ICD-10-CM — Chapter 15

Pregnancy, childbirth and the puerperium - Codes from this chapter are used for pregnancy and conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium. These codes are used ONLY on maternal records.

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Pregnancy, childbirth and the puerperium

- Codes from this chapter are used for pregnancy and conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium. These codes are used ONLY on maternal records.

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 aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
1st trimester- less than 14 weeks 0 days
2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
3rd trimester- 28 weeks 0 days until delivery

Use additional code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

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)
Expand All Chapter #15 contains the following ICD-10-CM sections:

Excludes1

  • continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1-, O31.3-)
  • O00 Ectopic pregnancy

  • O01 Hydatidiform mole

  • O02 Other abnormal products of conception

  • O03 Spontaneous abortion

    Note: Incomplete abortion includes retained products of conception following spontaneous abortion

  • O04 Complications following (induced) termination of pregnancy

  • O07 Failed attempted termination of pregnancy

  • O08 Complications following ectopic and molar pregnancy

    Inclusion term(s):

    • This category is for use with categories O00-O02 to identify any associated complications
  • O09 Supervision of high risk pregnancy

  • O10 Pre-existing hypertension complicating pregnancy, childbirth and the puerperium

  • O11 Pre-existing hypertension with pre-eclampsia

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

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

  • O14 Pre-eclampsia

  • O15 Eclampsia

  • O16 Unspecified maternal hypertension

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

  • O21 Excessive vomiting in pregnancy

  • O22 Venous complications and hemorrhoids in pregnancy

  • O23 Infections of genitourinary tract in pregnancy

  • O24 Diabetes mellitus in pregnancy, childbirth, and the puerperium

  • O25 Malnutrition in pregnancy, childbirth and the puerperium

  • O26 Maternal care for other conditions predominantly related to pregnancy

  • O28 Abnormal findings on antenatal screening of mother

  • O29 Complications of anesthesia during pregnancy

  • O30 Multiple gestation

  • O31 Complications specific to multiple gestation

  • O32 Maternal care for malpresentation of fetus

  • O33 Maternal care for disproportion

  • O34 Maternal care for abnormality of pelvic organs

  • O35 Maternal care for known or suspected fetal abnormality and damage

  • O36 Maternal care for other fetal problems

  • O40 Polyhydramnios

  • O41 Other disorders of amniotic fluid and membranes

  • O42 Premature rupture of membranes

  • O43 Placental disorders

  • O44 Placenta previa

  • O45 Premature separation of placenta [abruptio placentae]

  • O46 Antepartum hemorrhage, not elsewhere classified

  • O47 False labor

  • O48 Late pregnancy

  • O60 Preterm labor

  • O61 Failed induction of labor

  • O62 Abnormalities of forces of labor

  • O63 Long labor

  • O64 Obstructed labor due to malposition and malpresentation of fetus

  • O65 Obstructed labor due to maternal pelvic abnormality

  • O66 Other obstructed labor

  • O67 Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified

  • O68 Labor and delivery complicated by abnormality of fetal acid-base balance

    Inclusion term(s):

    • 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
  • O69 Labor and delivery complicated by umbilical cord complications

  • O70 Perineal laceration during delivery

  • O71 Other obstetric trauma

  • O72 Postpartum hemorrhage

  • O73 Retained placenta and membranes, without hemorrhage

  • O74 Complications of anesthesia during labor and delivery

  • O75 Other complications of labor and delivery, not elsewhere classified

  • O76 Abnormality in fetal heart rate and rhythm complicating labor and delivery

    Inclusion term(s):

    • 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
  • O77 Other fetal stress complicating labor and delivery

  • O80 Encounter for full-term uncomplicated delivery

    Inclusion term(s):

    • 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.
  • O82 Encounter for cesarean delivery without indication

Excludes2

  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • puerperal osteomalacia (M83.0)
  • O85 Puerperal sepsis

    Inclusion term(s):

    • Postpartum sepsis
    • Puerperal peritonitis
    • Puerperal pyemia
  • O86 Other puerperal infections

  • O87 Venous complications and hemorrhoids in the puerperium

  • O88 Obstetric embolism

  • O89 Complications of anesthesia during the puerperium

  • O90 Complications of the puerperium, not elsewhere classified

  • O91 Infections of breast associated with pregnancy, the puerperium and lactation

  • O92 Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium

  • O94 Sequelae of complication of pregnancy, childbirth, and the puerperium

    Note: This category is to be used to indicate conditions in O00-O77.-, O85-O94 and O98-O9A.- 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

  • O98 Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

  • O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

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