Multiple gestation
In Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48), chapter 15: Pregnancy, Childbirth and the Puerperium
88 billable codes under O30: 45 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
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Instructional notes
Code also: add a code for this too, order depends on the encounter
- any complications specific to multiple gestation
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Coding of obstetric cases with O00-O9A codes: sequencing priority, trimester and fetus characters, principal diagnosis selection, delivery outcome, and pregnancy-related complications.
- General Rules for Obstetric Cases (page 63)
- Selection of OB Principal or First-listed Diagnosis (page 64)
- Pre-existing conditions versus conditions due to the pregnancy (page 65)
- Pre-existing hypertension in pregnancy (page 66)
- Fetal Conditions Affecting the Management of the Mother (page 66)
- HIV Infection in Pregnancy, Childbirth and the Puerperium (page 66)
- Diabetes mellitus in pregnancy (page 66)
- Long term use of insulin and oral hypoglycemics (page 67)
All codes under O30
O30 can't be used on a claim. Pick a billable code below; grey headings group them.
- O30.0Twin pregnancy
- O30.00Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs
- O30.001Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester
- O30.002Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester
- O30.003Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester
- O30.009Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester
- O30.01Twin pregnancy, monochorionic/monoamniotic
- O30.011Twin pregnancy, monochorionic/monoamniotic, first trimester
- O30.012Twin pregnancy, monochorionic/monoamniotic, second trimester
- O30.013Twin pregnancy, monochorionic/monoamniotic, third trimester
- O30.019Twin pregnancy, monochorionic/monoamniotic, unspecified trimester
- O30.02Conjoined twin pregnancy
- O30.021Conjoined twin pregnancy, first trimester
- O30.022Conjoined twin pregnancy, second trimester
- O30.023Conjoined twin pregnancy, third trimester
- O30.029Conjoined twin pregnancy, unspecified trimester
- O30.03Twin pregnancy, monochorionic/diamniotic
- O30.031Twin pregnancy, monochorionic/diamniotic, first trimester
- O30.032Twin pregnancy, monochorionic/diamniotic, second trimester
- O30.033Twin pregnancy, monochorionic/diamniotic, third trimester
- O30.039Twin pregnancy, monochorionic/diamniotic, unspecified trimester
- O30.04Twin pregnancy, dichorionic/diamniotic
- O30.041Twin pregnancy, dichorionic/diamniotic, first trimester
- O30.042Twin pregnancy, dichorionic/diamniotic, second trimester
- O30.043Twin pregnancy, dichorionic/diamniotic, third trimester
- O30.049Twin pregnancy, dichorionic/diamniotic, unspecified trimester
- O30.09Twin pregnancy, unable to determine number of placenta and number of amniotic sacs
- O30.091Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester
- O30.092Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, second trimester
- O30.093Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester
- O30.099Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, unspecified trimester
- O30.1Triplet pregnancy
- O30.10Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs
- O30.101Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester
- O30.102Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester
- O30.103Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester
- O30.109Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester
- O30.11Triplet pregnancy with two or more monochorionic fetuses
- O30.111Triplet pregnancy with two or more monochorionic fetuses, first trimester
- O30.112Triplet pregnancy with two or more monochorionic fetuses, second trimester
- O30.113Triplet pregnancy with two or more monochorionic fetuses, third trimester
- O30.119Triplet pregnancy with two or more monochorionic fetuses, unspecified trimester
- O30.12Triplet pregnancy with two or more monoamniotic fetuses
- O30.121Triplet pregnancy with two or more monoamniotic fetuses, first trimester
- O30.122Triplet pregnancy with two or more monoamniotic fetuses, second trimester
- O30.123Triplet pregnancy with two or more monoamniotic fetuses, third trimester
- O30.129Triplet pregnancy with two or more monoamniotic fetuses, unspecified trimester
- O30.13Triplet pregnancy, trichorionic/triamniotic
- O30.131Triplet pregnancy, trichorionic/triamniotic, first trimester
- O30.132Triplet pregnancy, trichorionic/triamniotic, second trimester
- O30.133Triplet pregnancy, trichorionic/triamniotic, third trimester
- O30.139Triplet pregnancy, trichorionic/triamniotic, unspecified trimester
- O30.19Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs
- O30.191Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester
- O30.192Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs, second trimester
- O30.193Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester
- O30.199Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs, unspecified trimester
- O30.2Quadruplet pregnancy
- O30.20Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs
- O30.201Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester
- O30.202Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester
- O30.203Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester
- O30.209Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester
- O30.21Quadruplet pregnancy with two or more monochorionic fetuses
- O30.211Quadruplet pregnancy with two or more monochorionic fetuses, first trimester
- O30.212Quadruplet pregnancy with two or more monochorionic fetuses, second trimester
- O30.213Quadruplet pregnancy with two or more monochorionic fetuses, third trimester
- O30.219Quadruplet pregnancy with two or more monochorionic fetuses, unspecified trimester
- O30.22Quadruplet pregnancy with two or more monoamniotic fetuses
- O30.221Quadruplet pregnancy with two or more monoamniotic fetuses, first trimester
- O30.222Quadruplet pregnancy with two or more monoamniotic fetuses, second trimester
- O30.223Quadruplet pregnancy with two or more monoamniotic fetuses, third trimester
- O30.229Quadruplet pregnancy with two or more monoamniotic fetuses, unspecified trimester
- O30.23Quadruplet pregnancy, quadrachorionic/quadra-amniotic
- O30.231Quadruplet pregnancy, quadrachorionic/quadra-amniotic, first trimester
- O30.232Quadruplet pregnancy, quadrachorionic/quadra-amniotic, second trimester
- O30.233Quadruplet pregnancy, quadrachorionic/quadra-amniotic, third trimester
- O30.239Quadruplet pregnancy, quadrachorionic/quadra-amniotic, unspecified trimester
- O30.29Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs
- O30.291Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester
- O30.292Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, second trimester
- O30.293Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester
- O30.299Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, unspecified trimester
- O30.8Other specified multiple gestation
- O30.80Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs
- O30.801Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, first trimester
- O30.802Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, second trimester
- O30.803Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, third trimester
- O30.809Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester
- O30.81Other specified multiple gestation with two or more monochorionic fetuses
- O30.811Other specified multiple gestation with two or more monochorionic fetuses, first trimester
- O30.812Other specified multiple gestation with two or more monochorionic fetuses, second trimester
- O30.813Other specified multiple gestation with two or more monochorionic fetuses, third trimester
- O30.819Other specified multiple gestation with two or more monochorionic fetuses, unspecified trimester
- O30.82Other specified multiple gestation with two or more monoamniotic fetuses
- O30.821Other specified multiple gestation with two or more monoamniotic fetuses, first trimester
- O30.822Other specified multiple gestation with two or more monoamniotic fetuses, second trimester
- O30.823Other specified multiple gestation with two or more monoamniotic fetuses, third trimester
- O30.829Other specified multiple gestation with two or more monoamniotic fetuses, unspecified trimester
- O30.83Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses
- O30.831Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses, first trimester
- O30.832Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses, second trimester
- O30.833Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses, third trimester
- O30.839Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses, unspecified trimester
- O30.89Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs
- O30.891Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs, first trimester
- O30.892Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs, second trimester
- O30.893Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs, third trimester
- O30.899Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs, unspecified trimester
- O30.9Multiple gestation, unspecified
- O30.90Multiple gestation, unspecified, unspecified trimester
- O30.91Multiple gestation, unspecified, first trimester
- O30.92Multiple gestation, unspecified, second trimester
- O30.93Multiple gestation, unspecified, third trimester
O30 MS-DRGs
As the principal diagnosis, all 88 billable codes under O30 group to MS-DRG 817, 818, 819, 831, 832, or 833 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 817 Other Antepartum Diagnoses with O.R. Procedures with MCC
- DRG 818 Other Antepartum Diagnoses with O.R. Procedures with CC
- DRG 819 Other Antepartum Diagnoses with O.R. Procedures without CC/MCC
- DRG 831 Other Antepartum Diagnoses without O.R. Procedures with MCC
- DRG 832 Other Antepartum Diagnoses without O.R. Procedures with CC
- DRG 833 Other Antepartum Diagnoses without O.R. Procedures without CC/MCC
Other codes that refer to O30
Notes on these codes point to O30.
- O20-O29 Excludes2: maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Twins, Triplets, Multiple Births
If you are pregnant with more than one baby, you are far from alone. Multiple births are up in the United States. More women are having babies after age 30 and more are taking fertility drugs. Both boost the chance of carrying more than one baby. A family history of twins also makes multiples more likely.
Read more about twins, triplets, multiple births on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
