonitis following incomplete spontaneous abortion
Salpingitis following incomplete spontaneous abortion
Salpingo-oophoritis following incomplete spontaneous abortion
Excludes1: sepsis following incomplete spontaneous abortion (O03.37)
urinary tract infection following incomplete spontaneous abortion (O03.38)
O03.1 Delayed or excessive hemorrhage following incomplete spontaneous abortion
Afibrinogenemia following incomplete spontaneous abortion
Defibrination syndrome following incomplete spontaneous abortion
Hemolysis following incomplete spontaneous abortion
Intravascular coagulation following incomplete spontaneous abortion
O03.2 Embolism following incomplete spontaneous abortion
Air embolism following incomplete spontaneous abortion
Amniotic fluid embolism following incomplete spontaneous abortion
Blood-clot embolism following incomplete spontaneous abortion
Embolism NOS following incomplete spontaneous abortion
Fat embolism following incomplete spontaneous abortion
Pulmonary embolism following incomplete spontaneous abortion
Pyemic embolism following incomplete spontaneous abortion
Septic or septicopyemic embolism following incomplete spontaneous abortion
Soap embolism following incomplete spontaneous abortion
O03.3 Other and unspecified complications following incomplete spontaneous abortion
O03.30 Unspecified complication following incomplete spontaneous abortion
O03.31 Shock following incomplete spontaneous abortion
Circulatory collapse following incomplete spontaneous abortion
Shock (postprocedural) following incomplete spontaneous abortion
Excludes1: shock due to infection following incomplete spontaneous abortion (O03.37)
O03.32 Renal failure following incomplete spontaneous abortion
Kidney failure (acute) following incomplete spontaneous abortion
Oliguria following incomplete spontaneous abortion
Renal shutdown following incomplete spontaneous abortion
Renal tubular necrosis following incomplete spontaneous abortion
Uremia following incomplete spontaneous abortion
O03.33 Metabolic disorder following incomplete spontaneous abortion
O03.34 Damage to pelvic organs following incomplete spontaneous abortion
Laceration, perforation, tear or chemical damage of bladder following incomplete spontaneous abortion
Laceration, perforation, tear or chemical damage of bowel following incomplete spontaneous abortion
Laceration, perforation, tear or chemical damage of broad ligament following incomplete spontaneous abortion
Laceration, perforation, tear or chemical damage of cervix following incomplete spontaneous abortion
Laceration, perforation, tear or chemical damage of periurethral tissue following incomplete spontaneous abortion
Laceration, perforation, tear or chemical damage of uterus following incomplete spontaneous abortion
Laceration, perforation, tear or chemical damage of vagina following incomplete spontaneous abortion
O03.35 Other venous complications following incomplete spontaneous abortion
O03.36 Cardiac arrest following incomplete spontaneous abortion
O03.37 Sepsis following incomplete spontaneous abortion
Use additional code (B95-B97), to identify infectious agent
Use additional code (R65.2-) to identify severe sepsis, if applicable
Excludes1: septic or septicopyemic embolism following incomplete spontaneous abortion (O03.2)
O03.38 Urinary tract infection following incomplete spontaneous abortion
Cystitis following incomplete spontaneous abortion
O03. 39 Incomplete spontaneous abortion with other complications
O03.4 Incomplete spontaneous abortion without complication
O03.5 Genital tract and pelvic infection following complete or unspecified spontaneous abortion
Endometritis following complete or unspecified spontaneous abortion
Oophoritis following complete or unspecified spontaneous abortion
Parametritis following complete or unspecified spontaneous abortion
Pelvic peritonitis following complete or unspecified spontaneous abortion
Salpingitis following complete or unspecified spontaneous abortion
Salpingo-oophoritis following complete or unspecified spontaneous abortion
Excludes1: sepsis following complete or unspecified spontaneous abortion (O03.87)
urinary tract infection following complete or unspecified spontaneous abortion (O03.88)
O03.6 Delayed or excessive hemorrhage following complete or unspecified spontaneous abortion
Afibrinogenemia following complete or unspecified spontaneous abortion
Defibrination syndrome following complete or unspecified spontaneous abortion
Hemolysis following complete or unspecified spontaneous abortion
Intravascular coagulation following complete or unspecified spontaneous abortion
O03.7 Embolism following complete or unspecified spontaneous abortion
Air embolism following complete or unspecified spontaneous abortion
Amniotic fluid embolism following complete or unspecified spontaneous abortion
Blood-clot embolism following complete or unspecified spontaneous abortion
Embolism NOS following complete or unspecified spontaneous abortion
Fat embolism following complete or unspecified spontaneous abortion
Pulmonary embolism following complete or unspecified spontaneous abortion
Pyemic embolism following complete or unspecified spontaneous abortion
Septic or septicopyemic embolism following complete or unspecified spontaneous abortion
Soap embolism following complete or unspecified spontaneous abortion
O03.8 Other and unspecified complications following complete or unspecified spontaneous abortion
O03.80 Unspecified complication following complete or unspecified spontaneous abortion
O03.81 Shock following complete or unspecified spontaneous abortion
Circulatory collapse following complete or unspecified spontaneous abortion
Shock (postprocedural) following complete or unspecified spontaneous abortion
Excludes1: shock due to infection following complete or unspecified spontaneous abortion (O03.87)
O03.82 Renal failure following complete or unspecified spontaneous abortion
Kidney failure (acute) following complete or unspecified spontaneous abortion
Oliguria following complete or unspecified spontaneous abortion
Renal shutdown following complete or unspecified spontaneous abortion
Renal tubular necrosis following complete or unspecified spontaneous abortion
Uremia following complete or unspecified spontaneous abortion
O03.83 Metabolic disorder following complete or unspecified spontaneous abortion
O03.84 Damage to pelvic organs following complete or unspecified spontaneous abortion
Laceration, perforation, tear or chemical damage of bladder following complete or unspecified spontaneous abortion
Laceration, perforation, tear or chemical damage of bowel following complete or unspecified spontaneous abortion
Laceration, perforation, tear or chemical damage of broad ligament following complete or unspecified spontaneous abortion
Laceration, perforation, tear or chemical damage of cervix following complete or unspecified spontaneous abortion
Laceration, perforation, tear or chemical damage of periurethral tissue following complete or unspecified spontaneous abortion
Laceration, perforation, tear or chemical damage of uterus following complete or unspecified spontaneous abortion
Laceration, perforation, tear or chemical damage of vagina following complete or unspecified spontaneous abortion
O03.85 Other venous complications following complete or unspecified spontaneous abortion
O03. 86 Cardiac arrest following complete or unspecified spontaneous abortion
O03.87 Sepsis following complete or unspecified spontaneous abortion
Use additional code (B95-B97), to identify infectious agent
Use additional code (R65.2-) to identify severe sepsis, if applicable
Excludes1: septic or septicopyemic embolism following complete or unspecified spontaneous abortion (O03.7)
O03.88 Urinary tract infection following complete or unspecified spontaneous abortion
Cystitis following complete or unspecified spontaneous abortion
O03.89 Complete or unspecified spontaneous abortion with other complications
O03.9 Complete or unspecified spontaneous abortion without complication
Miscarriage NOS
Spontaneous abortion NOS

O04 Complications following (induced) termination of pregnancy[edit]

Includes: complications following (induced) termination of pregnancy
Excludes1: encounter for elective termination of pregnancy, uncomplicated (Z33.2)
failed attempted termination of pregnancy (O07.-)
O04.5 Genital tract and pelvic infection following (induced) termination of pregnancy
Endometritis following (induced) termination of pregnancy
Oophoritis following (induced) termination of pregnancy
Parametritis following (induced) termination of pregnancy
Pelvic peritonitis following (induced) termination of pregnancy
Salpingitis following (induced) termination of pregnancy
Salpingo-oophoritis following (induced) termination of pregnancy
Excludes1: sepsis following (induced) termination of pregnancy (O04.87)
urinary tract infection following (induced) termination of pregnancy (O04.88)
O04.6 Delayed or excessive hemorrhage following (induced) termination of pregnancy
Afibrinogenemia following (induced) termination of pregnancy
Defibrination syndrome following (induced) termination of pregnancy
Hemolysis following (induced) termination of pregnancy
Intravascular coagulation following (induced) termination of pregnancy
O04.7 Embolism following (induced) termination of pregnancy
Air embolism following (induced) termination of pregnancy
Amniotic fluid embolism following (induced) termination of pregnancy
Blood-clot embolism following (induced) termination of pregnancy
Embolism NOS following (induced) termination of pregnancy
Fat embolism following (induced) termination of pregnancy
Pulmonary embolism following (induced) termination of pregnancy
Pyemic embolism following (induced) termination of pregnancy
Septic or septicopyemic embolism following (induced) termination of pregnancy
Soap embolism following (induced) termination of pregnancy
O04.8 (Induced) termination of pregnancy with other and unspecified complications
O04.80 (Induced) termination of pregnancy with unspecified complications
O04.81 Shock following (induced) termination of pregnancy
Circulatory collapse following (induced) termination of pregnancy
Shock (postprocedural) following (induced) termination of pregnancy
Excludes1: shock due to infection following (induced) termination of pregnancy (O04.87)
O04.82 Renal failure following (induced) termination of pregnancy
Kidney failure (acute) following (induced) termination of pregnancy
Oliguria following (induced) termination of pregnancy
Renal shutdown following (induced) termination of pregnancy
Renal tubular necrosis following (induced) termination of pregnancy
Uremia following (induced) termination of pregnancy
O04.83 Metabolic disorder following (induced) termination of pregnancy
O04.84 Damage to pelvic organs following (induced) termination of pregnancy
Laceration, perforation, tear or chemical damage of bladder following (induced) termination of pregnancy
Laceration, perforation, tear or chemical damage of bowel following (induced) termination of pregnancy
Laceration, perforation, tear or chemical damage of broad ligament following (induced) termination of pregnancy
Laceration, perforation, tear or chemical damage of cervix following (induced) termination of pregnancy
Laceration, perforation, tear or chemical damage of periurethral tissue following (induced) termination of pregnancy
Laceration, perforation, tear or chemical damage of uterus following (induced) termination of pregnancy
Laceration, perforation, tear or chemical damage of vagina following (induced) termination of pregnancy
O04.85 Other venous complications following (induced) termination of pregnancy
O04.86 Cardiac arrest following (induced) termination of pregnancy
O04.87 Sepsis following (induced) termination of pregnancy
Use additional code (B95-B97), to identify infectious agent
Use additional code (R65.2-) to identify severe sepsis, if applicable
Excludes1: septic or septicopyemic embolism following (induced) termination of pregnancy (O04.2)
O04.88 Urinary tract infection following (induced) termination of pregnancy
Cystitis following (induced) termination of pregnancy
O04.89 (Induced) termination of pregnancy with other complications

O07 Failed attempted termination of pregnancy[edit]

Includes: failure of attempted induction of termination of pregnancy
incomplete elective abortion
Excludes1: incomplete spontaneous abortion (O03.0-)
O07.0 Genital tract and pelvic infection following failed attempted termination of pregnancy
Endometritis following failed attempted termination of pregnancy
Oophoritis following failed attempted termination of pregnancy
Parametritis following failed attempted termination of pregnancy
Pelvic peritonitis following failed attempted termination of pregnancy
Salpingitis following failed attempted termination of pregnancy
Salpingo-oophoritis following failed attempted termination of pregnancy
Excludes1: sepsis following failed attempted termination of pregnancy (O07.37)
urinary tract infection following failed attempted termination of pregnancy (O07.38)
O07.1 Delayed or excessive hemorrhage following failed attempted termination of pregnancy
Afibrinogenemia following failed attempted termination of pregnancy
Defibrination syndrome following failed attempted termination of pregnancy
Hemolysis following failed attempted termination of pregnancy
Intravascular coagulation following failed attempted termination of pregnancy
O07.2 Embolism following failed attempted termination of pregnancy
Air embolism following failed attempted termination of pregnancy
Amniotic fluid embolism following failed attempted termination of pregnancy
Blood-clot embolism following failed attempted termination of pregnancy
Embolism NOS following failed attempted termination of pregnancy
Fat embolism following failed attempted termination of pregnancy
Pulmonary embolism following failed attempted termination of pregnancy
Pyemic embolism following failed attempted termination of pregnancy
Septic or septicopyemic embolism following failed attempted termination of pregnancy
Soap embolism following failed attempted termination of pregnancy
O07.3 Failed attempted termination of pregnancy with other and unspecified complications
O07.30 Failed attempted termination of pregnancy with unspecified complications
O07.31 Shock following failed attempted termination of pregnancy
Circulatory collapse following failed attempted termination of pregnancy
Shock (postprocedural) following failed attempted termination of pregnancy
Excludes1: shock due to infection following failed attempted termination of pregnancy (O07.37)
O07.32 Renal failure following failed attempted termination of pregnancy
Kidney failure (acute) following failed attempted termination of pregnancy
Oliguria following failed attempted termination of pregnancy
Renal shutdown following failed attempted termination of pregnancy
Renal tubular necrosis following failed attempted termination of pregnancy
Uremia following failed attempted termination of pregnancy
O07.33 Metabolic disorder following failed attempted termination of pregnancy
O07.34 Damage to pelvic organs following failed attempted termination of pregnancy
Laceration, perforation, tear or chemical damage of bladder following failed attempted termination of pregnancy
Laceration, perforation, tear or chemical damage of bowel following failed attempted termination of pregnancy
Laceration, perforation, tear or chemical damage of broad ligament following failed attempted termination of pregnancy
Laceration, perforation, tear or chemical damage of cervix following failed attempted termination of pregnancy
Laceration, perforation, tear or chemical damage of periurethral tissue following failed attempted termination of pregnancy
Laceration, perforation, tear or chemical damage of uterus following failed attempted termination of pregnancy
Laceration, perforation, tear or chemical damage of vagina following failed attempted termination of pregnancy
O07.35 Other venous complications following failed attempted termination of pregnancy
O07.36 Cardiac arrest following failed attempted termination of pregnancy
O07.37 Sepsis following failed attempted termination of pregnancy
Use additional code (B95-B97), to identify infectious agent
Use additional code (R65.2-) to identify severe sepsis, if applicable
Excludes1: septic or septicopyemic embolism following failed attempted termination of pregnancy (O07.2)
O07.38 Urinary tract infection following failed attempted termination of pregnancy
Cystitis following failed attempted termination of pregnancy
O07.39 Failed attempted termination of pregnancy with other complications
O07.4 Failed attempted termination of pregnancy without complication

O08 Complications following ectopic and molar pregnancy[edit]

This category is for use with categories O00-O02 to identify any associated complications
O08.0 Genital tract and pelvic infection following ectopic and molar pregnancy
Endometritis following ectopic and molar pregnancy
Oophoritis following ectopic and molar pregnancy
Parametritis following ectopic and molar pregnancy
Pelvic peritonitis following ectopic and molar pregnancy
Salpingitis following ectopic and molar pregnancy
Salpingo-oophoritis following ectopic and molar pregnancy
Excludes1: sepsis following ectopic and molar pregnancy (O08.82)
urinary tract infection (O08.83)
O08.1 Delayed or excessive hemorrhage following ectopic and molar pregnancy
Afibrinogenemia following ectopic and molar pregnancy
Defibrination syndrome following ectopic and molar pregnancy
Hemolysis following ectopic and molar pregnancy
Intravascular coagulation following ectopic and molar pregnancy
Excludes1: delayed or excessive hemorrhage due to incomplete abortion (O03.1)
O08.2 Embolism following ectopic and molar pregnancy
Air embolism following ectopic and molar pregnancy
Amniotic fluid embolism following ectopic and molar pregnancy
Blood-clot embolism following ectopic and molar pregnancy
Embolism NOS following ectopic and molar pregnancy
Fat embolism following ectopic and molar pregnancy
Pulmonary embolism following ectopic and molar pregnancy
Pyemic embolism following ectopic and molar pregnancy
Septic or septicopyemic embolism following ectopic and molar pregnancy
Soap embolism following ectopic and molar pregnancy
O08.3 Shock following ectopic and molar pregnancy
Circulatory collapse following ectopic and molar pregnancy
Shock (postprocedural) following ectopic and molar pregnancy
Excludes1: shock due to infection following ectopic and molar pregnancy (O08.82)
O08.4 Renal failure following ectopic and molar pregnancy
Kidney failure (acute) following ectopic and molar pregnancy
Oliguria following ectopic and molar pregnancy
Renal shutdown following ectopic and molar pregnancy
Renal tubular necrosis following ectopic and molar pregnancy
Uremia following ectopic and molar pregnancy
O08.5 Metabolic disorders following an ectopic and molar pregnancy
O08.6 Damage to pelvic organs and tissues following an ectopic and molar pregnancy
Laceration, perforation, tear or chemical damage of bladder following an ectopic and molar pregnancy
Laceration, perforation, tear or chemical damage of bowel following an ectopic and molar pregnancy
Laceration, perforation, tear or chemical damage of broad ligament following an ectopic and molar pregnancy
Laceration, perforation, tear or chemical damage of cervix following an ectopic and molar pregnancy
Laceration, perforation, tear or chemical damage of periurethral tissue following an ectopic and molar pregnancy
Laceration, perforation, tear or chemical damage of uterus following an ectopic and molar pregnancy
Laceration, perforation, tear or chemical damage of vagina following an ectopic and molar pregnancy
O08.7 Other venous complications following an ectopic and molar pregnancy
O08. 8 Other complications following an ectopic and molar pregnancy
O08.81 Cardiac arrest following an ectopic and molar pregnancy
O08.82 Sepsis following ectopic and molar pregnancy
Use additional code (B95-B97), to identify infectious agent
Use additional code (R65.2-) to identify severe sepsis, if applicable
Excludes1: septic or septicopyemic embolism following ectopic and molar pregnancy (O08.2)
O08.83 Urinary tract infection following an ectopic and molar pregnancy
Cystitis following an ectopic and molar pregnancy
O08.89 Other complications following an ectopic and molar pregnancy
O08.9 Unspecified complication following an ectopic and molar pregnancy

O09 Supervision of high risk pregnancy[edit]

O09.0 Supervision of pregnancy with history of infertility
O09.00 Supervision of pregnancy with history of infertility, unspecified trimester
O09.01 Supervision of pregnancy with history of infertility, first trimester
O09.02 Supervision of pregnancy with history of infertility, second trimester
O09.03 Supervision of pregnancy with history of infertility, third trimester
O09.1 Supervision of pregnancy with history of ectopic or molar pregnancy
O09.10 Supervision of pregnancy with history of ectopic or molar pregnancy, unspecified trimester
O09.11 Supervision of pregnancy with history of ectopic or molar pregnancy, first trimester
O09.12 Supervision of pregnancy with history of ectopic or molar pregnancy, second trimester
O09.13 Supervision of pregnancy with history of ectopic or molar pregnancy, third trimester
O09.2 Supervision of pregnancy with other poor reproductive or obstetric history
Excludes2: pregnancy care of habitual aborter (O26.2-)
O09.21 Supervision of pregnancy with history of pre-term labor
O09.211 Supervision of pregnancy with history of pre-term labor, first trimester
O09.212 Supervision of pregnancy with history of pre-term labor, second trimester
O09. 213 Supervision of pregnancy with history of pre-term labor, third trimester
O09.219 Supervision of pregnancy with history of pre-term labor, unspecified trimester
O09.29 Supervision of pregnancy with other poor reproductive or obstetric history
Supervision of pregnancy with history of neonatal death
Supervision of pregnancy with history of stillbirth
O09.291 Supervision of pregnancy with other poor reproductive or obstetric history, first trimester
O09.292 Supervision of pregnancy with other poor reproductive or obstetric history, second trimester
O09.293 Supervision of pregnancy with other poor reproductive or obstetric history, third trimester
O09.299 Supervision of pregnancy with other poor reproductive or obstetric history, unspecified trimester
O09.3 Supervision of pregnancy with insufficient antenatal care
Supervision of concealed pregnancy
Supervision of hidden pregnancy
O09.30 Supervision of pregnancy with insufficient antenatal care, unspecified trimester
O09.31 Supervision of pregnancy with insufficient antenatal care, first trimester
O09.32 Supervision of pregnancy with insufficient antenatal care, second trimester
O09.33 Supervision of pregnancy with insufficient antenatal care, third trimester
O09.4 Supervision of pregnancy with grand multiparity
O09.40 Supervision of pregnancy with grand multiparity, unspecified trimester
O09.41 Supervision of pregnancy with grand multiparity, first trimester
O09.42 Supervision of pregnancy with grand multiparity, second trimester
O09.43 Supervision of pregnancy with grand multiparity, third trimester
O09.5 Supervision of elderly primigravida and multigravida
Pregnancy for a female 35 years and older at expected date of delivery
O09.51 Supervision of elderly primigravida
O09.511 Supervision of elderly primigravida, first trimester
O09. 512 Supervision of elderly primigravida, second trimester
O09.513 Supervision of elderly primigravida, third trimester
O09.519 Supervision of elderly primigravida, unspecified trimester
O09.52 Supervision of elderly multigravida
O09.521 Supervision of elderly multigravida, first trimester
O09.522 Supervision of elderly multigravida, second trimester
O09.523 Supervision of elderly multigravida, third trimester
O09.529 Supervision of elderly multigravida, unspecified trimester
O09.6 Supervision of young primigravida and multigravida
Supervision of pregnancy for a female less than 16 years old at expected date of delivery
O09.61 Supervision of young primigravida
O09.611 Supervision of young primigravida, first trimester
O09.612 Supervision of young primigravida, second trimester
O09.613 Supervision of young primigravida, third trimester
O09.619 Supervision of young primigravida, unspecified trimester
O09.62 Supervision of young multigravida
O09.621 Supervision of young multigravida, first trimester
O09.622 Supervision of young multigravida, second trimester
O09.623 Supervision of young multigravida, third trimester
O09.629 Supervision of young multigravida, unspecified trimester
O09.7 Supervision of high risk pregnancy due to social problems
O09.70 Supervision of high risk pregnancy due to social problems, unspecified trimester
O09.71 Supervision of high risk pregnancy due to social problems, first trimester
O09.72 Supervision of high risk pregnancy due to social problems, second trimester
O09.73 Supervision of high risk pregnancy due to social problems, third trimester
O09.8 Supervision of other high risk pregnancies
O09. 81 Supervision of pregnancy resulting from assisted reproductive technology
Supervision of pregnancy resulting from in-vitro fertilization
O09.811 Supervision of pregnancy resulting from assisted reproductive technology, first trimester
O09.812 Supervision of pregnancy resulting from assisted reproductive technology, second trimester
O09.813 Supervision of pregnancy resulting from assisted reproductive technology, third trimester
O09.819 Supervision of pregnancy resulting from assisted reproductive technology, unspecified trimester
O09.82 Supervision of pregnancy with history of in utero procedure during previous pregnancy
O09.821 Supervision of pregnancy with history of in utero procedure during previous pregnancy, first trimester
O09.822 Supervision of pregnancy with history of in utero procedure during previous pregnancy, second trimester
O09.823 Supervision of pregnancy with history of in utero procedure during previous pregnancy, third trimester
O09.829 Supervision of pregnancy with history of in utero procedure during previous pregnancy, unspecified trimester
Excludes1 supervision of pregnancy affected by in utero procedure during current pregnancy (O35.7)
O09.89 Supervision of other high risk pregnancies
O09.891 Supervision of other high risk pregnancies, first trimester
O09.892 Supervision of other high risk pregnancies, second trimester
O09.893 Supervision of other high risk pregnancies, third trimester
O09.899 Supervision of other high risk pregnancies, unspecified trimester
O09.9 Supervision of high risk pregnancy, unspecified
O09.90 Supervision of high risk pregnancy, unspecified, unspecified trimester
O09. 91 Supervision of high risk pregnancy, unspecified, first trimester
O09.92 Supervision of high risk pregnancy, unspecified, second trimester
O09.93 Supervision of high risk pregnancy, unspecified, third trimester

Edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium (O10-O16)[edit]

O10 Pre-existing hypertension complicating pregnancy, childbirth and the puerperium[edit]

Includes: Pre-existing hypertension with pre-existing proteinuria complicating pregnancy, childbirth and the puerperium
Excludes2 pre-existing hypertension with increased or superimposed proteinuria complicating pregnancy, childbirth and the puerperium (Oll.-)
O10.0 Pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium
Any condition in I10 specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
O10.01 Pre-existing essential hypertension complicating pregnancy,
O10.011 Pre-existing essential hypertension complicating pregnancy, first trimester
O10.012 Pre-existing essential hypertension complicating pregnancy, second trimester
O10.013 Pre-existing essential hypertension complicating pregnancy, third trimester
O10.019 Pre-existing essential hypertension complicating pregnancy, unspecified trimester
O10.02 Pre-existing essential hypertension complicating childbirth
O10.03 Pre-existing essential hypertension complicating the puerperium
O10.1 Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium
Any condition in I11 specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
Use additional code from I11 to identify the type of hypertensive heart disease
O10.11 Pre-existing hypertensive heart disease complicating pregnancy
O10.111 Pre-existing hypertensive heart disease complicating pregnancy, first trimester
O10. 112 Pre-existing hypertensive heart disease complicating pregnancy, second trimester
O10.113 Pre-existing hypertensive heart disease complicating pregnancy, third trimester
O10.119 Pre-existing hypertensive heart disease complicating pregnancy, unspecified trimester
O10.12 Pre-existing hypertensive heart disease complicating childbirth
O10.13 Pre-existing hypertensive heart disease complicating the puerperium
O10.2 Pre-existing hypertensive chronic kidney disease complicating pregnancy, childbirth and the puerperium
Any condition in I12 specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
Use additional code from I12 to identify the type of hypertensive chronic kidney disease
O10.21 Pre-existing hypertensive chronic kidney disease complicating pregnancy
O10.211 Pre-existing hypertensive chronic kidney disease complicating pregnancy, first trimester
O10.212 Pre-existing hypertensive chronic kidney disease complicating pregnancy, second trimester
O10.213 Pre-existing hypertensive chronic kidney disease complicating pregnancy, third trimester
O10.219 Pre-existing hypertensive chronic kidney disease complicating pregnancy, unspecified trimester
O10.22 Pre-existing hypertensive chronic kidney disease complicating childbirth
O10.23 Pre-existing hypertensive chronic kidney disease complicating the puerperium
O10.3 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, childbirth and the puerperium
Any condition in I13 specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
Use additional code from I13 to identify the type of hypertensive heart and chronic kidney disease
O10.31 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy
O10.311 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, first trimester
O10. 312 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, second trimester
O10.313 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, third trimester
O10.319 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, unspecified trimester
O10.32 Pre-existing hypertensive heart and chronic kidney disease complicating childbirth
O10.33 Pre-existing hypertensive heart and chronic kidney disease complicating the puerperium
O10.4 Pre-existing secondary hypertension complicating pregnancy, childbirth and the puerperium
Any condition in I15 specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
Use additional code from I15 to identify the type of secondary hypertension
O10.41 Pre-existing secondary hypertension complicating pregnancy
O10.411 Pre-existing secondary hypertension complicating pregnancy, first trimester
O10.412 Pre-existing secondary hypertension complicating pregnancy, second trimester
O10.413 Pre-existing secondary hypertension complicating pregnancy, third trimester
O10.419 Pre-existing secondary hypertension complicating pregnancy, unspecified trimester
O10.42 Pre-existing secondary hypertension complicating childbirth
O10.43 Pre-existing secondary hypertension complicating the puerperium
O10.9 Unspecified pre-existing hypertension complicating pregnancy, childbirth and the puerperium
O10.91 Unspecified pre-existing hypertension complicating pregnancy
O10.911 Unspecified pre-existing hypertension complicating pregnancy, first trimester
O10.912 Unspecified pre-existing hypertension complicating pregnancy, second trimester
O10.913 Unspecified pre-existing hypertension complicating pregnancy, third trimester
O10. 919 Unspecified pre-existing hypertension complicating pregnancy, unspecified trimester
O10.92 Unspecified pre-existing hypertension complicating childbirth
O10.93 Unspecified pre-existing hypertension complicating the puerperium

O11 Pre-existing hypertensive disorder with superimposed proteinuria[edit]

Includes: Conditions in Ol0 complicated by increased proteinuria
Superimposed pre-eclampsia
Use additional code from O10 to identify the type of hypertension
O11.1 Pre-existing hypertensive disorder with superimposed proteinuria, first trimester
O11.2 Pre-existing hypertensive disorder with superimposed proteinuria, second trimester
O11.3 Pre-existing hypertensive disorder with superimposed proteinuria, third trimester
O11.9 Pre-existing hypertensive disorder with superimposed proteinuria, unspecified trimester

O12 Gestational [pregnancy-induced] edema and proteinuria without hypertension[edit]

O12.0 Gestational edema
O12.00 Gestational edema, unspecified trimester
O12.01 Gestational edema, first trimester
O12.02 Gestational edema, second trimester
O12.03 Gestational edema, third trimester
O12.1 Gestational proteinuria
O12.10 Gestational proteinuria, unspecified trimester
O12.11 Gestational proteinuria, first trimester
O12.12 Gestational proteinuria, second trimester
O12.13 Gestational proteinuria, third trimester
O12.2 Gestational edema with proteinuria
O12.20 Gestational edema with proteinuria, unspecified trimester
O12.21 Gestational edema with proteinuria, first trimester
O12.22 Gestational edema with proteinuria, second trimester
O12.23 Gestational edema with proteinuria, third trimester

O13 Gestational [pregnancy-induced] hypertension without significant proteinuria[edit]

Includes: gestational hypertension NOS
O13.1 Gestational [pregnancy-induced] hypertension without significant proteinuria, first trimester
O13. 2 Gestational [pregnancy-induced] hypertension without significant proteinuria, second trimester
O13.3 Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester
O13.9 Gestational [pregnancy-induced] hypertension without significant proteinuria, unspecified trimester

O14 Gestational [pregnancy-induced] hypertension with significant proteinuria[edit]

Pre-eclampsia
Excludes1: superimposed pre-eclampsia (O11)
O14.0 Mild pre-eclampsia
O14.00 Mild pre-eclampsia, unspecified trimester
O14.02 Mild pre-eclampsia, second trimester
O14.03 Mild pre-eclampsia, third trimester
O14.1 Severe pre-eclampsia
Excludes1: HELLP syndrome (O14.2-)
O14.10 Severe pre-eclampsia, unspecified trimester
O14.12 Severe pre-eclampsia, second trimester
O14.13 Severe pre-eclampsia, third trimester
O14.2 HELLP syndrome (HELLP)
Severe pre-eclampsia with hemolysis, elevated liver enzymes and low platelet count
O14.20 HELLP syndrome (HELLP), unspecified trimester
O14.22 HELLP syndrome (HELLP), second trimester
O14.23 HELLP syndrome (HELLP), third trimester
O14.9 Unspecified pre-eclampsia
O14.90 Unspecified pre-eclampsia, unspecified trimester
O14.92 Unspecified pre-eclampsia, second trimester
O14.93 Unspecified pre-eclampsia, third trimester

O15 Eclampsia[edit]

Includes: convulsions following conditions in O10-O14 and O16
O15.0 Eclampsia in pregnancy
O15.00 Eclampsia in pregnancy, unspecified trimester
O15.02 Eclampsia in pregnancy, second trimester
O15.03 Eclampsia in pregnancy, third trimester
O15.1 Eclampsia in labor
O15.2 Eclampsia in the puerperium
O15.9 Eclampsia, unspecified as to time period
Eclampsia NOS

O16 Unspecified maternal hypertension[edit]

O16.1 Unspecified maternal hypertension, first trimester
O16.2 Unspecified maternal hypertension, second trimester
O16.3 Unspecified maternal hypertension, third trimester
O16.9 Unspecified maternal hypertension, unspecified trimester

Other maternal disorders predominantly related to pregnancy (O20-O29)

Excludes2: maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
maternal diseases classifiable elsewhere but complicating pregnancy, labor and delivery, and the puerperium (O98-O99)

O20 Hemorrhage in early pregnancy[edit]

Includes: before completion of 20 weeks gestation
Excludes1: pregnancy with abortive outcome (O00-O08)
O20.0 Threatened abortion
Hemorrhage specified as due to threatened abortion
O20.8 Other hemorrhage in early pregnancy
O20.9 Hemorrhage in early pregnancy, unspecified

O21 Excessive vomiting in pregnancy[edit]

O21.0 Mild hyperemesis gravidarum
Hyperemesis gravidarum, mild or unspecified, starting before the end of the 20th week of gestation
O21.1 Hyperemesis gravidarum with metabolic disturbance
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
O21.2 Late vomiting of pregnancy
Excessive vomiting starting after 20 completed weeks of gestation
O21.8 Other vomiting complicating pregnancy
Vomiting due to diseases classified elsewhere, complicating pregnancy
Use additional code, to identify cause.
O21.9 Vomiting of pregnancy, unspecified

O22 Venous complications in pregnancy[edit]

Excludes1: venous complications of:
abortion NOS (O03.9)
ectopic or molar pregnancy (O08.7)
failed attempted abortion (O07.39, O07.89)
induced abortion (O04.89, O05.89)
spontaneous abortion (O03.89, O03.89)
Excludes2: obstetric pulmonary embolism (O88.-)
venous complications of childbirth and the puerperium (O87.-)
O22.0 Varicose veins of lower extremity in pregnancy
Varicose veins NOS in pregnancy
O22.00 Varicose veins of lower extremity in pregnancy, unspecified trimester
O22. 01 Varicose veins of lower extremity in pregnancy, first trimester
O22.02 Varicose veins of lower extremity in pregnancy, second trimester
O22.03 Varicose veins of lower extremity in pregnancy, third trimester
O22.1 Genital varices in pregnancy
Perineal varices in pregnancy
Vaginal varices in pregnancy
Vulval varices in pregnancy
O22.10 Genital varices in pregnancy, unspecified trimester
O22.11 Genital varices in pregnancy, first trimester
O22.12 Genital varices in pregnancy, second trimester
O22.13 Genital varices in pregnancy, third trimester
O22.2 Superficial thrombophlebitis in pregnancy
Phlebitis in pregnancy NOS
Thrombophlebitis of legs in pregnancy
Thrombosis in pregnancy NOS
O22.20 Superficial thrombophlebitis in pregnancy, unspecified trimester
O22.21 Superficial thrombophlebitis in pregnancy, first trimester
O22.22 Superficial thrombophlebitis in pregnancy, second trimester
O22.23 Superficial thrombophlebitis in pregnancy, third trimester
O22.3 Deep phlebothrombosis in pregnancy
Deep vein thrombosis, antepartum
Use additional code to identify the deep vein thrombosis (I82.4-, I82.5-, I82.62-. I82.72-)
Use additional code, if applicable, for associated long-term (current) use of anticoagulants (Z79.01)
O22.30 Deep phlebothrombosis in pregnancy, unspecified trimester
O22.31 Deep phlebothrombosis in pregnancy, first trimester
O22.32 Deep phlebothrombosis in pregnancy, second trimester
O22.33 Deep phlebothrombosis in pregnancy, third trimester
O22.4 Hemorrhoids in pregnancy
O22.40 Hemorrhoids in pregnancy, unspecified trimester
O22.41 Hemorrhoids in pregnancy, first trimester
O22.42 Hemorrhoids in pregnancy, second trimester
O22.43 Hemorrhoids in pregnancy, third trimester
O22.5 Cerebral venous thrombosis in pregnancy
Cerebrovenous sinus thrombosis in pregnancy
O22. 50 Cerebral venous thrombosis in pregnancy, unspecified trimester
O22.51 Cerebral venous thrombosis in pregnancy, first trimester
O22.52 Cerebral venous thrombosis in pregnancy, second trimester
O22.53 Cerebral venous thrombosis in pregnancy, third trimester
O22.8 Other venous complications in pregnancy
O22.8x Other venous complications in pregnancy
O22.8x1 Other venous complications in pregnancy, first trimester
O22.8x2 Other venous complications in pregnancy, second trimester
O22.8x3 Other venous complications in pregnancy, third trimester
O22.8x9 Other venous complications in pregnancy, unspecified trimester
O22.9 Venous complication in pregnancy, unspecified
Gestational phlebitis NOS
Gestational phlebopathy NOS
Gestational thrombosis NOS
O22.90 Venous complication in pregnancy, unspecified, unspecified trimester
O22.91 Venous complication in pregnancy, unspecified, first trimester
O22.92 Venous complication in pregnancy, unspecified, second trimester
O22.93 Venous complication in pregnancy, unspecified, third trimester

O23 Infections of genitourinary tract in pregnancy[edit]

Use additional code to identify organism (B95.-, B96.-)
O23.0 Infections of kidney in pregnancy
Pyelonephritis in pregnancy
O23.00 Infections of kidney in pregnancy, unspecified trimester
O23.01 Infections of kidney in pregnancy, first trimester
O23.02 Infections of kidney in pregnancy, second trimester
O23.03 Infections of kidney in pregnancy, third trimester
O23.1 Infections of bladder in pregnancy
O23.10 Infections of bladder in pregnancy, unspecified trimester
O23.11 Infections of bladder in pregnancy, first trimester
O23.12 Infections of bladder in pregnancy, second trimester
O23.13 Infections of bladder in pregnancy, third trimester
O23.2 Infections of urethra in pregnancy
O23. 20 Infections of urethra in pregnancy, unspecified trimester
O23.21 Infections of urethra in pregnancy, first trimester
O23.22 Infections of urethra in pregnancy, second trimester
O23.23 Infections of urethra in pregnancy, third trimester
O23.3 Infections of other parts of urinary tract in pregnancy
O23.30 Infections of other parts of urinary tract in pregnancy, unspecified trimester
O23.31 Infections of other parts of urinary tract in pregnancy, first trimester
O23.32 Infections of other parts of urinary tract in pregnancy, second trimester
O23.33 Infections of other parts of urinary tract in pregnancy, third trimester
O23.4 Unspecified infection of urinary tract in pregnancy
O23.40 Unspecified infection of urinary tract in pregnancy, unspecified trimester
O23.41 Unspecified infection of urinary tract in pregnancy, first trimester
O23.42 Unspecified infection of urinary tract in pregnancy, second trimester
O23.43 Unspecified infection of urinary tract in pregnancy, third trimester
O23.5 Infections of the genital tract in pregnancy
O23.51 Infection of cervix in pregnancy
O23.511 Infections of cervix in pregnancy, first trimester
O23.512 Infections of cervix in pregnancy, second trimester
O23.513 Infections of cervix in pregnancy, third trimester
O23.519 Infections of cervix in pregnancy, unspecified trimester
O23.52 Salpingo-oophoritis in pregnancy
Oophoritis in pregnancy
Salpingitis in pregnancy
O23.521 Salpingo-oophoritis in pregnancy, first trimester
O23.522 Salpingo-oophoritis in pregnancy, second trimester
O23.523 Salpingo-oophoritis in pregnancy, third trimester
O23.529 Salpingo-oophoritis in pregnancy, unspecified trimester
O23.59 Infection of other part of genital tract in pregnancy
O23. 591 Infection of other part of genital tract in pregnancy, first trimester
O23.592 Infection of other part of genital tract in pregnancy, second trimester
O23.593 Infection of other part of genital tract in pregnancy, third trimester
O23.599 Infection of other part of genital tract in pregnancy, unspecified trimester
O23.9 Unspecified genitourinary tract infection in pregnancy
Genitourinary tract infection in pregnancy NOS
O23.90 Unspecified genitourinary tract infection in pregnancy, unspecified trimester
O23.91 Unspecified genitourinary tract infection in pregnancy, first trimester
O23.92 Unspecified genitourinary tract infection in pregnancy, second trimester
O23.93 Unspecified genitourinary tract infection in pregnancy, third trimester

O24 Diabetes mellitus in pregnancy, childbirth, and the puerperium[edit]

O24.0 Pre-existing diabetes mellitus, type 1, in pregnancy, childbirth and the puerperium
Juvenile onset diabetes mellitus, in pregnancy, childbirth and the puerperium
Ketosis-prone diabetes mellitus in pregnancy, childbirth and the puerperium
Use additional code from category E10 to further identify any manifestations
O24.01 Pre-existing diabetes mellitus, type 1, in pregnancy
O24.011 Pre-existing diabetes mellitus, type 1, in pregnancy, first trimester
O24.012 Pre-existing diabetes mellitus, type 1, in pregnancy, second trimester
O24.013 Pre-existing diabetes mellitus, type 1, in pregnancy, third trimester
O24.019 Pre-existing diabetes mellitus, type 1, in pregnancy, unspecified trimester
O24.02 Pre-existing diabetes mellitus, type 1, in childbirth
O24.03 Pre-existing diabetes mellitus, type 1, in the puerperium
O24.1 Pre-existing diabetes mellitus, type 2, in pregnancy, childbirth and the puerperium
Insulin-resistant diabetes mellitus in pregnancy, childbirth and the puerperium
Use additional code (for):
from category E11 to further identify any manifestations
long-term (current) use of insulin (Z79.4)
O24.11 Pre-existing diabetes mellitus, type 2, in pregnancy
O24.111 Pre-existing diabetes mellitus, type 2, in pregnancy, first trimester
O24.112 Pre-existing diabetes mellitus, type 2, in pregnancy, second trimester
O24.113 Pre-existing diabetes mellitus, type 2, in pregnancy, third trimester
O24.119 Pre-existing diabetes mellitus, type 2, in pregnancy, unspecified trimester
O24.12 Pre-existing diabetes mellitus, type 2, in childbirth
O24.13 Pre-existing diabetes mellitus, type 2, in the puerperium
O24.3 Unspecified pre-existing diabetes mellitus in pregnancy, childbirth and the puerperium
Use additional code (for):
from category E11 to further identify any manifestation
long-term (current) use of insulin (Z79.4)
O24.31 Unspecified pre-existing diabetes mellitus in pregnancy
O24.311 Unspecified pre-existing diabetes mellitus in pregnancy, first trimester
O24.312 Unspecified pre-existing diabetes mellitus in pregnancy, second trimester
O24.313 Unspecified pre-existing diabetes mellitus in pregnancy, third trimester
O24.319 Unspecified pre-existing diabetes mellitus in pregnancy, unspecified trimester
O24.32 Unspecified pre-existing diabetes mellitus in childbirth
O24.33 Unspecified pre-existing diabetes mellitus in the puerperium
O24.4 Gestational diabetes mellitus
Diabetes mellitus arising in pregnancy
Gestational diabetes mellitus NOS
O24.41 Gestational diabetes mellitus in pregnancy
O24.410 Gestational diabetes mellitus in pregnancy, diet-controlled
O24.414 Gestational diabetes mellitus in pregnancy, insulin controlled
O24.419 Gestational diabetes mellitus in pregnancy, unspecified control
O24.42 Gestational diabetes mellitus in childbirth
O24.420 Gestational diabetes mellitus in childbirth, diet controlled
O24. 424 Gestational diabetes mellitus in childbirth, insulin controlled
O24.429 Gestational diabetes mellitus in childbirth, unspecified control
O24.43 Gestational diabetes mellitus in the puerperium
O24.430 Gestational diabetes mellitus in the puerperium, diet controlled
O24.434 Gestational diabetes mellitus in the puerperium, insulin controlled
O24.439 Gestational diabetes mellitus in the puerperium, unspecified control
O24.8 Other pre-existing diabetes mellitus in pregnancy, childbirth, and the puerperium
Use additional code (for):
from categories E08, E09 and E13 to further identify any manifestation
long-term (current) use of insulin (Z79.4)
O24.81 Other pre-existing diabetes mellitus in pregnancy
O24.811 Other pre-existing diabetes mellitus in pregnancy, first trimester
O24.812 Other pre-existing diabetes mellitus in pregnancy, second trimester
O24.813 Other pre-existing diabetes mellitus in pregnancy, third trimester
O24.819 Other pre-existing diabetes mellitus in pregnancy, unspecified trimester
O24.82 Other pre-existing diabetes mellitus in childbirth
O24.83 Other pre-existing diabetes mellitus in the puerperium
O24.9 Unspecified diabetes mellitus in pregnancy, childbirth and the puerperium
Use additional code for long-term (current) use of insulin (Z79.4)
O24.91 Unspecified diabetes mellitus in pregnancy
O24.911 Unspecified diabetes mellitus in pregnancy, first trimester
O24.912 Unspecified diabetes mellitus in pregnancy, second trimester
O24.913 Unspecified diabetes mellitus in pregnancy, third trimester
O24.919 Unspecified diabetes mellitus in pregnancy, unspecified trimester
O24.92 Unspecified diabetes mellitus in childbirth
O24.93 Unspecified diabetes mellitus in the puerperium

O25 Malnutrition in pregnancy, childbirth and the puerperium[edit]

O25.1 Malnutrition in pregnancy
O25.10 Malnutrition in pregnancy, unspecified trimester
O25. 11 Malnutrition in pregnancy, first trimester
O25.12 Malnutrition in pregnancy, second trimester
O25.13 Malnutrition in pregnancy, third trimester
O25.2 Malnutrition in childbirth
O25.3 Malnutrition in the puerperium

O26 Maternal care for other conditions predominantly related to pregnancy[edit]

O26.0 Excessive weight gain in pregnancy
Excludes2: gestational edema (O12.0, O12.2)
O26.00 Excessive weight gain in pregnancy, unspecified trimester
O26.01 Excessive weight gain in pregnancy, first trimester
O26.02 Excessive weight gain in pregnancy, second trimester
O26.03 Excessive weight gain in pregnancy, third trimester
O26.1 Low weight gain in pregnancy
O26.10 Low weight gain in pregnancy, unspecified trimester
O26.11 Low weight gain in pregnancy, first trimester
O26.12 Low weight gain in pregnancy, second trimester
O26.13 Low weight gain in pregnancy, third trimester
O26.2 Pregnancy care of habitual aborter
O26.20 Pregnancy care of habitual aborter, unspecified trimester
O26.21 Pregnancy care of habitual aborter, first trimester
O26.22 Pregnancy care of habitual aborter, second trimester
O26.23 Pregnancy care of habitual aborter, third trimester
O26.3 Retained intrauterine contraceptive device in pregnancy
O26.30 Retained intrauterine contraceptive device in pregnancy, unspecified trimester
O26.31 Retained intrauterine contraceptive device in pregnancy, first trimester
O26.32 Retained intrauterine contraceptive device in pregnancy, second trimester
O26.33 Retained intrauterine contraceptive device in pregnancy, third trimester
O26.4 Herpes gestationis
O26.40 Herpes gestationis, unspecified trimester
O26.41 Herpes gestationis, first trimester
O26.42 Herpes gestationis, second trimester
O26.43 Herpes gestationis, third trimester
O26.5 Maternal hypotension syndrome
Supine hypotensive syndrome
O26.50 Maternal hypotension syndrome, unspecified trimester
O26.51 Maternal hypotension syndrome, first trimester
O26.52 Maternal hypotension syndrome, second trimester
O26.53 Maternal hypotension syndrome, third trimester
O26. 6 Liver disorders in pregnancy, childbirth and the puerperium
Use additional code to identify the specific disorder
Excludes2: hepatorenal syndrome following labor and delivery (O90.4)
O26.61 Liver disorders in pregnancy
O26.611 Liver disorders in pregnancy, first trimester
O26.612 Liver disorders in pregnancy, second trimester
O26.613 Liver disorders in pregnancy, third trimester
O26.619 Liver disorders in pregnancy, unspecified trimester
O26.62 Liver disorders in childbirth
O26.63 Liver disorders in the puerperium
O26.7 Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium
Excludes1: traumatic separation of symphysis (pubis) during childbirth (O71.6)
O26.71 Subluxation of symphysis (pubis) in pregnancy
O26.711 Subluxation of symphysis (pubis) in pregnancy, first trimester
O26.712 Subluxation of symphysis (pubis) in pregnancy, second trimester
O26.713 Subluxation of symphysis (pubis) in pregnancy, third trimester
O26.719 Subluxation of symphysis (pubis) in pregnancy, unspecified trimester
O26.72 Subluxation of symphysis (pubis) in childbirth
O26.73 Subluxation of symphysis (pubis) in the puerperium
O26.8 Other specified pregnancy related conditions
O26.81 Pregnancy related exhaustion and fatigue
O26.811 Pregnancy related exhaustion and fatigue, first trimester
O26.812 Pregnancy related exhaustion and fatigue, second trimester
O26.813 Pregnancy related exhaustion and fatigue, third trimester
O26.819 Pregnancy related exhaustion and fatigue, unspecified trimester
O26.82 Pregnancy related peripheral neuritis
O26.821 Pregnancy related peripheral neuritis, first trimester
O26.822 Pregnancy related peripheral neuritis, second trimester
O26.823 Pregnancy related peripheral neuritis, third trimester
O26. 829 Pregnancy related peripheral neuritis, unspecified trimester
O26.83 Pregnancy related renal disease
Use additional code to identify the specific disorder
O26.831 Pregnancy related renal disease, first trimester
O26.832 Pregnancy related renal disease, second trimester
O26.833 Pregnancy related renal disease, third trimester
O26.839 Pregnancy related renal disease, unspecified trimester
O26.84 Uterine size-date discrepancy complicating pregnancy
Excludes1: encounter for suspected problem with fetal growth ruled out (Z03.74)
O26.841 Uterine size-date discrepancy, first trimester
O26.842 Uterine size-date discrepancy, second trimester
O26.843 Uterine size-date discrepancy, third trimester
O26.849 Uterine size-date discrepancy, unspecified trimester
O26.85 Spotting complicating pregnancy
O26.851 Spotting complicating pregnancy, first trimester
O26.852 Spotting complicating pregnancy, second trimester
O26.853 Spotting complicating pregnancy, third trimester
O26.859 Spotting complicating pregnancy, unspecified trimester
O26.86 Pruritic urticarial papules and plaques of pregnancy (PUPPP)
Polymorphic eruption of pregnancy
O26.87 Cervical shortening
Excludes1: encounter for suspected cervical shortening ruled out (Z03.75)
O26.872 Cervical shortening, second trimester
O26.873 Cervical shortening, third trimester
O26.879 Cervical shortening, unspecified trimester
O26.89 Other specified pregnancy related conditions
O26.891 Other specified pregnancy related conditions, first trimester
O26. 892 Other specified pregnancy related conditions, second trimester
O26.893 Other specified pregnancy related conditions, third trimester
O26.899 Other specified pregnancy related conditions, unspecified trimester
O26.9 Pregnancy related conditions, unspecified
O26.90 Pregnancy related conditions, unspecified, unspecified trimester
O26.91 Pregnancy related conditions, unspecified, first trimester
O26.92 Pregnancy related conditions, unspecified, second trimester
O26.93 Pregnancy related conditions, unspecified, third trimester

O28 Abnormal findings on antenatal screening of mother[edit]

Excludes1: diagnostic findings classified elsewhere - see Alphabetical Index
O28.0 Abnormal hematological finding on antenatal screening of mother
O28.1 Abnormal biochemical finding on antenatal screening of mother
O28.2 Abnormal cytological finding on antenatal screening of mother
O28.3 Abnormal ultrasonic finding on antenatal screening of mother
O28.4 Abnormal radiological finding on antenatal screening of mother
O28.5 Abnormal chromosomal and genetic finding on antenatal screening of mother
O28.8 Other abnormal findings on antenatal screening of mother
O28.9 Unspecified abnormal findings on antenatal screening of mother

O29 Complications of anesthesia during pregnancy[edit]

Includes: maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during pregnancy
Use additional code, if necessary, to identify the complication
Excludes2: complications of anesthesia during labor and delivery (O74.-)
complications of anesthesia during the puerperium (O89.-)
O29.0 Pulmonary complications of anesthesia during pregnancy
O29.01 Aspiration pneumonitis due to anesthesia during pregnancy
Inhalation of stomach contents or secretions NOS due to anesthesia during pregnancy
Mendelson?s syndrome due to anesthesia during pregnancy
O29.011 Aspiration pneumonitis due to anesthesia during pregnancy, first trimester
O29. 012 Aspiration pneumonitis due to anesthesia during pregnancy, second trimester
O29.013 Aspiration pneumonitis due to anesthesia during pregnancy, third trimester
O29.019 Aspiration pneumonitis due to anesthesia during pregnancy, unspecified trimester
O29.02 Pressure collapse of lung due to anesthesia during pregnancy
O29.021 Pressure collapse of lung due to anesthesia during pregnancy, first trimester
O29.022 Pressure collapse of lung due to anesthesia during pregnancy, second triemester
O29.023 Pressure collapse of lung due to anesthesia during pregnancy, third trimester
O29.029 Pressure collapse of lung due to anesthesia during pregnancy, unspecified trimester
O29.09 Other pulmonary complications of anesthesia during pregnancy
O29.091 Other pulmonary complications of anesthesia during pregnancy, first trimester
O29.092 Other pulmonary complications of anesthesia during pregnancy, second trimester
O29.093 Other pulmonary complications of anesthesia during pregnancy, third trimester
O29.099 Other pulmonary complications of anesthesia during pregnancy, unspecified trimester
O29.1 Cardiac complications of anesthesia during pregnancy
O29.11 Cardiac arrest due to anesthesia during pregnancy
O29.111 Cardiac arrest due to anesthesia during pregnancy, first trimester
O29.112 Cardiac arrest due to anesthesia during pregnancy, second trimester
O29.113 Cardiac arrest due to anesthesia during pregnancy, third trimester
O29.119 Cardiac arrest due to anesthesia during pregnancy, unspecified trimester
O29.12 Cardiac failure due to anesthesia during pregnancy
O29.121 Cardiac failure due to anesthesia during pregnancy, first trimester
O29.122 Cardiac failure due to anesthesia during pregnancy, second trimester
O29. 123 Cardiac failure due to anesthesia during pregnancy, third trimester
O29.129 Cardiac failure due to anesthesia during pregnancy, unspecified trimester
O29.19 Other cardiac complications of anesthesia during pregnancy
O29.191 Other cardiac complications of anesthesia during pregnancy, first trimester
O29.192 Other cardiac complications of anesthesia during pregnancy, second trimester
O29.193 Other cardiac complications of anesthesia during pregnancy, third trimester
O29.199 Other cardiac complications of anesthesia during pregnancy, unspecified trimester
O29.2 Central nervous system complications of anesthesia during pregnancy
O29.21 Cerebral anoxia due to anesthesia during pregnancy
O29.211 Cerebral anoxia due to anesthesia during pregnancy, first trimester
O29.212 Cerebral anoxia due to anesthesia during pregnancy, second trimester
O29.213 Cerebral anoxia due to anesthesia during pregnancy, third trimester
O29.219 Cerebral anoxia due to anesthesia during pregnancy, unspecified trimester
O29.29 Other central nervous system complications of anesthesia during pregnancy
O29.291 Other central nervous system complications of anesthesia during pregnancy, first trimester
O29.292 Other central nervous system complications of anesthesia during pregnancy, second trimester
O29.293 Other central nervous system complications of anesthesia during pregnancy, third trimester
O29.299 Other central nervous system complications of anesthesia during pregnancy, unspecified trimester
O29.3 Toxic reaction to local anesthesia during pregnancy
O29.3x Toxic reaction to local anesthesia during pregnancy
O29.3x1 Toxic reaction to local anesthesia during pregnancy, first trimester
O29. 3x2 Toxic reaction to local anesthesia during pregnancy, second trimester
O29.3x3 Toxic reaction to local anesthesia during pregnancy, third trimester
O29.3x9 Toxic reaction to local anesthesia during pregnancy, unspecified trimester
O29.4 Spinal and epidural anesthesia induced headache during pregnancy
O29.40 Spinal and epidural anesthesia induced headache during pregnancy, unspecified trimester
O29.41 Spinal and epidural anesthesia induced headache during pregnancy, first trimester
O29.42 Spinal and epidural anesthesia induced headache during pregnancy, second trimester
O29.43 Spinal and epidural anesthesia induced headache during pregnancy, third trimester
O29.5 Other complications of spinal and epidural anesthesia during pregnancy
O29.5x Other complications of spinal and epidural anesthesia during pregnancy
O29.5x1 Other complications of spinal and epidural anesthesia during pregnancy, first trimester
O29.5x2 Other complications of spinal and epidural anesthesia during pregnancy, second trimester
O29.5x3 Other complications of spinal and epidural anesthesia during pregnancy, third trimester
O29.5x9 Other complications of spinal and epidural anesthesia during pregnancy, unspecified trimester
O29.6 Failed or difficult intubation for anesthesia during pregnancy
O29.60 Failed or difficult intubation for anesthesia during pregnancy, unspecified trimester
O29.61 Failed or difficult intubation for anesthesia during pregnancy, first trimester
O29.62 Failed or difficult intubation for anesthesia during pregnancy, second trimester
O29.63 Failed or difficult intubation for anesthesia during pregnancy, third trimester
O29.8 Other complications of anesthesia during pregnancy
O29.8x Other complications of anesthesia during pregnancy
O29.8x1 Other complications of anesthesia during pregnancy, first trimester
O29. 8x2 Other complications of anesthesia during pregnancy, second trimester
O29.8x3 Other complications of anesthesia during pregnancy, third trimester
O29.8x9 Other complications of anesthesia during pregnancy, unspecified trimester
O29.9 Unspecified complication of anesthesia during pregnancy
O29.90 Unspecified complication of anesthesia during pregnancy, unspecified trimester
O29.91 Unspecified complication of anesthesia during pregnancy, first trimester
O29.92 Unspecified complication of anesthesia during pregnancy, second trimester
O29.93 Unspecified complication of anesthesia during pregnancy, third trimester

Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)[edit]

O30 Multiple gestation[edit]

Code also any complications specific to multiple gestation
O30.0 Twin pregnancy
O30.00 Twin pregnancy, unspecified
O30.001 Twin pregnancy, unspecified, first trimester
O30.002 Twin pregnancy, unspecified, second trimester
O30.003 Twin pregnancy, unspecified, third trimester
O30.009 Twin pregnancy, unspecified, unspecified trimester
O30.01 Twin pregnancy, monoamniotic/monochorionic
O30.011 Twin pregnancy, monoamniotic/monochorionic, first trimester
O30.012 Twin pregnancy, monoamniotic/monochorionic, second trimester
O30.013 Twin pregnancy, monoamniotic/monochorionic, third trimester
O30.019 Twin pregnancy, monoamniotic/monochorionic, unspecified trimester
O30.02 Conjoined twins
O30. 021 Conjoined twins, first trimester
O30.022 Conjoined twins, second trimester
O30.023 Conjoined twins, third trimester
O30.029 Conjoined twins, unspecified trimester
O30.09 Other twin pregnancy
O30.091 Other twin pregnancy, first trimester
O30.092 Other twin pregnancy, second trimester
O30.093 Other twin pregnancy, third trimester
O30.099 Other twin pregnancy, unspecified trimester
O30.1 Triplet pregnancy
O30.10 Triplet pregnancy, unspecified trimester
O30.11 Triplet pregnancy, first trimester
O30.12 Triplet pregnancy, second trimester
O30.13 Triplet pregnancy, third trimester
O30.2 Quadruplet pregnancy
O30.20 Quadruplet pregnancy, unspecified trimester
O30.21 Quadruplet pregnancy, first trimester
O30.22 Quadruplet pregnancy, second trimester
O30.23 Quadruplet pregnancy, third trimester
O30.8 Other multiple gestation
O30.80 Other multiple gestation, unspecified trimester
O30.81 Other multiple gestation, first trimester
O30.82 Other multiple gestation, second trimester
O30.83 Other multiple gestation, third trimester
O30.9 Multiple gestation, unspecified
Multiple pregnancy NOS
O30.90 Multiple gestation, unspecified, unspecified trimester
O30.91 Multiple gestation, unspecified, first trimester
O30.92 Multiple gestation, unspecified, second trimester
O30.93 Multiple gestation, unspecified, third trimester

O31 Complications specific to multiple gestation[edit]

Excludes2: delayed delivery of second twin, triplet, etc. (O63.2)
malpresentation of one fetus or more (O32.5)
placental transfusion syndromes (O43.0-)
One of the following 7th characters is to be assigned to each code under category O31. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O31 that has a 7th character of 1 through 9.
0 not applicable or unspecified
1 fetus 1
2 fetus 2
3 fetus 3
4 fetus 4
5 fetus 5
9 other fetus
O31.0 Papyraceous fetus
Fetus compressus
O31.00 Papyraceous fetus, unspecified trimester
O31.01 Papyraceous fetus, first trimester
O31.02 Papyraceous fetus, second trimester
O31.03 Papyraceous fetus, third trimester
O31.1 Continuing pregnancy after spontaneous abortion of one fetus or more
O31.10 Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester
O31.11 Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester
O31.12 Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester
O31.13 Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester
O31.2 Continuing pregnancy after intrauterine death of one fetus or more
O31.20 Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester
O31.21 Continuing pregnancy after intrauterine death of one fetus or more, first trimester
O31.22 Continuing pregnancy after intrauterine death of one fetus or more, second trimester
O31.23 Continuing pregnancy after intrauterine death of one fetus or more, third trimester
O31.3 Continuing pregnancy after elective fetal reduction of one fetus or more
Continuing pregnancy after selective termination of one fetus or more
O31.30 Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester
O31.31 Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester
O31.32 Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester
O31.33 Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester
O31.8 Other complications specific to multiple gestation
O31.8x Other complications specific to multiple gestation
O31.8x1 Other complications specific to multiple gestation, first trimester
O31.8x2 Other complications specific to multiple gestation, second trimester
O31. 8x3 Other complications specific to multiple gestation, third trimester
O31.8x9 Other complications specific to multiple gestation, unspecified trimester

O32 Maternal care for malpresentation of fetus[edit]

Includes: the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for cesarean delivery before onset of labor
Excludes1: malpresentation of fetus with obstructed labor (O64.-)
One of the following 7th characters is to be assigned to each code under category O32. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O32 that has a 7th character of 1 through 9.
0 not applicable or unspecified
1 fetus 1
2 fetus 2
3 fetus 3
4 fetus 4
5 fetus 5
9 other fetus
O32.0 Maternal care for unstable lie
O32.1 Maternal care for breech presentation
Maternal care for buttocks presentation
Maternal care for complete breech
Maternal care for frank breech
Excludes1: footling presentation (O32.8)
incomplete breech (O32.8)
O32.2 Maternal care for transverse and oblique lie
Maternal care for oblique presentation
Maternal care for transverse presentation
O32.3 Maternal care for face, brow and chin presentation
O32.4 Maternal care for high head at term
Maternal care for failure of head to enter pelvic brim
O32.6 Maternal care for compound presentation
O32.8 Maternal care for other malpresentation of fetus
Maternal care for footling presentation
Maternal care for incomplete breech
O32.9 Maternal care for malpresentation of fetus, unspecified

O33 Maternal care for disproportion[edit]

Includes: the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for cesarean delivery before onset of labor
Excludes1: disproportion with obstructed labor (O65- O66)
O33.0 Maternal care for disproportion due to deformity of maternal pelvic bones
Maternal care for disproportion due to pelvic deformity causing disproportion NOS
O33.1 Maternal care for disproportion due to generally contracted pelvis
Maternal care for disproportion due to contracted pelvis NOS causing disproportion
O33.2 Maternal care for disproportion due to inlet contraction of pelvis
Maternal care for disproportion due to inlet contraction (pelvis) causing disproportion
O33.3 Maternal care for disproportion due to outlet contraction of pelvis
Maternal care for disproportion due to mid-cavity contraction (pelvis)
Maternal care for disproportion due to outlet contraction (pelvis)
One of the following 7th characters is to be assigned to code O33.4. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning code O33.4 with a 7th character of 1 through 9.
0 not applicable or unspecified
1 fetus 1
2 fetus 2
3 fetus 3
4 fetus 4
5 fetus 5
9 other fetus
O33.4 Maternal care for disproportion of mixed maternal and fetal origin
One of the following 7th characters is to be assigned to code O33.5. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning code O33.5 with a 7th character of 1 through 9.
0 not applicable or unspecified
1 fetus 1
2 fetus 2
3 fetus 3
4 fetus 4
5 fetus 5
9 other fetus
O33.5 Maternal care for disproportion due to unusually large fetus
Maternal care for disproportion due to disproportion of fetal origin with normally formed fetus
Maternal care for disproportion due to fetal disproportion NOS
One of the following 7th characters is to be assigned to code O33.6. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning code O33.6 with a 7th character of 1 through 9.
0 not applicable or unspecified
1 fetus 1
2 fetus 2
3 fetus 3
4 fetus 4
5 fetus 5
9 other fetus
O33.6 Maternal care for disproportion due to hydrocephalic fetus
One of the following 7th characters is to be assigned to code O33.7. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning code O33.7 with a 7th character of 1 through 9.
0 not applicable or unspecified
1 fetus 1
2 fetus 2
3 fetus 3
4 fetus 4
5 fetus 5
9 other fetus
O33.7 Maternal care for disproportion due to other fetal deformities
Maternal care for disproportion due to fetal ascites
Maternal care for disproportion due to fetal hydrops
Maternal care for disproportion due to fetal meningomyelocele
Maternal care for disproportion due to fetal sacral teratoma
Maternal care for disproportion due to fetal tumor
Excludes1: obstructed labor due to other fetal deformities (O66.3)
O33.8 Maternal care for disproportion of other origin
O33.9 Maternal care for disproportion, unspecified
Maternal care for disproportion due to cephalopelvic disproportion NOS
Maternal care for disproportion due to fetopelvic disproportion NOS

O34 Maternal care for abnormality of pelvic organs[edit]

Includes: the listed conditions as a reason for hospitalization or other obstetric care of the mother, or for cesarean delivery before onset of labor
Code first any associated obstructed labor (O65.5)
Use additional code for specific condition
O34.0 Maternal care for congenital malformation of uterus
O34.00 Maternal care for unspecified congenital malformation of uterus, unspecified trimester
O34.01 Maternal care for unspecified congenital malformation of uterus, first trimester
O34.02 Maternal care for unspecified congenital malformation of uterus, second trimester
O34.03 Maternal care for unspecified congenital malformation of uterus, third trimester
O34.1 Maternal care for benign tumor of corpus uteri
Excludes2: maternal care for benign tumor of cervix (O34.4-)
maternal care for malignant neoplasm of uterus (O94.11-)
O34.10 Maternal care for benign tumor of corpus uteri, unspecified trimester
O34.11 Maternal care for benign tumor of corpus uteri, first trimester
O34.12 Maternal care for benign tumor of corpus uteri, second trimester
O34.13 Maternal care for benign tumor of corpus uteri, third trimester
O34.2 Maternal care due to uterine scar from previous surgery
O34.21 Maternal care for scar from previous cesarean delivery
O34.29 Maternal care due to uterine scar from other previous surgery
O34.3 Maternal care for cervical incompetence
Maternal care for cerclage with or without cervical incompetence
Maternal care for Shirodkar suture with or without cervical incompetence
O34.30 Maternal care for cervical incompetence, unspecified trimester
O34.31 Maternal care for cervical incompetence, first trimester
O34.32 Maternal care for cervical incompetence, second trimester
O34.33 Maternal care for cervical incompetence, third trimester
O34.4 Maternal care for other abnormalities of cervix
O34.40 Maternal care for other abnormalities of cervix, unspecified trimester
O34.41 Maternal care for other abnormalities of cervix, first trimester
O34.42 Maternal care for other abnormalities of cervix, second trimester
O34. 43 Maternal care for other abnormalities of cervix, third trimester
O34.5 Maternal care for other abnormalities of gravid uterus
O34.51 Maternal care for incarceration of gravid uterus
O34.511 Maternal care for incarceration of gravid uterus, first trimester
O34.512 Maternal care for incarceration of gravid uterus, second trimester
O34.513 Maternal care for incarceration of gravid uterus, third trimester
O34.519 Maternal care for incarceration of gravid uterus, unspecified trimester
O34.52 Maternal care for prolapse of gravid uterus
O34.521 Maternal care for prolapse of gravid uterus, first trimester
O34.522 Maternal care for prolapse of gravid uterus, second trimester
O34.523 Maternal care for prolapse of gravid uterus, third trimester
O34.529 Maternal care for prolapse of gravid uterus, unspecified trimester
O34.53 Maternal care for retroversion of gravid uterus
O34.531 Maternal care for retroversion of gravid uterus, first trimester
O34.532 Maternal care for retroversion of gravid uterus, second trimester
O34.533 Maternal care for retroversion of gravid uterus, third trimester
O34.539 Maternal care for retroversion of gravid uterus, unspecified trimester
O34.59 Maternal care for other abnormalities of gravid uterus
O34.591 Maternal care for other abnormalities of gravid uterus, first trimester
O34.592 Maternal care for other abnormalities of gravid uterus, second trimester
O34.593 Maternal care for other abnormalities of gravid uterus, third trimester
O34.599 Maternal care for other abnormalities of gravid uterus, unspecified trimester
O34.6 Maternal care for abnormality of vagina
Excludes2: maternal care for vaginal varices in pregnancy (O22.1-)
O34.60 Maternal care for abnormality of vagina, unspecified trimester
O34.61 Maternal care for abnormality of vagina, first trimester
O34.62 Maternal care for abnormality of vagina, second trimester
O34.63 Maternal care for abnormality of vagina, third trimester
O34.7 Maternal care for abnormality of vulva and perineum
Excludes2: maternal care for perineal and vulval varices in pregnancy (O22.1-)
O34.70 Maternal care for abnormality of vulva and perineum, unspecified trimester
O34.71 Maternal care for abnormality of vulva and perineum, first trimester
O34.72 Maternal care for abnormality of vulva and perineum, second trimester
O34.73 Maternal care for abnormality of vulva and perineum, third trimester
O34.8 Maternal care for other abnormalities of pelvic organs
O34.80 Maternal care for other abnormalities of pelvic organs, unspecified trimester
O34.81 Maternal care for other abnormalities of pelvic organs, first trimester
O34.82 Maternal care for other abnormalities of pelvic organs, second trimester
O34.83 Maternal care for other abnormalities of pelvic organs, third trimester
O34.9 Maternal care for abnormality of pelvic organ, unspecified
O34.90 Maternal care for abnormality of pelvic organ, unspecified, unspecified trimester
O34.91 Maternal care for abnormality of pelvic organ, unspecified, first trimester
O34.92 Maternal care for abnormality of pelvic organ, unspecified, second trimester
O34.93 Maternal care for abnormality of pelvic organ, unspecified, third trimester

O35 Maternal care for known or suspected fetal abnormality and damage[edit]

Includes: the listed conditions in the fetus as a reason for hospitalization or other obstetric care to the mother, or for termination of pregnancy
Code also any associated maternal condition
Excludes1: encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
One of the following 7th characters is to be assigned to each code under category O35. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O35 that has a 7th character of 1 through 9.
0 not applicable or unspecified
1 fetus 1
2 fetus 2
3 fetus 3
4 fetus 4
5 fetus 5
9 other fetus
O35.0 Maternal care for (suspected) central nervous system malformation in fetus
Maternal care for fetal anencephaly
Maternal care for fetal hydrocephalus
Maternal care for fetal spina bifida
Excludes2: chromosomal abnormality in fetus (O35.1)
O35.1 Maternal care for (suspected) chromosomal abnormality in fetus
O35.2 Maternal care for (suspected) hereditary disease in fetus
Excludes2: chromosomal abnormality in fetus (O35.1)
O35.3 Maternal care for (suspected) damage to fetus from viral disease in mother
Maternal care for damage to fetus from maternal cytomegalovirus infection
Maternal care for damage to fetus from maternal rubella
O35.4 Maternal care for (suspected) damage to fetus from alcohol
O35.5 Maternal care for (suspected) damage to fetus by drugs
Maternal care for damage to fetus from drug addiction
O35.6 Maternal care for (suspected) damage to fetus by radiation
O35.7 Maternal care for (suspected) damage to fetus by other medical procedures
Maternal care for damage to fetus by amniocentesis
Maternal care for damage to fetus by biopsy procedures
Maternal care for damage to fetus by hematological investigation
Maternal care for damage to fetus by intrauterine contraceptive device
Maternal care for damage to fetus by intrauterine surgery
O35.8 Maternal care for other (suspected) fetal abnormality and damage
Maternal care for damage to fetus from maternal listeriosis
Maternal care for damage to fetus from maternal toxoplasmosis
O35.9 Maternal care for (suspected) fetal abnormality and damage, unspecified

O36 Maternal care for other fetal problems[edit]

Includes: the listed conditions in the fetus as a reason for hospitalization or other obstetric care of the mother, or for termination of pregnancy
Excludes1: encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
placental transfusion syndromes (O43.0-)
Excludes2: labor and delivery complicated by fetal stress (O77.-)
One of the following 7th characters is to be assigned to each code under category O36. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O36 that has a 7th character of 1 through 9.
0 not applicable or unspecified
1 fetus 1
2 fetus 2
3 fetus 3
4 fetus 4
5 fetus 5
9 other fetus
O36.0 Maternal care for rhesus isoimmunization
Maternal care for Rh incompatibility (with hydrops fetalis)
O36.01 Maternal care for anti-D [Rh] antibodies
O36.011 Maternal care for anti-D [Rh] antibodies, first trimester
O36.012 Maternal care for anti-D [Rh] antibodies, second trimester
O36.013 Maternal care for anti-D [Rh] antibodies, third trimester
O36.019 Maternal care for anti-D [Rh] antibodies, unspecified trimester
O36.09 Maternal care for other rhesus isoimmunization
O36.091 Maternal care for other rhesus isoimmunization, first trimester
O36.092 Maternal care for other rhesus isoimmunization, second trimester
O36.093 Maternal care for other rhesus isoimmunization, third trimester
O36.099 Maternal care for other rhesus isoimmunization, unspecified trimester
O36.1 Maternal care for other isoimmunization
Maternal care for ABO isoimmunization
O36.11 Maternal care for Anti-A sensitization
Maternal care for isoimmunization NOS (with hydrops fetalis)
O36.111 Maternal care for Anti-A sensitization, first trimester
O36.112 Maternal care for Anti-A sensitization, second trimester
O36.113 Maternal care for Anti-A sensitization, third trimester
O36. 119 Maternal care for Anti-A sensitization, unspecified trimester
O36.19 Maternal care for other isoimmunization
Maternal care for Anti-B sensitization
O36.191 Maternal care for other isoimmunization, first trimester
O36.192 Maternal care for other isoimmunization, second trimester
O36.193 Maternal care for other isoimmunization, third trimester
O36.199 Maternal care for other isoimmunization, unspecified trimester
O36.2 Maternal care for hydrops fetalis
Maternal care for hydrops fetalis NOS
Maternal care for hydrops fetalis not associated with isoimmunization
Excludes1: hydrops fetalis associated with ABO isoimmunization (O36.1-)
hydrops fetalis associated with rhesus isoimmunization (O36.0-)
O36.20 Maternal care for hydrops fetalis, unspecified trimester
O36.21 Maternal care for hydrops fetalis, first trimester
O36.22 Maternal care for hydrops fetalis, second trimester
O36.23 Maternal care for hydrops fetalis, third trimester
O36.4 Maternal care for intrauterine death
Maternal care for intrauterine fetal death NOS
Maternal care for intrauterine fetal death after completion of 20 weeks of gestation
Maternal care for late fetal death
Maternal care for missed delivery
Excludes1: missed abortion (O02.1)
stillbirth (P95)
O36.5 Maternal care for known or suspected poor fetal growth
O36.51 Maternal care for known or suspected placental insufficiency
O36.511 Maternal care for known or suspected placental insufficiency, first trimester
O36.512 Maternal care for known or suspected placental insufficiency, second trimester
O36.513 Maternal care for known or suspected placental insufficiency, third trimester
O36.519 Maternal care for known or suspected placental insufficiency, unspecified trimester
O36.59 Maternal care for other known or suspected poor fetal growth
Maternal care for known or suspected light-for-dates NOS
Maternal care for known or suspected small-for-dates NOS
O36.591 Maternal care for other known or suspected poor fetal growth, first trimester
O36.592 Maternal care for other known or suspected poor fetal growth, second trimester
O36.593 Maternal care for other known or suspected poor fetal growth, third trimester
O36.599 Maternal care for other known or suspected poor fetal growth, unspecified trimester
O36.6 Maternal care for excessive fetal growth
Maternal care for known or suspected large-for-dates
O36.60 Maternal care for excessive fetal growth, unspecified trimester
O36.61 Maternal care for excessive fetal growth, first trimester
O36.62 Maternal care for excessive fetal growth, second trimester
O36.63 Maternal care for excessive fetal growth, third trimester
O36.7 Maternal care for viable fetus in abdominal pregnancy
O36.70 Maternal care for viable fetus in abdominal pregnancy, unspecified trimester
O36.71 Maternal care for viable fetus in abdominal pregnancy, first trimester
O36.72 Maternal care for viable fetus in abdominal pregnancy, second trimester
O36.73 Maternal care for viable fetus in abdominal pregnancy, third trimester
O36.8 Maternal care for other specified fetal problems
O36.81 Decreased fetal movements
O36.812 Decreased fetal movements, second trimester
O36.813 Decreased fetal movements, third trimester
O36.819 Decreased fetal movements, unspecified trimester
O36.82 Fetal anemia and thrombocytopenia
O36.821 Fetal anemia and thrombocytopenia, first trimester
O36.822 Fetal anemia and thrombocytopenia, second trimester
O36.823 Fetal anemia and thrombocytopenia, third trimester
O36.829 Fetal anemia and thrombocytopenia, unspecified trimester
O36.89 Maternal care for other specified fetal problems
O36. 891 Maternal care for other specified fetal problems, first trimester
O36.892 Maternal care for other specified fetal problems, second trimester
O36.893 Maternal care for other specified fetal problems, third trimester
O36.899 Maternal care for other specified fetal problems, unspecified trimester
O36.9 Maternal care for fetal problem, unspecified
O36.90 Maternal care for fetal problem, unspecified, unspecified trimester
O36.91 Maternal care for fetal problem, unspecified, first trimester
O36.92 Maternal care for fetal problem, unspecified, second trimester
O36.93 Maternal care for fetal problem, unspecified, third trimester

O40 Polyhydramnios[edit]

Includes: hydramnios
Excludes1: encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
One of the following 7th characters is to be assigned to each code under category O40. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O40 that has a 7th character of 1 through 9.
0 not applicable or unspecified
1 fetus 1
2 fetus 2
3 fetus 3
4 fetus 4
5 fetus 5
9 other fetus
O40.1 Polyhydramnios, first trimester
O40.2 Polyhydramnios, second trimester
O40.3 Polyhydramnios, third trimester
O40.9 Polyhydramnios, unspecified trimester

O41 Other disorders of amniotic fluid and membranes[edit]

Excludes1: encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
One of the following 7th characters is to be assigned to each code under category O41. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O41 that has a 7th character of 1 through 9.
0 not applicable or unspecified
1 fetus 1
2 fetus 2
3 fetus 3
4 fetus 4
5 fetus 5
9 other fetus
O41.0 Oligohydramnios
Oligohydramnios without rupture of membranes
O41.00 Oligohydramnios, unspecified trimester
O41.01 Oligohydramnios, first trimester
O41.02 Oligohydramnios, second trimester
O41.03 Oligohydramnios, third trimester
O41.1 Infection of amniotic sac and membranes
O41.10 Infection of amniotic sac and membranes, unspecified
O41.101 Infection of amniotic sac and membranes, unspecified, first trimester
O41.102 Infection of amniotic sac and membranes, unspecified, second trimester
O41.103 Infection of amniotic sac and membranes, unspecified, third trimester
O41.109 Infection of amniotic sac and membranes, unspecified, unspecified trimester
O41.12 Chorioamnionitis
O41.121 Chorioamnionitis, first trimester
O41.122 Chorioamnionitis, second trimester
O41.123 Chorioamnionitis, third trimester
O41.129 Chorioamnionitis, unspecified trimester
O41.14 Placentitis
O41.141 Placentitis, first trimester
O41.142 Placentitis, second trimester
O41.143 Placentitis, third trimester
O41.149 Placentitis, unspecified trimester
O41.8 Other specified disorders of amniotic fluid and membranes
O41.8x Other specified disorders of amniotic fluid and membranes
O41.8x1 Other specified disorders of amniotic fluid and membranes, first trimester
O41.8x2 Other specified disorders of amniotic fluid and membranes, second trimester
O41.8x3 Other specified disorders of amniotic fluid and membranes, third trimester
O41.8x9 Other specified disorders of amniotic fluid and membranes, unspecified trimester
O41.9 Disorder of amniotic fluid and membranes, unspecified
O41.90 Disorder of amniotic fluid and membranes, unspecified, unspecified trimester
O41.91 Disorder of amniotic fluid and membranes, unspecified, first trimester
O41.92 Disorder of amniotic fluid and membranes, unspecified, second trimester
O41.93 Disorder of amniotic fluid and membranes, unspecified, third trimester

O42 Premature rupture of membranes[edit]

O42.0 Premature rupture of membranes, onset of labor within 24 hours of rupture
O42.00 Premature rupture of membranes, onset of labor within 24 hours of rupture, unspecified weeks of gestation
O42.01 Preterm premature rupture of membranes, onset of labor within 24 hours of rupture
Premature rupture of membranes before 37 completed weeks of gestation
O42.011 Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, first trimester
O42.012 Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, second trimester
O42.013 Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, third trimester
O42.019 Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, unspecified trimester
O42.02 Full-term premature rupture of membranes, onset of labor within 24 hours of rupture
Premature rupture of membranes after 37 completed weeks of gestation
O42.1 Premature rupture of membranes, onset of labor more than 24 hours following rupture
O42.10 Premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified weeks of gestation
O42.11 Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture
Premature rupture of membranes before 37 completed weeks of gestation
O42.111 Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, first trimester
O42.112 Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, second trimester
O42.113 Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, third trimester
O42.119 Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified trimester
O42.12 Full-term premature rupture of membranes, onset of labor more than 24 hours following rupture
Premature rupture of membranes after 37 completed weeks of gestation
O42.9 Premature rupture of membranes, unspecified as to length of time between rupture and onset of labor
O42.90 Premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, unspecified weeks of gestation
O42.91 Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor
Premature rupture of membranes before 37 completed weeks of gestation
O42.911 Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, first trimester
O42.912 Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, second trimester
O42.913 Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, third trimester
O42.919 Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, unspecified trimester
O42.92 Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor
Premature rupture of membranes after 37 completed weeks of gestation

O43 Placental disorders[edit]

Excludes2: maternal care for poor fetal growth due to placental insufficiency (O36.5-)
placenta previa (O44.-)
placental polyp (O90.89)
placentitis (O41.14-)
premature separation of placenta [abruptio placentae] (O45.-)
O43.0 Placental transfusion syndromes
O43.01 Fetomaternal placental transfusion syndrome
Maternofetal placental transfusion syndrome
O43.011 Fetomaternal placental transfusion syndrome, first trimester
O43.012 Fetomaternal placental transfusion syndrome, second trimester
O43.013 Fetomaternal placental transfusion syndrome, third trimester
O43.019 Fetomaternal placental transfusion syndrome, unspecified trimester
O43.02 Fetus-to-fetus placental transfusion syndrome
O43.021 Fetus-to-fetus placental transfusion syndrome, first trimester
O43.022 Fetus-to-fetus placental transfusion syndrome, second trimester
O43.023 Fetus-to-fetus placental transfusion syndrome, third trimester
O43.029 Fetus-to-fetus placental transfusion syndrome, unspecified trimester
O43.1 Malformation of placenta
O43.10 Malformation of placenta, unspecified
Abnormal placenta NOS
O43.101 Malformation of placenta, unspecified, first trimester
O43.102 Malformation of placenta, unspecified, second trimester
O43.103 Malformation of placenta, unspecified, third trimester
O43.109 Malformation of placenta, unspecified, unspecified trimester
O43.11 Circumvallate placenta
O43.111 Circumvallate placenta, first trimester
O43.112 Circumvallate placenta, second trimester
O43. 113 Circumvallate placenta, third trimester
O43.119 Circumvallate placenta, unspecified trimester
O43.12 Velamentous insertion of umbilical cord
O43.121 Velamentous insertion of umbilical cord, first trimester
O43.122 Velamentous insertion of umbilical cord, second trimester
O43.123 Velamentous insertion of umbilical cord, third trimester
O43.129 Velamentous insertion of umbilical cord, unspecified trimester
O43.19 Other malformation of placenta
O43.191 Other malformation of placenta, first trimester
O43.192 Other malformation of placenta, second trimester
O43.193 Other malformation of placenta, third trimester
O43.199 Other malformation of placenta, unspecified trimester
O43.2 Morbidly adherent placenta
Code also associated third stage postpartum hemorrhage, if applicable (O72.0)
Excludes1: retained placenta (O73.-)
O43.21 Placenta accreta
O43.211 Placenta accreta, first trimester
O43.212 Placenta accreta, second trimester
O43.213 Placenta accreta, third trimester
O43.219 Placenta accreta, unspecified trimester
O43.22 Placenta increta
O43.221 Placenta increta, first trimester
O43.222 Placenta increta, second trimester
O43.223 Placenta increta, third trimester
O43.229 Placenta increta, unspecified trimester
O43.23 Placenta percreta
O43.231 Placenta percreta, first trimester
O43.232 Placenta percreta, second trimester
O43.233 Placenta percreta, third trimester
O43.239 Placenta percreta, unspecified trimester
O43.8 Other placental disorders
O43.81 Placental infarction
O43.811 Placental infarction, first trimester
O43.812 Placental infarction, second trimester
O43.813 Placental infarction, third trimester
O43.819 Placental infarction, unspecified trimester
O43. 89 Other placental disorders
Placental dysfunction
O43.891 Other placental disorders, first trimester
O43.892 Other placental disorders, second trimester
O43.893 Other placental disorders, third trimester
O43.899 Other placental disorders, unspecified trimester
O43.9 Unspecified placental disorder
O43.90 Unspecified placental disorder, unspecified trimester
O43.91 Unspecified placental disorder, first trimester
O43.92 Unspecified placental disorder, second trimester
O43.93 Unspecified placental disorder, third trimester

O44 Placenta previa[edit]

O44.0 Placenta previa specified as without hemorrhage
Low implantation of placenta specified as without hemorrhage
O44.00 Placenta previa specified as without hemorrhage, unspecified trimester
O44.01 Placenta previa specified as without hemorrhage, first trimester
O44.02 Placenta previa specified as without hemorrhage, second trimester
O44.03 Placenta previa specified as without hemorrhage, third trimester
O44.1 Placenta previa with hemorrhage
Low implantation of placenta, NOS or with hemorrhage
Marginal placenta previa, NOS or with hemorrhage
Partial placenta previa, NOS or with hemorrhage
Total placenta previa, NOS or with hemorrhage
Excludes1: labor and delivery complicated by hemorrhage from vasa previa (O69.4)
O44.10 Placenta previa with hemorrhage, unspecified trimester
O44.11 Placenta previa with hemorrhage, first trimester
O44.12 Placenta previa with hemorrhage, second trimester
O44.13 Placenta previa with hemorrhage, third trimester

O45 Premature separation of placenta [abruptio placentae][edit]

O45.0 Premature separation of placenta with coagulation defect
O45.00 Premature separation of placenta with coagulation defect, unspecified
O45.001 Premature separation of placenta with coagulation defect, unspecified, first trimester
O45.002 Premature separation of placenta with coagulation defect, unspecified, second trimester
O45. 003 Premature separation of placenta with coagulation defect, unspecified, third trimester
O45.009 Premature separation of placenta with coagulation defect, unspecified, unspecified trimester
O45.01 Premature separation of placenta with afibrinogenemia
Premature separation of placenta with hypofibrinogenemia
O45.011 Premature separation of placenta with afibrinogenemia, first trimester
O45.012 Premature separation of placenta with afibrinogenemia, second trimester
O45.013 Premature separation of placenta with afibrinogenemia, third trimester
O45.019 Premature separation of placenta with afibrinogenemia, unspecified trimester
O45.02 Premature separation of placenta with disseminated intravascular coagulation
O45.021 Premature separation of placenta with disseminated intravascular coagulation, first trimester
O45.022 Premature separation of placenta with disseminated intravascular coagulation, second trimester
O45.023 Premature separation of placenta with disseminated intravascular coagulation, third trimester
O45.029 Premature separation of placenta with disseminated intravascular coagulation, unspecified trimester
O45.09 Premature separation of placenta with other coagulation defect
O45.091 Premature separation of placenta with other coagulation defect, first trimester
O45.092 Premature separation of placenta with other coagulation defect, second trimester
O45.093 Premature separation of placenta with other coagulation defect, third trimester
O45.099 Premature separation of placenta with other coagulation defect, unspecified trimester
O45.8 Other premature separation of placenta
O45.8x Other premature separation of placenta
O45.8x1 Other premature separation of placenta, first trimester
O45. 8x2 Other premature separation of placenta, second trimester
O45.8x3 Other premature separation of placenta, third trimester
O45.8x9 Other premature separation of placenta, unspecified trimester
O45.9 Premature separation of placenta, unspecified
Abruptio placentae NOS
O45.90 Premature separation of placenta, unspecified, unspecified trimester
O45.91 Premature separation of placenta, unspecified, first trimester
O45.92 Premature separation of placenta, unspecified, second trimester
O45.93 Premature separation of placenta, unspecified, third trimester

O46 Antepartum hemorrhage, not elsewhere classified[edit]

Excludes1: hemorrhage in early pregnancy (O20.-)
intrapartum hemorrhage NEC (O67.-)
placenta previa (O44.-)
premature separation of placenta [abruptio placentae] (O45.-)
O46.0 Antepartum hemorrhage with coagulation defect
O46.00 Antepartum hemorrhage with coagulation defect, unspecified
O46.001 Antepartum hemorrhage with coagulation defect, unspecified, first trimester
O46.002 Antepartum hemorrhage with coagulation defect, unspecified, second trimester
O46.003 Antepartum hemorrhage with coagulation defect, unspecified, third trimester
O46.009 Antepartum hemorrhage with coagulation defect, unspecified, unspecified trimester
O46.01 Antepartum hemorrhage with afibrinogenemia
Antepartum hemorrhage with hypofibrinogenemia
O46.011 Antepartum hemorrhage with afibrinogenemia, first trimester
O46.012 Antepartum hemorrhage with afibrinogenemia, second trimester
O46.013 Antepartum hemorrhage with afibrinogenemia, third trimester
O46.019 Antepartum hemorrhage with afibrinogenemia, unspecified trimester
O46.02 Antepartum hemorrhage with disseminated intravascular coagulation
O46. 021 Antepartum hemorrhage with disseminated intravascular coagulation, first trimester
O46.022 Antepartum hemorrhage with disseminated intravascular coagulation, second trimester
O46.023 Antepartum hemorrhage with disseminated intravascular coagulation, third trimester
O46.029 Antepartum hemorrhage with disseminated intravascular coagulation, unspecified trimester
O46.09 Antepartum hemorrhage with other coagulation defect
O46.091 Antepartum hemorrhage with other coagulation defect, first trimester
O46.092 Antepartum hemorrhage with other coagulation defect, second trimester
O46.093 Antepartum hemorrhage with other coagulation defect, third trimester
O46.099 Antepartum hemorrhage with other coagulation defect, unspecified trimester
O46.8 Other antepartum hemorrhage
O46.8x Other antepartum hemorrhage
O46.8x1 Other antepartum hemorrhage, first trimester
O46.8x2 Other antepartum hemorrhage, second trimester
O46.8x3 Other antepartum hemorrhage, third trimester
O46.8x9 Other antepartum hemorrhage, unspecified trimester
O46.9 Antepartum hemorrhage, unspecified
O46.90 Antepartum hemorrhage, unspecified, unspecified trimester
O46.91 Antepartum hemorrhage, unspecified, first trimester
O46.92 Antepartum hemorrhage, unspecified, second trimester
O46.93 Antepartum hemorrhage, unspecified, third trimester

O47 False labor[edit]

Includes: Braxton Hicks contractions
Threatened labor
Excludes1: preterm labor (O60.-)
O47.0 False labor before 37 completed weeks of gestation
O47.00 False labor before 37 completed weeks of gestation, unspecified trimester
O47.02 False labor before 37 completed weeks of gestation, second trimester
O47. 03 False labor before 37 completed weeks of gestation, third trimester
O47.1 False labor at or after 37 completed weeks of gestation
O47.9 False labor, unspecified

O48 Late pregnancy[edit]

O48.0 Post-term pregnancy
Pregnancy over 40 completed weeks to 42 completed weeks gestation
O48.1 Prolonged pregnancy
Pregnancy which has advanced beyond 42 completed weeks gestation

Complications of labor and delivery (O60-O77)[edit]

O60 Preterm labor[edit]

Includes: onset (spontaneous) of labor before 37 completed weeks of gestation
Excludes1: false labor (O47.0-)
threatened labor NOS (O47.0-)
O60.0 Preterm labor without delivery
O60.00 Preterm labor without delivery, unspecified trimester
O60.02 Preterm labor without delivery, second trimester
O60.03 Preterm labor without delivery, third trimester
One of the following 7th characters is to be assigned to each code under subcategory O60.1. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from subcategory O60.1 that has a 7th character of 1 through 9.
0 not applicable or unspecified
1 fetus 1
2 fetus 2
3 fetus 3
4 fetus 4
5 fetus 5
9 other fetus
O60.1 Preterm labor with preterm delivery
O60.10 Preterm labor with preterm delivery, unspecified trimester
Preterm labor with delivery NOS
O60.12 Preterm labor second trimester with preterm delivery second trimester
O60.13 Preterm labor second trimester with preterm delivery third trimester
O60.14 Preterm labor third trimester with preterm delivery third trimester
One of the following 7th characters is to be assigned to each code under subcategory O60.2. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from subcategory O60.2 that has a 7th character of 1 through 9.
0 not applicable or unspecified
1 fetus 1
2 fetus 2
3 fetus 3
4 fetus 4
5 fetus 5
9 other fetus
O60.2 Term delivery with preterm labor
O60.20 Term delivery with preterm labor, unspecified trimester
O60.22 Term delivery with preterm labor, second trimester
O60.23 Term delivery with preterm labor, third trimester

O61 Failed induction of labor[edit]

O61.0 Failed medical induction of labor
Failed induction (of labor) by oxytocin
Failed induction (of labor) by prostaglandins
O61.1 Failed instrumental induction of labor
Failed mechanical induction (of labor)
Failed surgical induction (of labor)
O61.8 Other failed induction of labor
O61.9 Failed induction of labor, unspecified

O62 Abnormalities of forces of labor[edit]

O62.0 Primary inadequate contractions
Failure of cervical dilatation
Primary hypotonic uterine dysfunction
Uterine inertia during latent phase of labor
O62.1 Secondary uterine inertia
Arrested active phase of labor
Secondary hypotonic uterine dysfunction
O62.2 Other uterine inertia
Atony of uterus without hemorrhage
Atony of uterus NOS
Desultory labor
Hypotonic uterine dysfunction NOS
Irregular labor
Poor contractions
Slow slope active phase of labor
Uterine inertia NOS
Excludes1: atony of uterus with hemorrhage (postpartum) (O72.1)
postpartum atony of uterus without hemorrhage (O75.89)
O62.3 Precipitate labor
O62.4 Hypertonic, incoordinate, and prolonged uterine contractions
Cervical spasm
Contraction ring dystocia
Dyscoordinate labor
Hour-glass contraction of uterus
Hypertonic uterine dysfunction
Incoordinate uterine action
Tetanic contractions
Uterine dystocia NOS
Uterine spasm
Excludes1: dystocia (fetal) (maternal) NOS (O66.9)
O62.8 Other abnormalities of forces of labor
O62.9 Abnormality of forces of labor, unspecified

O63 Long labor[edit]

O63.0 Prolonged first stage (of labor)
O63.1 Prolonged second stage (of labor)
O63.2 Delayed delivery of second twin, triplet, etc.
O63.9 Long labor, unspecified
Prolonged labor NOS

O64 Obstructed labor due to malposition and malpresentation of fetus[edit]

One of the following 7th characters is to be assigned to each code under category O64. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O64 that has a 7th character of 1 through 9.
0 not applicable or unspecified
1 fetus 1
2 fetus 2
3 fetus 3
4 fetus 4
5 fetus 5
9 other fetus
O64.0 Obstructed labor due to incomplete rotation of fetal head
Deep transverse arrest
Obstructed labor due to persistent occipitoiliac (position)
Obstructed labor due to persistent occipitoposterior (position)
Obstructed labor due to persistent occipitosacral (position)
Obstructed labor due to persistent occipitotransverse (position)
O64.1 Obstructed labor due to breech presentation
Obstructed labor due to buttocks presentation
Obstructed labor due to complete breech presentation
Obstructed labor due to frank breech presentation
O64.2 Obstructed labor due to face presentation
Obstructed labor due to chin presentation
O64.3 Obstructed labor due to brow presentation
O64.4 Obstructed labor due to shoulder presentation
Prolapsed arm
Excludes1: impacted shoulders (O66.0)
shoulder dystocia (O66.0)
O64.5 Obstructed labor due to compound presentation
O64.8 Obstructed labor due to other malposition and malpresentation
Obstructed labor due to footling presentation
Obstructed labor due to incomplete breech presentation
O64.9 Obstructed labor due to malposition and malpresentation, unspecified

O65 Obstructed labor due to maternal pelvic abnormality[edit]

O65.0 Obstructed labor due to deformed pelvis
O65.1 Obstructed labor due to generally contracted pelvis
O65.2 Obstructed labor due to pelvic inlet contraction
O65.3 Obstructed labor due to pelvic outlet and mid-cavity contraction
O65.4 Obstructed labor due to fetopelvic disproportion, unspecified
Excludes1: dystocia due to abnormality of fetus (O66.2-O66.3)
O65.5 Obstructed labor due to abnormality of maternal pelvic organs
Obstructed labor due to conditions listed in O34.-
Use additional code to identify abnormality of pelvic organs O34.-
O65.8 Obstructed labor due to other maternal pelvic abnormalities
O65.9 Obstructed labor due to maternal pelvic abnormality, unspecified

O66 Other obstructed labor[edit]

O66.0 Obstructed labor due to shoulder dystocia
Impacted shoulders
O66.1 Obstructed labor due to locked twins
O66.2 Obstructed labor due to unusually large fetus
O66.3 Obstructed labor due to other abnormalities of fetus
Dystocia due to fetal ascites
Dystocia due to fetal hydrops
Dystocia due to fetal meningomyelocele
Dystocia due to fetal sacral teratoma
Dystocia due to fetal tumor
Dystocia due to hydrocephalic fetus
Use additional code to identify cause of obstruction
O66.4 Failed trial of labor
O66.40 Failed trial of labor, unspecified
066.41 Failed attempted vaginal birth after previous cesarean delivery
Code first rupture of uterus, if applicable (O71.0-, O71.1)
O66.5 Attempted application of vacuum extractor and forceps
Attempted application of vacuum or forceps, with subsequent delivery by forceps or cesarean delivery
O66.6 Obstructed labor due to other multiple fetuses
O66.8 Other specified obstructed labor
Use additional code to identify cause of obstruction
O66.9 Obstructed labor, unspecified
Dystocia NOS
Fetal dystocia NOS
Maternal dystocia NOS

O67 Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified[edit]

Excludes1: antepartum hemorrhage NEC (O46.-)
placenta previa (O44.-)
premature separation of placenta [abruptio placentae] (O45.-)
Excludes2: postpartum hemorrhage (O72.-)
O67.0 Intrapartum hemorrhage with coagulation defect
Intrapartum hemorrhage (excessive) associated with afibrinogenemia
Intrapartum hemorrhage (excessive) associated with disseminated intravascular coagulation
Intrapartum hemorrhage (excessive) associated with hyperfibrinolysis
Intrapartum hemorrhage (excessive) associated with hypofibrinogenemia
O67.8 Other intrapartum hemorrhage
Excessive intrapartum hemorrhage
O67.9 Intrapartum hemorrhage, unspecified

O68 Labor and delivery complicated by abnormality of fetal acid-base balance[edit]

Includes: fetal acidemia complicating labor and delivery
fetal acidosis complicating labor and delivery
fetal alkalosis complicating labor and delivery
fetal metabolic acidemia complicating labor and delivery
Excludes1: fetal stress NOS (O77.9)
labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)
Excludes2: abnormality in fetal heart rate or rhythm (O76)
labor and delivery complicated by meconium in amniotic fluid (O77.0)

==O69 Labor and delivery complicated by umbilical cord complications== One of the following 7th characters is to be assigned to each code under category O69. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O69 that has a 7th character of 1 through 9.

0 not applicable or unspecified
1 fetus 1
2 fetus 2
3 fetus 3
4 fetus 4
5 fetus 5
9 other fetus
O69.0 Labor and delivery complicated by prolapse of cord
O69.1 Labor and delivery complicated by cord around neck, with compression
Excludes1: labor and delivery complicated by cord around neck, without compression (O69.81)
O69.2 Labor and delivery complicated by other cord entanglement, with compression
Labor and delivery complicated by compression of cord NOS
Labor and delivery complicated by entanglement of cords of twins in monoamniotic sac
Labor and delivery complicated by knot in cord
Excludes1: labor and delivery complicated by other cord entanglement, without compression (O69.82)
O69.3 Labor and delivery complicated by short cord
O69.4 Labor and delivery complicated by vasa previa
Labor and delivery complicated by hemorrhage from vasa previa
O69.5 Labor and delivery complicated by vascular lesion of cord
Labor and delivery complicated by cord bruising
Labor and delivery complicated by cord hematoma
Labor and delivery complicated by thrombosis of umbilical vessels
O69.8 Labor and delivery complicated by other cord complications
O69.81 Labor and delivery complicated by cord around neck, without compression
O69.82 Labor and delivery complicated by other cord entanglement, without compression
O69.89 Labor and delivery complicated by other cord complications
O69.9 Labor and delivery complicated by cord complication, unspecified

O70 Perineal laceration during delivery[edit]

Includes: episiotomy extended by laceration
Excludes1: obstetric high vaginal laceration alone (O71.4)
O70.0 First degree perineal laceration during delivery
Perineal laceration, rupture or tear involving fourchette during delivery
Perineal laceration, rupture or tear involving labia during delivery
Perineal laceration, rupture or tear involving skin during delivery
Perineal laceration, rupture or tear involving vagina during delivery
Perineal laceration, rupture or tear involving vulva during delivery
Slight perineal laceration, rupture or tear during delivery
O70.1 Second degree perineal laceration during delivery
Perineal laceration, rupture or tear during delivery as in O70.0, also involving pelvic floor
Perineal laceration, rupture or tear during delivery as in O70.0, also involving perineal muscles
Perineal laceration, rupture or tear during delivery as in O70.0, also involving vaginal muscles
Excludes1: perineal laceration involving anal sphincter (O70.2)
O70.2 Third degree perineal laceration during delivery
Perineal laceration, rupture or tear during delivery as in O70.1, also involving anal sphincter
Perineal laceration, rupture or tear during delivery as in O70.1, also involving rectovaginal septum
Perineal laceration, rupture or tear during delivery as in O70.1, also involving sphincter NOS
Excludes1: anal sphincter tear during delivery without third degree perineal laceration (O70.4)
perineal laceration involving anal or rectal mucosa (O70.3)
O70.3 Fourth degree perineal laceration during delivery
Perineal laceration, rupture or tear during delivery as in O70.2, also involving anal mucosa
Perineal laceration, rupture or tear during delivery as in O70.2, also involving rectal mucosa
O70.4 Anal sphincter tear complicating delivery, not associated with third degree laceration
Excludes1: anal sphincter tear with third degree perineal laceration (O70.2)
O70.9 Perineal laceration during delivery, unspecified

O71 Other obstetric trauma[edit]

Includes: damage from instruments
O71.0 Rupture of uterus (spontaneous) before onset of labor
Excludes1: disruption of (current) cesarean delivery wound (O90.0)
laceration of uterus, NEC (O71.81)
O71.00 Rupture of uterus before onset of labor, unspecified trimester
O71.02 Rupture of uterus before onset of labor, second trimester
O71.03 Rupture of uterus before onset of labor, third trimester
O71.1 Rupture of uterus during labor
Rupture of uterus not stated as occurring before onset of labor
Excludes1:disruption of cesarean delivery wound (O90.0)
laceration of uterus, NEC (O71.81)
O71.2 Postpartum inversion of uterus
O71.3 Obstetric laceration of cervix
Annular detachment of cervix
O71.4 Obstetric high vaginal laceration alone
Laceration of vaginal wall without perineal laceration
Excludes1: obstetric high vaginal laceration with perineal laceration (O70.-)
O71.5 Other obstetric injury to pelvic organs
Obstetric injury to bladder
Obstetric injury to urethra
O71.6 Obstetric damage to pelvic joints and ligaments
Obstetric avulsion of inner symphyseal cartilage
Obstetric damage to coccyx
Obstetric traumatic separation of symphysis (pubis)
O71.7 Obstetric hematoma of pelvis
Obstetric hematoma of perineum
Obstetric hematoma of vagina
Obstetric hematoma of vulva
O71.8 Other specified obstetric trauma
O71.81 Laceration of uterus, not elsewhere classified
O71.89 Other specified obstetric trauma
O71.9 Obstetric trauma, unspecified

O72 Postpartum hemorrhage[edit]

Includes: hemorrhage after delivery of fetus or infant
O72.0 Third-stage hemorrhage
Hemorrhage associated with retained, trapped or adherent placenta
Retained placenta NOS
Code also type of adherent placenta (O43.2-)
O72.1 Other immediate postpartum hemorrhage
Hemorrhage following delivery of placenta
Postpartum hemorrhage (atonic) NOS
Uterine atony with hemorrhage
Excludes1: uterine atony NOS (O62.2)
uterine atony without hemorrhage (O62.2)
postpartum atony of uterus without hemorrhage (O75.89)
O72.2 Delayed and secondary postpartum hemorrhage
Hemorrhage associated with retained portions of placenta or membranes after the first 24 hours following delivery of placenta
Retained products of conception NOS, following delivery
O72.3 Postpartum coagulation defects
Postpartum afibrinogenemia
Postpartum fibrinolysis

==O73 Retained placenta and membranes, without hemorrhage==

Excludes1:placenta accreta (O43.21-)
placenta increta (O43.22-)
placenta percreta (O43.23-)
O73.0 Retained placenta without hemorrhage
Adherent placenta, without hemorrhage
Trapped placenta without hemorrhage
O73.1 Retained portions of placenta and membranes, without hemorrhage
Retained products of conception following delivery, without hemorrhage

O74 Complications of anesthesia during labor and delivery[edit]

Includes: maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during labor and delivery
Use additional code, if applicable, to identify specific complication
O74.0 Aspiration pneumonitis due to anesthesia during labor and delivery
Inhalation of stomach contents or secretions NOS due to anesthesia during labor and delivery
Mendelson's syndrome due to anesthesia during labor and delivery
O74.1 Other pulmonary complications of anesthesia during labor and delivery
O74.2 Cardiac complications of anesthesia during labor and delivery
O74.3 Central nervous system complications of anesthesia during labor and delivery
O74.4 Toxic reaction to local anesthesia during labor and delivery
O74.5 Spinal and epidural anesthesia-induced headache during labor and delivery
O74.6 Other complications of spinal and epidural anesthesia during labor and delivery
O74.7 Failed or difficult intubation for anesthesia during labor and delivery
O74.8 Other complications of anesthesia during labor and delivery
O74.9 Complication of anesthesia during labor and delivery, unspecified

O75 Other complications of labor and delivery, not elsewhere classified[edit]

Excludes2: puerperal (postpartum) infection (O86.-)
puerperal (postpartum) sepsis (O85)
O75.0 Maternal distress during labor and delivery
O75.1 Shock during or following labor and delivery
Obstetric shock following labor and delivery
O75.2 Pyrexia during labor, not elsewhere classified
O75.3 Other infection during labor
Sepsis during labor
Use additional code (B95-B97), to identify infectious agent
O75.4 Other complications of obstetric surgery and procedures
Cardiac arrest following obstetric surgery or procedures
Cardiac failure following obstetric surgery or procedures
Cerebral anoxia following obstetric surgery or procedures
Pulmonary edema following obstetric surgery or procedures
Use additional code to identify specific complication
Excludes2: complications of anesthesia during labor and delivery (O74.-)
disruption of obstetrical (surgical) wound (O90.0-O90.1)
hematoma of obstetrical (surgical) wound (O90.2)
infection of obstetrical (surgical) wound (O86.0)
O75.5 Delayed delivery after artificial rupture of membranes
O75.8 Other specified complications of labor and delivery
O75.81 Maternal exhaustion complicating labor and delivery
O75.89 Other specified complications of labor and delivery
O75.9 Complication of labor and delivery, unspecified

O76 Abnormality in fetal heart rate and rhythm complicating labor and delivery[edit]

Includes: Depressed fetal heart rate tones complicating labor and delivery
Fetal bradycardia complicating labor and delivery
Fetal heart rate decelerations complicating labor and delivery
Fetal heart rate irregularity complicating labor and delivery
Fetal heart rate abnormal variability complicating labor and delivery
Fetal tachycardia complicating labor and delivery
Non-reassuring fetal heart rate or rhythm complicating labor and delivery
Excludes1: fetal stress NOS (O77.9)
labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)
Excludes2: fetal metabolic acidemia (O68)
other fetal stress (O77.0-O77.1)

O77 Other fetal stress complicating labor and delivery[edit]

O77.0 Labor and delivery complicated by meconium in amniotic fluid
O77.1 Fetal stress in labor or delivery due to drug administration
O77.8 Labor and delivery complicated by other evidence of fetal stress
Labor and delivery complicated by electrocardiographic evidence of fetal stress
Labor and delivery complicated by ultrasonic evidence of fetal stress
Excludes1: abnormality of fetal acid-base balance (O68)
abnormality in fetal heart rate or rhythm (O76)
fetal metabolic acidemia (O68)
O77.9 Labor and delivery complicated by fetal stress, unspecified
Excludes1: abnormality of fetal acid-base balance (O68)
abnormality in fetal heart rate or rhythm (O76)
fetal metabolic acidemia (O68)

Encounter for delivery (O80, O82)[edit]

O80 Encounter for full-term uncomplicated delivery[edit]

Delivery requiring minimal or no assistance, with or without episiotomy, without fetal manipulation [e.g., rotation version] or instrumentation [forceps] of a spontaneous, cephalic, vaginal, full-term, single, live-born infant. This code is for use as a single diagnosis code and is not to be used with any other code from chapter 15. This code must be accompanied by a delivery code from the appropriate procedure classification.
Use additional code to indicate outcome of delivery (Z37.0)

O82 Encounter for cesarean delivery without indication[edit]

This code must be accompanied by a delivery code from the appropriate procedure classification.
Use additional code to indicate outcome of delivery (Z37.0)

Complications predominantly related to the puerperium (O85-O92)[edit]

Excludes2: mental and behavioral disorders associated with the puerperium (F53)
obstetrical tetanus (A34)
puerperal osteomalacia (M83.0)

O85 Puerperal sepsis[edit]

Includes: postpartum sepsis
puerperal peritonitis
puerperal pyemia
Use additional code (B95-B97), to identify infectious agent
Excludes1: fever of unknown origin following delivery (O86.4)
genital tract infection following delivery (O86.1-)
obstetric pyemic and septic embolism (O88.3-)
puerperal septic thrombophlebitis (O86.81)
urinary tract infection following delivery (O86.2-)
Excludes2: sepsis during labor (O75.3)

O86 Other puerperal infections[edit]

Use additional code (B95-B97), to identify infectious agent
Excludes2: infection during labor (O75.3)
obstetrical tetanus (A34)
O86.0 Infection of obstetric surgical wound
Infected cesarean delivery wound following delivery
Infected perineal repair following delivery
O86. 1 Other infection of genital tract following delivery
O86.11 Cervicitis following delivery
O86.12 Endometritis following delivery
O86.13 Vaginitis following delivery
O86.19 Other infection of genital tract following delivery
O86.2 Urinary tract infection following delivery
O86.20 Urinary tract infection following delivery, unspecified
Puerperal urinary tract infection NOS
O86.21 Infection of kidney following delivery
O86.22 Infection of bladder following delivery
Infection of urethra following delivery
O86.29 Other urinary tract infection following delivery
O86.4 Pyrexia of unknown origin following delivery
Puerperal infection NOS following delivery
Puerperal pyrexia NOS following delivery
Excludes2: pyrexia during labor (O75.2)
O86.8 Other specified puerperal infections
O86.81 Puerperal septic thrombophlebitis
O86.89 Other specified puerperal infections

O87 Venous complications in the puerperium[edit]

Includes: those in labor, delivery and the puerperium
Excludes2: obstetric embolism (O88.-)
puerperal septic thrombophlebitis (O86.81)
venous complications in pregnancy (O22.-)
O87.0 Superficial thrombophlebitis in the puerperium
Puerperal phlebitis NOS
Puerperal thrombosis NOS
O87.1 Deep phlebothrombosis in the puerperium
Deep vein thrombosis, postpartum
Pelvic thrombophlebitis, postpartum
Use additional code to identify the deep vein thrombosis (I82.4-, I82.5-, I82.62-. I82.72-)
Use additional code, if applicable, for associated long-term (current) use of anticoagulants (Z79.01)
O87.2 Hemorrhoids in the puerperium
O87.3 Cerebral venous thrombosis in the puerperium
Cerebrovenous sinus thrombosis in the puerperium
O87.4 Varicose veins of lower extremity in the puerperium
O87.8 Other venous complications in the puerperium
Genital varices in the puerperium
O87.9 Venous complication in the puerperium, unspecified
Puerperal phlebopathy NOS

O88 Obstetric embolism[edit]

Excludes1: embolism complicating abortion NOS (O03.2)
embolism complicating ectopic or molar pregnancy (O08.2)
embolism complicating failed attempted abortion (O07.2, O07.7)
embolism complicating induced abortion (O04.2, O05.2)
embolism complicating spontaneous abortion (O03.2, O03.7)
O88.0 Obstetric air embolism
O88.01 Obstetric air embolism in pregnancy
O88.011 Air embolism in pregnancy, first trimester
O88.012 Air embolism in pregnancy, second trimester
O88.013 Air embolism in pregnancy, third trimester
O88.019 Air embolism in pregnancy, unspecified trimester
O88.02 Air embolism in childbirth
O88.03 Air embolism in the puerperium
O88.1 Amniotic fluid embolism
Anaphylactoid syndrome in pregnancy
O88.11 Amniotic fluid embolism in pregnancy
O88.111 Amniotic fluid embolism in pregnancy, first trimester
O88.112 Amniotic fluid embolism in pregnancy, second trimester
O88.113 Amniotic fluid embolism in pregnancy, third trimester
O88.119 Amniotic fluid embolism in pregnancy, unspecified trimester
O88.12 Amniotic fluid embolism in childbirth
O88.13 Amniotic fluid embolism in the puerperium
O88.2 Obstetric thromboembolism
O88.21 Thromboembolism in pregnancy
Obstetric (pulmonary) embolism NOS
O88.211 Thromboembolism in pregnancy, first trimester
O88.212 Thromboembolism in pregnancy, second trimester
O88.213 Thromboembolism in pregnancy, third trimester
O88.219 Thromboembolism in pregnancy, unspecified trimester
O88.22 Thromboembolism in childbirth
O88.23 Thromboembolism in the puerperium
Puerperal (pulmonary) embolism NOS
O88.3 Obstetric pyemic and septic embolism
O88.31 Pyemic and septic embolism in pregnancy
O88.311 Pyemic and septic embolism in pregnancy, first trimester
O88.312 Pyemic and septic embolism in pregnancy, second trimester
O88. 313 Pyemic and septic embolism in pregnancy, third trimester
O88.319 Pyemic and septic embolism in pregnancy, unspecified trimester
O88.32 Pyemic and septic embolism in childbirth
O88.33 Pyemic and septic embolism in the puerperium
O88.8 Other obstetric embolism
Obstetric fat embolism
O88.81 Other embolism in pregnancy
O88.811 Other embolism in pregnancy, first trimester
O88.812 Other embolism in pregnancy, second trimester
O88.813 Other embolism in pregnancy, third trimester
O88.819 Other embolism in pregnancy, unspecified trimester
O88.82 Other embolism in childbirth
O88.83 Other embolism in the puerperium

O89 Complications of anesthesia during the puerperium[edit]

Includes: maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during the puerperium
Use additional code, if applicable, to identify specific complication
O89.0 Pulmonary complications of anesthesia during the puerperium
O89.01 Aspiration pneumonitis due to anesthesia during the puerperium
Inhalation of stomach contents or secretions NOS due to anesthesia during the puerperium
Mendelson's syndrome due to anesthesia during the puerperium
O89.09 Other pulmonary complications of anesthesia during the puerperium
O89.1 Cardiac complications of anesthesia during the puerperium
O89.2 Central nervous system complications of anesthesia during the puerperium
O89.3 Toxic reaction to local anesthesia during the puerperium
O89.4 Spinal and epidural anesthesia-induced headache during the puerperium
O89.5 Other complications of spinal and epidural anesthesia during the puerperium
O89.6 Failed or difficult intubation for anesthesia during the puerperium
O89.8 Other complications of anesthesia during the puerperium
O89.9 Complication of anesthesia during the puerperium, unspecified

O90 Complications of the puerperium, not elsewhere classified

O90.0 Disruption of cesarean delivery wound
Dehiscence of cesarean delivery wound
Excludes1: rupture of uterus (spontaneous) before onset of labor (O71.0-)
rupture of uterus during labor (O71.1)
O90.1 Disruption of perineal obstetric wound
Disruption of wound of episiotomy
Disruption of wound of perineal laceration
Secondary perineal tear
O90.2 Hematoma of obstetric wound
O90.3 Peripartum cardiomyopathy
Conditions in I42.- arising during pregnancy and the puerperium
Excludes1: pre-existing heart disease complicating pregnancy and the puerperium (O99.4-)
O90.4 Postpartum acute kidney failure
Hepatorenal syndrome following labor and delivery
O90.5 Postpartum thyroiditis
O90.6 Postpartum mood disturbance
Postpartum blues
Postpartum dysphoria
Postpartum sadness
Excludes1: postpartum depression (F53)
puerperal psychosis (F53)
O90.8 Other complications of the puerperium, not elsewhere classified
O90.81 Anemia of the puerperium
Postpartum anemia NOS
Excludes1: pre-existing anemia complicating the puerperium (O99.03)
O90.89 Other complications of the puerperium, not elsewhere classified
Placental polyp
O90.9 Complication of the puerperium, unspecified

O91 Infections of breast associated with pregnancy, the puerperium and lactation[edit]

Use additional code to identify infection
O91.0 Infection of nipple associated with pregnancy, the puerperium and lactation
O91.01 Infection of nipple associated with pregnancy
Gestational abscess of nipple
O91.011 Infection of nipple associated with pregnancy, first trimester
O91.012 Infection of nipple associated with pregnancy, second trimester
O91. 013 Infection of nipple associated with pregnancy, third trimester
O91.019 Infection of nipple associated with pregnancy, unspecified trimester
O91.02 Infection of nipple associated with the puerperium
Puerperal abscess of nipple
O91.03 Infection of nipple associated with lactation
Abscess of nipple associated with lactation
O91.1 Abscess of breast associated with pregnancy, the puerperium and lactation
O91.11 Abscess of breast associated with pregnancy
Gestational mammary abscess
Gestational purulent mastitis
Gestational subareolar abscess
O91.111 Abscess of breast associated with pregnancy, first trimester
O91.112 Abscess of breast associated with pregnancy, second trimester
O91.113 Abscess of breast associated with pregnancy, third trimester
O91.119 Abscess of breast associated with pregnancy, unspecified trimester
O91.12 Abscess of breast associated with the puerperium
Puerperal mammary abscess
Puerperal purulent mastitis
Puerperal subareolar abscess
O91.13 Abscess of breast associated with lactation
Mammary abscess associated with lactation
Purulent mastitis associated with lactation
Subareolar abscess associated with lactation
O91.2 Nonpurulent mastitis associated with pregnancy, the puerperium and lactation
O91.21 Nonpurulent mastitis associated with pregnancy
Gestational interstitial mastitis
Gestational lymphangitis of breast
Gestational mastitis NOS
Gestational parenchymatous mastitis
O91.211 Nonpurulent mastitis associated with pregnancy, first trimester
O91.212 Nonpurulent mastitis associated with pregnancy, second trimester
O91.213 Nonpurulent mastitis associated with pregnancy, third trimester
O91. 219 Nonpurulent mastitis associated with pregnancy, unspecified trimester
O91.22 Nonpurulent mastitis associated with the puerperium
Puerperal interstitial mastitis
Puerperal lymphangitis of breast
Puerperal mastitis NOS
Puerperal parenchymatous mastitis
O91.23 Nonpurulent mastitis associated with lactation
Interstitial mastitis associated with lactation
Lymphangitis of breast associated with lactation
Mastitis NOS associated with lactation
Parenchymatous mastitis associated with lactation

O92 Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium[edit]

O92.0 Retracted nipple associated with pregnancy, the puerperium, and lactation
O92.01 Retracted nipple associated with pregnancy
O92.011 Retracted nipple associated with pregnancy, first trimester
O92.012 Retracted nipple associated with pregnancy, second trimester
O92.013 Retracted nipple associated with pregnancy, third trimester
O92.019 Retracted nipple associated with pregnancy, unspecified trimester
O92.02 Retracted nipple associated with the puerperium
O92.03 Retracted nipple associated with lactation
O92.1 Cracked nipple associated with pregnancy, the puerperium, and lactation
Fissure of nipple, gestational or puerperal
O92.11 Cracked nipple associated with pregnancy
O92.111 Cracked nipple associated with pregnancy, first trimester
O92.112 Cracked nipple associated with pregnancy, second trimester
O92.113 Cracked nipple associated with pregnancy, third trimester
O92.119 Cracked nipple associated with pregnancy, unspecified trimester
O92.12 Cracked nipple associated with the puerperium
O92.13 Cracked nipple associated with lactation
O92.2 Other and unspecified disorders of breast associated with pregnancy and the puerperium
O92.20 Unspecified disorder of breast associated with pregnancy and the puerperium
O92. 29 Other disorders of breast associated with pregnancy and the puerperium
O92.3 Agalactia
Primary agalactia
Excludes1: Elective agalactia (O92.5)
Secondary agalactia (O92.5)
Therapeutic agalactia (O92.5)
O92.4 Hypogalactia
O92.5 Suppressed lactation
Elective agalactia
Secondary agalactia
Therapeutic agalactia
Excludes1: primary agalactia (O92.3)
O92.6 Galactorrhea
O92.7 Other and unspecified disorders of lactation
O92.70 Unspecified disorders of lactation
O92.79 Other disorders of lactation
Puerperal galactocele

Other obstetric conditions, not elsewhere classified (O94-O9A)[edit]

O94 Sequelae of complication of pregnancy, childbirth, and the puerperium[edit]

Note: This category is to be used to indicate conditions in O00-O77.-, O85-O94 and O98-O99.- as the cause of late effects. The ?sequelae? include conditions specified as such, or as late effects, which may occur at any time after the puerperium
Code first condition resulting from (sequela) of complication of pregnancy, childbirth, and the puerperium

O98 Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium[edit]

Includes: the listed conditions when complicating the pregnant state, when aggravated by the pregnancy, or as a reason for obstetric care
Use additional code (Chapter 1), to identify specific infectious or parasitic disease
Excludes2: herpes gestationis (O26.4-)
infectious carrier state (O99.82-, O99.83-)
obstetrical tetanus (A34)
puerperal infection (O86.-)
puerperal sepsis (O85)
when the reason for maternal care is that the disease is known or suspected to have affected the fetus (O35-O36)
O98. 0 Tuberculosis complicating pregnancy, childbirth and the puerperium
Conditions in A15-A19
O98.01 Tuberculosis complicating pregnancy
O98.011 Tuberculosis complicating pregnancy, first trimester
O98.012 Tuberculosis complicating pregnancy, second trimester
O98.013 Tuberculosis complicating pregnancy, third trimester
O98.019 Tuberculosis complicating pregnancy, unspecified trimester
O98.02 Tuberculosis complicating childbirth
O98.03 Tuberculosis complicating the puerperium
O98.1 Syphilis complicating pregnancy, childbirth and the puerperium
Conditions in A50-A53
O98.11 Syphilis complicating pregnancy
O98.111 Syphilis complicating pregnancy, first trimester
O98.112 Syphilis complicating pregnancy, second trimester
O98.113 Syphilis complicating pregnancy, third trimester
O98.119 Syphilis complicating pregnancy, unspecified trimester
O98.12 Syphilis complicating childbirth
O98.13 Syphilis complicating the puerperium
O98.2 Gonorrhea complicating pregnancy, childbirth and the puerperium
Conditions in A54.-
O98.21 Gonorrhea complicating pregnancy
O98.211 Gonorrhea complicating pregnancy, first trimester
O98.212 Gonorrhea complicating pregnancy, second trimester
O98.213 Gonorrhea complicating pregnancy, third trimester
O98.219 Gonorrhea complicating pregnancy, unspecified trimester
O98.22 Gonorrhea complicating childbirth
O98.23 Gonorrhea complicating the puerperium
O98.3 Other infections with a predominantly sexual mode of transmission complicating pregnancy, childbirth and the puerperium
Conditions in A55-A64
O98. 31 Other infections with a predominantly sexual mode of transmission complicating pregnancy
O98.311 Other infections with a predominantly sexual mode of transmission complicating pregnancy, first trimester
O98.312 Other infections with a predominantly sexual mode of transmission complicating pregnancy, second trimester
O98.313 Other infections with a predominantly sexual mode of transmission complicating pregnancy, third trimester
O98.319 Other infections with a predominantly sexual mode of transmission complicating pregnancy, unspecified trimester
O98.32 Other infections with a predominantly sexual mode of transmission complicating childbirth
O98.33 Other infections with a predominantly sexual mode of transmission complicating the puerperium
O98.4 Viral hepatitis complicating pregnancy, childbirth and the puerperium
Conditions in B15-B19
O98.41 Viral hepatitis complicating pregnancy
O98.411 Viral hepatitis complicating pregnancy, first trimester
O98.412 Viral hepatitis complicating pregnancy, second trimester
O98.413 Viral hepatitis complicating pregnancy, third trimester
O98.419 Viral hepatitis complicating pregnancy, unspecified trimester
O98.42 Viral hepatitis complicating childbirth
O98.43 Viral hepatitis complicating the puerperium
O98.5 Other viral diseases complicating pregnancy, childbirth and the puerperium
Conditions in A80-B09, B25-B34, R87.81-, R87.82-
Excludes:1 human immunodeficiency [HIV] disease complicating pregnancy, childbirth and the puerperium (O98.7-)
O98.51 Other viral diseases complicating pregnancy
O98.511 Other viral diseases complicating pregnancy, first trimester
O98.512 Other viral diseases complicating pregnancy, second trimester
O98.513 Other viral diseases complicating pregnancy, third trimester
O98. 519 Other viral diseases complicating pregnancy, unspecified trimester
O98.52 Other viral diseases complicating childbirth
O98.53 Other viral diseases complicating the puerperium
O98.6 Protozoal diseases complicating pregnancy, childbirth and the puerperium
Conditions in B50-B64
O98.61 Protozoal diseases complicating pregnancy
O98.611 Protozoal diseases complicating pregnancy, first trimester
O98.612 Protozoal diseases complicating pregnancy, second trimester
O98.613 Protozoal diseases complicating pregnancy, third trimester
O98.619 Protozoal diseases complicating pregnancy, unspecified trimester
O98.62 Protozoal diseases complicating childbirth
O98.63 Protozoal diseases complicating the puerperium
O98.7 Human immunodeficiency [HIV] disease complicating pregnancy, childbirth and the puerperium
Use additional code to identify the type of HIV disease:
Acquired immune deficiency syndrome (AIDS) (B20)
Asymptomatic HIV status (Z21)
HIV positive NOS (Z21)
Symptomatic HIV disease (B20)
O98.71 Human immunodeficiency [HIV] disease complicating pregnancy
O98.711 Human immunodeficiency [HIV] disease complicating pregnancy, first trimester
O98.712 Human immunodeficiency [HIV] disease complicating pregnancy, second trimester
O98.713 Human immunodeficiency [HIV] disease complicating pregnancy, third trimester
O98.719 Human immunodeficiency [HIV] disease complicating pregnancy, unspecified trimester
O98.72 Human immunodeficiency [HIV] disease complicating childbirth
O98.73 Human immunodeficiency [HIV] disease complicating the puerperium
O98.8 Other maternal infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium
O98.81 Other maternal infectious and parasitic diseases complicating pregnancy
O98. 811 Other maternal infectious and parasitic diseases complicating pregnancy, first trimester
O98.812 Other maternal infectious and parasitic diseases complicating pregnancy, second trimester
O98.813 Other maternal infectious and parasitic diseases complicating pregnancy, third trimester
O98.819 Other maternal infectious and parasitic diseases complicating pregnancy, unspecified trimester
O98.82 Other maternal infectious and parasitic diseases complicating childbirth
O98.83 Other maternal infectious and parasitic diseases complicating the puerperium
O98.9 Unspecified maternal infectious and parasitic disease complicating pregnancy, childbirth and the puerperium
O98.91 Unspecified maternal infectious and parasitic disease complicating pregnancy
O98.911 Unspecified maternal infectious and parasitic disease complicating pregnancy, first trimester
O98.912 Unspecified maternal infectious and parasitic disease complicating pregnancy, second trimester
O98.913 Unspecified maternal infectious and parasitic disease complicating pregnancy, third trimester
O98.919 Unspecified maternal infectious and parasitic disease complicating pregnancy, unspecified trimester
O98.92 Unspecified maternal infectious and parasitic disease complicating childbirth
O98.93 Unspecified maternal infectious and parasitic disease complicating the puerperium

O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium[edit]

Note: This category includes conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care
Use additional code to identify specific condition.
Excludes2: when the reason for maternal care is that the condition is known or suspected to have affected the fetus (O35-O36)
O99.0 Anemia complicating pregnancy, childbirth and the puerperium
Conditions in D50-D64
Excludes1: anemia arising in the puerperium (O90.81)
postpartum anemia NOS (O90.81)
O99.01 Anemia complicating pregnancy
O99.011 Anemia complicating pregnancy, first trimester
O99.012 Anemia complicating pregnancy, second trimester
O99.013 Anemia complicating pregnancy, third trimester
O99.019 Anemia complicating pregnancy, unspecified trimester
O99.02 Anemia complicating childbirth
O99.03 Anemia complicating the puerperium
Excludes1: postpartum anemia not pre-existing prior to delivery (O90-.81)
O99.1 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium
Conditions in D65-D89
Excludes2: hemorrhage with coagulation defects (O45.-, O46.0-, O67.0, O72.3)
O99.11 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy
O99.111 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, first trimester
O99.112 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, second trimester
O99.113 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, third trimester
O99.119 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, unspecified trimester
O99.12 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating childbirth
O99. 13 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating the puerperium
O99.2 Endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium
Conditions in E00-E90
Excludes2: diabetes mellitus (O24.-)
malnutrition (O25.-)
postpartum thyroiditis (O90.5)
O99.21 Obesity complicating pregnancy, childbirth, and the puerperium
Use additional code to identify the type of obesity (E66.-)
O99.210 Obesity complicating pregnancy, unspecified trimester
O99.211 Obesity complicating pregnancy, first trimester
O99.212 Obesity complicating pregnancy, second trimester
O99.213 Obesity complicating pregnancy, third trimester
O99.214 Obesity complicating childbirth
O99.215 Obesity complicating the puerperium
O99.28 Other endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium
O99.280 Endocrine, nutritional and metabolic diseases complicating pregnancy, unspecified trimester
O99.281 Endocrine, nutritional and metabolic diseases complicating pregnancy, first trimester
O99.282 Endocrine, nutritional and metabolic diseases complicating pregnancy, second trimester
O99.283 Endocrine, nutritional and metabolic diseases complicating pregnancy, third trimester
O99.284 Endocrine, nutritional and metabolic diseases complicating childbirth
O99.285 Endocrine, nutritional and metabolic diseases complicating the puerperium
O99.3 Mental disorders and diseases of the nervous system complicating pregnancy, childbirth and the puerperium
O99.31 Alcohol use complicating pregnancy, childbirth, and the puerperium
Use additional code(s) from F10 to identify manifestations of the alcohol use
O99. 310 Alcohol use complicating pregnancy, unspecified trimester
O99.311 Alcohol use complicating pregnancy, first trimester
O99.312 Alcohol use complicating pregnancy, second trimester
O99.313 Alcohol use complicating pregnancy, third trimester
O99.314 Alcohol use complicating childbirth
O99.315 Alcohol use complicating the puerperium
O99.32 Drug use complicating pregnancy, childbirth, and the puerperium
Use additional code(s) from F11-F16 and F18-F19 to identify manifestations of the drug use
O99.320 Drug use complicating pregnancy, unspecified trimester
O99.321 Drug use complicating pregnancy, first trimester
O99.322 Drug use complicating pregnancy, second trimester
O99.323 Drug use complicating pregnancy, third trimester
O99.324 Drug use complicating childbirth
O99.325 Drug use complicating the puerperium
O99.33 Smoking (tobacco) complicating pregnancy, childbirth, and the puerperium
Use additional code from F17 to identify type of tobacco
O99.330 Smoking (tobacco) complicating pregnancy, unspecified trimester
O99.331 Smoking (tobacco) complicating pregnancy, first trimester
O99.332 Smoking (tobacco) complicating pregnancy, second trimester
O99.333 Smoking (tobacco) complicating pregnancy, third trimester
O99.334 Smoking (tobacco) complicating childbirth
O99.335 Smoking (tobacco) complicating the puerperium
O99.34 Other mental disorders complicating pregnancy, childbirth, and the puerperium
Conditions in F00-F09 and F20-F99
Excludes2: postpartum mood disturbance (O90.6)
postnatal psychosis (F53)
puerperal psychosis (F53)
O99.340 Other mental disorders complicating pregnancy, unspecified trimester
O99. 341 Other mental disorders complicating pregnancy, first trimester
O99.342 Other mental disorders complicating pregnancy, second trimester
O99.343 Other mental disorders complicating pregnancy, third trimester
O99.344 Other mental disorders complicating childbirth
O99.345 Other mental disorders complicating the puerperium
O99.35 Diseases of the nervous system complicating pregnancy, childbirth, and the puerperium
Conditions in G00-G99
Excludes2: pregnancy related peripheral neuritis (O26.8-)
O99.350 Diseases of the nervous system complicating pregnancy, unspecified trimester
O99.351 Diseases of the nervous system complicating pregnancy, first trimester
O99.352 Diseases of the nervous system complicating pregnancy, second trimester
O99.353 Diseases of the nervous system complicating pregnancy, third trimester
O99.354 Diseases of the nervous system complicating childbirth
O99.355 Diseases of the nervous system complicating the puerperium
O99.4 Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium
Conditions in I00-I99
Excludes1: peripartum cardiomyopathy (O90.3)
Excludes2: hypertensive disorders (O10-O16)
obstetric embolism (O88.-)
venous complications and cerebrovenous sinus thrombosis in:
labor, childbirth and the puerperium (O87.-)
pregnancy (O22.-)
O99.41 Diseases of the circulatory system complicating pregnancy
O99.411 Diseases of the circulatory system complicating pregnancy, first trimester
O99.412 Diseases of the circulatory system complicating pregnancy, second trimester
O99.413 Diseases of the circulatory system complicating pregnancy, third trimester
O99. 419 Diseases of the circulatory system complicating pregnancy, unspecified trimester
O99.42 Diseases of the circulatory system complicating childbirth
O99.43 Diseases of the circulatory system complicating the puerperium
O99.5 Diseases of the respiratory system complicating pregnancy, childbirth and the puerperium
Conditions in J00-J99
O99.51 Diseases of the respiratory system complicating pregnancy
O99.511 Diseases of the respiratory system complicating pregnancy, first trimester
O99.512 Diseases of the respiratory system complicating pregnancy, second trimester
O99.513 Diseases of the respiratory system complicating pregnancy, third trimester
O99.519 Diseases of the respiratory system complicating pregnancy, unspecified trimester
O99.52 Diseases of the respiratory system complicating childbirth
O99.53 Diseases of the respiratory system complicating the puerperium
O99.6 Diseases of the digestive system complicating pregnancy, childbirth and the puerperium
Conditions in K00-K93
Excludes2: liver disorders in pregnancy, childbirth and the puerperium (O26.6)
O99.61 Diseases of the digestive system complicating pregnancy
O99.611 Diseases of the digestive system complicating pregnancy, first trimester
O99.612 Diseases of the digestive system complicating pregnancy, second trimester
O99.613 Diseases of the digestive system complicating pregnancy, third trimester
O99.619 Diseases of the digestive system complicating pregnancy, unspecified trimester
O99.62 Diseases of the digestive system complicating childbirth
O99.63 Diseases of the digestive system complicating the puerperium
O99. 7 Diseases of the skin and subcutaneous tissue complicating pregnancy, childbirth and the puerperium
Conditions in L00-L99
Excludes2: herpes gestationis (O26.4)
pruritic urticarial papules and plaques of pregnancy (PUPPP) (O26.86)
O99.71 Diseases of the skin and subcutaneous tissue complicating pregnancy
O99.711 Diseases of the skin and subcutaneous tissue complicating pregnancy, first trimester
O99.712 Diseases of the skin and subcutaneous tissue complicating pregnancy, second trimester
O99.713 Diseases of the skin and subcutaneous tissue complicating pregnancy, third trimester
O99.719 Diseases of the skin and subcutaneous tissue complicating pregnancy, unspecified trimester
O99.72 Diseases of the skin and subcutaneous tissue complicating childbirth
O99.73 Diseases of the skin and subcutaneous tissue complicating the puerperium
O99.8 Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium
Conditions in D00-D48, H00-H95, M00-N99, and Q00-Q99
Use additional code to identify condition
Excludes2: genitourinary infections in pregnancy (O23.-)
infection of genitourinary tract following delivery (O86.1-O86.3)
malignant neoplasms in pregnancy (O94.1-)
maternal care for known or suspected abnormality of maternal pelvic organs (O34.-)
postpartum acute kidney failure (O90.4)
traumatic injuries in pregnancy (O94.2-)
O99.81 Abnormal glucose complicating pregnancy, childbirth and the puerperium
Excludes1: gestational diabetes (O24.4-)
O99.810 Abnormal glucose complicating pregnancy
O99.814 Abnormal glucose complicating childbirth
O99.815 Abnormal glucose complicating the puerperium
O99.82 Streptococcus B carrier state complicating pregnancy, childbirth and the puerperium
O99. 820 Streptococcus B carrier state complicating pregnancy
O99.824 Streptococcus B carrier state complicating childbirth
O99.825 Streptococcus B carrier state complicating the puerperium
O99.83 Other infection carrier state complicating pregnancy, childbirth and the puerperium
Use additional code to identify the carrier state (Z22.-)
O99.830 Other infection carrier state complicating pregnancy
O99.834 Other infection carrier state complicating childbirth
O99.835 Other infection carrier state complicating the puerperium
O99.84 Bariatric surgery status complicating pregnancy, childbirth and the puerperium
Gastric banding status complicating pregnancy, childbirth and the puerperium
Gastric bypass status for obesity complicating pregnancy, childbirth and the puerperium
Obesity surgery status complicating pregnancy, childbirth and the puerperium
O99.840 Bariatric surgery status complicating pregnancy, unspecified trimester
O99.841 Bariatric surgery status complicating pregnancy, first trimester
O99.842 Bariatric surgery status complicating pregnancy, second trimester
O99.843 Bariatric surgery status complicating pregnancy, third trimester
O99.844 Bariatric surgery status complicating childbirth
O99.845 Bariatric surgery status complicating the puerperium
O99.89 Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium

O9A Maternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and the puerperium[edit]

O9A.1 Malignant neoplasm complicating pregnancy, childbirth and the puerperium
Conditions in C00-C97
Use additional code to identify neoplasm
Excludes2: maternal care for benign tumor of corpus uteri (O34.1-)
maternal care for benign tumor of cervix (O34.4-)
O9A.11 Malignant neoplasm complicating pregnancy
O9A.111 Malignant neoplasm complicating pregnancy, first trimester
O9A.112 Malignant neoplasm complicating pregnancy, second trimester
O9A.113 Malignant neoplasm complicating pregnancy, third trimester
O9A.119 Malignant neoplasm complicating pregnancy, unspecified trimester
O9A.12 Malignant neoplasm complicating childbirth
O9A.13 Malignant neoplasm complicating the puerperium
O9A.2 Injury, poisoning and certain other consequences of external causes complicating pregnancy, childbirth and the puerperium
Conditions in S00-T98, except T74 and T76
Use additional code(s) to identify the injury or poisoning
Excludes2: physical, sexual and psychological abuse complicating pregnancy, childbirth and the puerperium (O94.3, O94.4, O94.5)
O9A.21 Injury, poisoning and certain other consequences of external causes complicating pregnancy
O9A.211 Injury, poisoning and certain other consequences of external causes complicating pregnancy, first trimester
O9A.212 Injury, poisoning and certain other consequences of external causes complicating pregnancy, second trimester
O9A.213 Injury, poisoning and certain other consequences of external causes complicating pregnancy, third trimester
O9A.219 Injury, poisoning and certain other consequences of external causes complicating pregnancy, unspecified trimester
O9A.22 Injury, poisoning and certain other consequences of external causes complicating childbirth
O9A.23 Injury, poisoning and certain other consequences of external causes complicating the puerperium
O9A.3 Physical abuse complicating pregnancy, childbirth and the puerperium
Conditions in T74.11 or T76.11
Use additional code (if applicable):
to identify any associated current injury due to physical abuse
to identify the perpetrator of abuse (Y07.-)
Excludes2: sexual abuse complicating pregnancy, childbirth and the puerperium (O94.4-)
O9A.31 Physical abuse complicating pregnancy
O9A.311 Physical abuse complicating pregnancy, first trimester
O9A.312 Physical abuse complicating pregnancy, second trimester
O9A.313 Physical abuse complicating pregnancy, third trimester
O9A.319 Physical abuse complicating pregnancy, unspecified trimester
O9A.32 Physical abuse complicating childbirth
O9A.33 Physical abuse complicating the puerperium
O9A.4 Sexual abuse complicating pregnancy, childbirth and the puerperium
Conditions in T74.21 or T76.21
Use additional code (if applicable):
to identify any associated current injury due to sexual abuse
to identify the perpetrator of abuse (Y07.-)
O9A.41 Sexual abuse complicating pregnancy
O9A.411 Sexual abuse complicating pregnancy, first trimester
O9A.412 Sexual abuse complicating pregnancy, second trimester
O9A.413 Sexual abuse complicating pregnancy, third trimester
O9A.419 Sexual abuse complicating pregnancy, unspecified trimester
O9A.42 Sexual abuse complicating childbirth
O9A.43 Sexual abuse complicating the puerperium
O9A.5 Psychological abuse complicating pregnancy, childbirth and the puerperium
Conditions in T74.31 or T76.31
Use additional code to identify the perpetrator of abuse (Y07.-)
O9A.51 Psychological abuse complicating pregnancy
O9A.511 Psychological abuse complicating pregnancy, first trimester
O9A.512 Psychological abuse complicating pregnancy, second trimester
O9A.513 Psychological abuse complicating pregnancy, third trimester
O9A.519 Psychological abuse complicating pregnancy, unspecified trimester
O9A.52 Psychological abuse complicating childbirth
O9A.53 Psychological abuse complicating thepuerperium