O31

Non-Billable
ChapterO00–O9A
Rankcategory
Official Description

Complications specific to multiple gestation

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 15: Pregnancy, Childbirth and the Puerperium (O00-O9A).

CH15 Parent Instructions

Excludes1(Not coded here. Use a different code.)
  • supervision of normal pregnancy (Z34.-)
Excludes2(Not included here. Code separately if applicable.)
  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)
Use Additional Code
  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Instructional Notes

Excludes2(Not included here. Code separately if applicable.)
  • delayed delivery of second twin, triplet, etc. (O63.2)
  • malpresentation of one fetus or more (O32.9)
  • placental transfusion syndromes (O43.0-)

Clinical Hierarchy

BillableHas subcodes
CH15Pregnancy, childbirth and the puerperium (O00-O9A)
O30-O48Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
O31Complications specific to multiple gestationNot billable
O31.0Papyraceous fetusSubcodes
O31.1Continuing pregnancy after spontaneous abortion of one fetus or moreSubcodes
O31.2Continuing pregnancy after intrauterine death of one fetus or moreSubcodes
O31.3Continuing pregnancy after elective fetal reduction of one fetus or moreSubcodes
O31.8Other complications specific to multiple gestationSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to O31:

chapterCH15
Pregnancy, childbirth and the puerperium (O00-O9A)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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