1. O31 Complications specific to multiple gestation

    Excludes2

    • delayed delivery of second twin, triplet, etc. (O63.2)
    • malpresentation of one fetus or more (O32.9)
    • 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
    1. O31.0 Papyraceous fetus

      Inclusion term(s):

      • Fetus compressus
      1. O31.00 Papyraceous fetus, unspecified trimester

      2. O31.01 Papyraceous fetus, first trimester

      3. O31.02 Papyraceous fetus, second trimester

      4. O31.03 Papyraceous fetus, third trimester

    2. O31.1 Continuing pregnancy after spontaneous abortion of one fetus or more

      1. O31.10 Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester

      2. O31.11 Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester

      3. O31.12 Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester

      4. O31.13 Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester

    3. O31.2 Continuing pregnancy after intrauterine death of one fetus or more

      1. O31.20 Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester

      2. O31.21 Continuing pregnancy after intrauterine death of one fetus or more, first trimester

      3. O31.22 Continuing pregnancy after intrauterine death of one fetus or more, second trimester

      4. O31.23 Continuing pregnancy after intrauterine death of one fetus or more, third trimester

    4. O31.3 Continuing pregnancy after elective fetal reduction of one fetus or more

      Inclusion term(s):

      • Continuing pregnancy after selective termination of one fetus or more
      1. O31.30 Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester

      2. O31.31 Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester

      3. O31.32 Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester

      4. O31.33 Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester

    5. O31.8 Other complications specific to multiple gestation

      1. 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
Abbreviations used here:

NEC Not elsewhere classifiable
This abbreviation in the Tabular List represents “other specified”. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code.

NOS Not otherwise specified
This abbreviation is the equivalent of unspecified.