Complications of labor and delivery (O60-O77)
chapter 15: Pregnancy, Childbirth and the Puerperium
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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 O60-O77
O60-O77 can't be used on a claim. Pick a billable code below; grey headings group them.
- O60Preterm labor
- O60.0Preterm labor without delivery
- O60.00Preterm labor without delivery, unspecified trimester
- O60.02Preterm labor without delivery, second trimester
- O60.03Preterm labor without delivery, third trimester
- O60.1Preterm labor with preterm delivery
- O60.10Preterm labor with preterm delivery, unspecified trimester
- O60.10X0Preterm labor with preterm delivery, unspecified trimester, not applicable or unspecified
- O60.10X1Preterm labor with preterm delivery, unspecified trimester, fetus 1
- O60.10X2Preterm labor with preterm delivery, unspecified trimester, fetus 2
- O60.10X3Preterm labor with preterm delivery, unspecified trimester, fetus 3
- O60.10X4Preterm labor with preterm delivery, unspecified trimester, fetus 4
- O60.10X5Preterm labor with preterm delivery, unspecified trimester, fetus 5
- O60.10X9Preterm labor with preterm delivery, unspecified trimester, other fetus
- O60.12Preterm labor second trimester with preterm delivery second trimester
- O60.12X0Preterm labor second trimester with preterm delivery second trimester, not applicable or unspecified
- O60.12X1Preterm labor second trimester with preterm delivery second trimester, fetus 1
- O60.12X2Preterm labor second trimester with preterm delivery second trimester, fetus 2
- O60.12X3Preterm labor second trimester with preterm delivery second trimester, fetus 3
- O60.12X4Preterm labor second trimester with preterm delivery second trimester, fetus 4
- O60.12X5Preterm labor second trimester with preterm delivery second trimester, fetus 5
- O60.12X9Preterm labor second trimester with preterm delivery second trimester, other fetus
- O60.13Preterm labor second trimester with preterm delivery third trimester
- O60.13X0Preterm labor second trimester with preterm delivery third trimester, not applicable or unspecified
- O60.13X1Preterm labor second trimester with preterm delivery third trimester, fetus 1
- O60.13X2Preterm labor second trimester with preterm delivery third trimester, fetus 2
- O60.13X3Preterm labor second trimester with preterm delivery third trimester, fetus 3
- O60.13X4Preterm labor second trimester with preterm delivery third trimester, fetus 4
- O60.13X5Preterm labor second trimester with preterm delivery third trimester, fetus 5
- O60.13X9Preterm labor second trimester with preterm delivery third trimester, other fetus
- O60.14Preterm labor third trimester with preterm delivery third trimester
- O60.14X0Preterm labor third trimester with preterm delivery third trimester, not applicable or unspecified
- O60.14X1Preterm labor third trimester with preterm delivery third trimester, fetus 1
- O60.14X2Preterm labor third trimester with preterm delivery third trimester, fetus 2
- O60.14X3Preterm labor third trimester with preterm delivery third trimester, fetus 3
- O60.14X4Preterm labor third trimester with preterm delivery third trimester, fetus 4
- O60.14X5Preterm labor third trimester with preterm delivery third trimester, fetus 5
- O60.14X9Preterm labor third trimester with preterm delivery third trimester, other fetus
- O60.2Term delivery with preterm labor
- O60.20Term delivery with preterm labor, unspecified trimester
- O60.20X0Term delivery with preterm labor, unspecified trimester, not applicable or unspecified
- O60.20X1Term delivery with preterm labor, unspecified trimester, fetus 1
- O60.20X2Term delivery with preterm labor, unspecified trimester, fetus 2
- O60.20X3Term delivery with preterm labor, unspecified trimester, fetus 3
- O60.20X4Term delivery with preterm labor, unspecified trimester, fetus 4
- O60.20X5Term delivery with preterm labor, unspecified trimester, fetus 5
- O60.20X9Term delivery with preterm labor, unspecified trimester, other fetus
- O60.22Term delivery with preterm labor, second trimester
- O60.22X0Term delivery with preterm labor, second trimester, not applicable or unspecified
- O60.22X1Term delivery with preterm labor, second trimester, fetus 1
- O60.22X2Term delivery with preterm labor, second trimester, fetus 2
- O60.22X3Term delivery with preterm labor, second trimester, fetus 3
- O60.22X4Term delivery with preterm labor, second trimester, fetus 4
- O60.22X5Term delivery with preterm labor, second trimester, fetus 5
- O60.22X9Term delivery with preterm labor, second trimester, other fetus
- O60.23Term delivery with preterm labor, third trimester
- O60.23X0Term delivery with preterm labor, third trimester, not applicable or unspecified
- O60.23X1Term delivery with preterm labor, third trimester, fetus 1
- O60.23X2Term delivery with preterm labor, third trimester, fetus 2
- O60.23X3Term delivery with preterm labor, third trimester, fetus 3
- O60.23X4Term delivery with preterm labor, third trimester, fetus 4
- O60.23X5Term delivery with preterm labor, third trimester, fetus 5
- O60.23X9Term delivery with preterm labor, third trimester, other fetus
- O61Failed induction of labor
- O61.0Failed medical induction of labor
- O61.1Failed instrumental induction of labor
- O61.8Other failed induction of labor
- O61.9Failed induction of labor, unspecified
- O62Abnormalities of forces of labor
- O62.0Primary inadequate contractions
- O62.1Secondary uterine inertia
- O62.2Other uterine inertia
- O62.3Precipitate labor
- O62.4Hypertonic, incoordinate, and prolonged uterine contractions
- O62.8Other abnormalities of forces of labor
- O62.9Abnormality of forces of labor, unspecified
- O63Long labor
- O63.0Prolonged first stage (of labor)
- O63.1Prolonged second stage (of labor)
- O63.2Delayed delivery of second twin, triplet, etc.
- O63.9Long labor, unspecified
- O64Obstructed labor due to malposition and malpresentation of fetus
- O64.0Obstructed labor due to incomplete rotation of fetal head
- O64.0XX0Obstructed labor due to incomplete rotation of fetal head, not applicable or unspecified
- O64.0XX1Obstructed labor due to incomplete rotation of fetal head, fetus 1
- O64.0XX2Obstructed labor due to incomplete rotation of fetal head, fetus 2
- O64.0XX3Obstructed labor due to incomplete rotation of fetal head, fetus 3
- O64.0XX4Obstructed labor due to incomplete rotation of fetal head, fetus 4
- O64.0XX5Obstructed labor due to incomplete rotation of fetal head, fetus 5
- O64.0XX9Obstructed labor due to incomplete rotation of fetal head, other fetus
- O64.1Obstructed labor due to breech presentation
- O64.1XX0Obstructed labor due to breech presentation, not applicable or unspecified
- O64.1XX1Obstructed labor due to breech presentation, fetus 1
- O64.1XX2Obstructed labor due to breech presentation, fetus 2
- O64.1XX3Obstructed labor due to breech presentation, fetus 3
- O64.1XX4Obstructed labor due to breech presentation, fetus 4
- O64.1XX5Obstructed labor due to breech presentation, fetus 5
- O64.1XX9Obstructed labor due to breech presentation, other fetus
- O64.2Obstructed labor due to face presentation
- O64.2XX0Obstructed labor due to face presentation, not applicable or unspecified
- O64.2XX1Obstructed labor due to face presentation, fetus 1
- O64.2XX2Obstructed labor due to face presentation, fetus 2
- O64.2XX3Obstructed labor due to face presentation, fetus 3
- O64.2XX4Obstructed labor due to face presentation, fetus 4
- O64.2XX5Obstructed labor due to face presentation, fetus 5
- O64.2XX9Obstructed labor due to face presentation, other fetus
- O64.3Obstructed labor due to brow presentation
- O64.3XX0Obstructed labor due to brow presentation, not applicable or unspecified
- O64.3XX1Obstructed labor due to brow presentation, fetus 1
- O64.3XX2Obstructed labor due to brow presentation, fetus 2
- O64.3XX3Obstructed labor due to brow presentation, fetus 3
- O64.3XX4Obstructed labor due to brow presentation, fetus 4
- O64.3XX5Obstructed labor due to brow presentation, fetus 5
- O64.3XX9Obstructed labor due to brow presentation, other fetus
- O64.4Obstructed labor due to shoulder presentation
- O64.4XX0Obstructed labor due to shoulder presentation, not applicable or unspecified
- O64.4XX1Obstructed labor due to shoulder presentation, fetus 1
- O64.4XX2Obstructed labor due to shoulder presentation, fetus 2
- O64.4XX3Obstructed labor due to shoulder presentation, fetus 3
- O64.4XX4Obstructed labor due to shoulder presentation, fetus 4
- O64.4XX5Obstructed labor due to shoulder presentation, fetus 5
- O64.4XX9Obstructed labor due to shoulder presentation, other fetus
- O64.5Obstructed labor due to compound presentation
- O64.5XX0Obstructed labor due to compound presentation, not applicable or unspecified
- O64.5XX1Obstructed labor due to compound presentation, fetus 1
- O64.5XX2Obstructed labor due to compound presentation, fetus 2
- O64.5XX3Obstructed labor due to compound presentation, fetus 3
- O64.5XX4Obstructed labor due to compound presentation, fetus 4
- O64.5XX5Obstructed labor due to compound presentation, fetus 5
- O64.5XX9Obstructed labor due to compound presentation, other fetus
- O64.8Obstructed labor due to other malposition and malpresentation
- O64.8XX0Obstructed labor due to other malposition and malpresentation, not applicable or unspecified
- O64.8XX1Obstructed labor due to other malposition and malpresentation, fetus 1
- O64.8XX2Obstructed labor due to other malposition and malpresentation, fetus 2
- O64.8XX3Obstructed labor due to other malposition and malpresentation, fetus 3
- O64.8XX4Obstructed labor due to other malposition and malpresentation, fetus 4
- O64.8XX5Obstructed labor due to other malposition and malpresentation, fetus 5
- O64.8XX9Obstructed labor due to other malposition and malpresentation, other fetus
- O64.9Obstructed labor due to malposition and malpresentation, unspecified
- O64.9XX0Obstructed labor due to malposition and malpresentation, unspecified, not applicable or unspecified
- O64.9XX1Obstructed labor due to malposition and malpresentation, unspecified, fetus 1
- O64.9XX2Obstructed labor due to malposition and malpresentation, unspecified, fetus 2
- O64.9XX3Obstructed labor due to malposition and malpresentation, unspecified, fetus 3
- O64.9XX4Obstructed labor due to malposition and malpresentation, unspecified, fetus 4
- O64.9XX5Obstructed labor due to malposition and malpresentation, unspecified, fetus 5
- O64.9XX9Obstructed labor due to malposition and malpresentation, unspecified, other fetus
- O65Obstructed labor due to maternal pelvic abnormality
- O65.0Obstructed labor due to deformed pelvis
- O65.1Obstructed labor due to generally contracted pelvis
- O65.2Obstructed labor due to pelvic inlet contraction
- O65.3Obstructed labor due to pelvic outlet and mid-cavity contraction
- O65.4Obstructed labor due to fetopelvic disproportion, unspecified
- O65.5Obstructed labor due to abnormality of maternal pelvic organs
- O65.8Obstructed labor due to other maternal pelvic abnormalities
- O65.9Obstructed labor due to maternal pelvic abnormality, unspecified
- O66Other obstructed labor
- O66.0Obstructed labor due to shoulder dystocia
- O66.1Obstructed labor due to locked twins
- O66.2Obstructed labor due to unusually large fetus
- O66.3Obstructed labor due to other abnormalities of fetus
- O66.4Failed trial of labor
- O66.40Failed trial of labor, unspecified
- O66.41Failed attempted vaginal birth after previous cesarean delivery
- O66.5Attempted application of vacuum extractor and forceps
- O66.6Obstructed labor due to other multiple fetuses
- O66.8Other specified obstructed labor
- O66.9Obstructed labor, unspecified
- O67Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified
- O67.0Intrapartum hemorrhage with coagulation defect
- O67.8Other intrapartum hemorrhage
- O67.9Intrapartum hemorrhage, unspecified
- O68Labor and delivery complicated by abnormality of fetal acid-base balance
- O69Labor and delivery complicated by umbilical cord complications
- O69.0Labor and delivery complicated by prolapse of cord
- O69.0XX0Labor and delivery complicated by prolapse of cord, not applicable or unspecified
- O69.0XX1Labor and delivery complicated by prolapse of cord, fetus 1
- O69.0XX2Labor and delivery complicated by prolapse of cord, fetus 2
- O69.0XX3Labor and delivery complicated by prolapse of cord, fetus 3
- O69.0XX4Labor and delivery complicated by prolapse of cord, fetus 4
- O69.0XX5Labor and delivery complicated by prolapse of cord, fetus 5
- O69.0XX9Labor and delivery complicated by prolapse of cord, other fetus
- O69.1Labor and delivery complicated by cord around neck, with compression
- O69.1XX0Labor and delivery complicated by cord around neck, with compression, not applicable or unspecified
- O69.1XX1Labor and delivery complicated by cord around neck, with compression, fetus 1
- O69.1XX2Labor and delivery complicated by cord around neck, with compression, fetus 2
- O69.1XX3Labor and delivery complicated by cord around neck, with compression, fetus 3
- O69.1XX4Labor and delivery complicated by cord around neck, with compression, fetus 4
- O69.1XX5Labor and delivery complicated by cord around neck, with compression, fetus 5
- O69.1XX9Labor and delivery complicated by cord around neck, with compression, other fetus
- O69.2Labor and delivery complicated by other cord entanglement, with compression
- O69.2XX0Labor and delivery complicated by other cord entanglement, with compression, not applicable or unspecified
- O69.2XX1Labor and delivery complicated by other cord entanglement, with compression, fetus 1
- O69.2XX2Labor and delivery complicated by other cord entanglement, with compression, fetus 2
- O69.2XX3Labor and delivery complicated by other cord entanglement, with compression, fetus 3
- O69.2XX4Labor and delivery complicated by other cord entanglement, with compression, fetus 4
- O69.2XX5Labor and delivery complicated by other cord entanglement, with compression, fetus 5
- O69.2XX9Labor and delivery complicated by other cord entanglement, with compression, other fetus
- O69.3Labor and delivery complicated by short cord
- O69.3XX0Labor and delivery complicated by short cord, not applicable or unspecified
- O69.3XX1Labor and delivery complicated by short cord, fetus 1
- O69.3XX2Labor and delivery complicated by short cord, fetus 2
- O69.3XX3Labor and delivery complicated by short cord, fetus 3
- O69.3XX4Labor and delivery complicated by short cord, fetus 4
- O69.3XX5Labor and delivery complicated by short cord, fetus 5
- O69.3XX9Labor and delivery complicated by short cord, other fetus
- O69.4Labor and delivery complicated by vasa previa
- O69.4XX0Labor and delivery complicated by vasa previa, not applicable or unspecified
- O69.4XX1Labor and delivery complicated by vasa previa, fetus 1
- O69.4XX2Labor and delivery complicated by vasa previa, fetus 2
- O69.4XX3Labor and delivery complicated by vasa previa, fetus 3
- O69.4XX4Labor and delivery complicated by vasa previa, fetus 4
- O69.4XX5Labor and delivery complicated by vasa previa, fetus 5
- O69.4XX9Labor and delivery complicated by vasa previa, other fetus
- O69.5Labor and delivery complicated by vascular lesion of cord
- O69.5XX0Labor and delivery complicated by vascular lesion of cord, not applicable or unspecified
- O69.5XX1Labor and delivery complicated by vascular lesion of cord, fetus 1
- O69.5XX2Labor and delivery complicated by vascular lesion of cord, fetus 2
- O69.5XX3Labor and delivery complicated by vascular lesion of cord, fetus 3
- O69.5XX4Labor and delivery complicated by vascular lesion of cord, fetus 4
- O69.5XX5Labor and delivery complicated by vascular lesion of cord, fetus 5
- O69.5XX9Labor and delivery complicated by vascular lesion of cord, other fetus
- O69.8Labor and delivery complicated by other cord complications
- O69.81Labor and delivery complicated by cord around neck, without compression
- O69.81X0Labor and delivery complicated by cord around neck, without compression, not applicable or unspecified
- O69.81X1Labor and delivery complicated by cord around neck, without compression, fetus 1
- O69.81X2Labor and delivery complicated by cord around neck, without compression, fetus 2
- O69.81X3Labor and delivery complicated by cord around neck, without compression, fetus 3
- O69.81X4Labor and delivery complicated by cord around neck, without compression, fetus 4
- O69.81X5Labor and delivery complicated by cord around neck, without compression, fetus 5
- O69.81X9Labor and delivery complicated by cord around neck, without compression, other fetus
- O69.82Labor and delivery complicated by other cord entanglement, without compression
- O69.82X0Labor and delivery complicated by other cord entanglement, without compression, not applicable or unspecified
- O69.82X1Labor and delivery complicated by other cord entanglement, without compression, fetus 1
- O69.82X2Labor and delivery complicated by other cord entanglement, without compression, fetus 2
- O69.82X3Labor and delivery complicated by other cord entanglement, without compression, fetus 3
- O69.82X4Labor and delivery complicated by other cord entanglement, without compression, fetus 4
- O69.82X5Labor and delivery complicated by other cord entanglement, without compression, fetus 5
- O69.82X9Labor and delivery complicated by other cord entanglement, without compression, other fetus
- O69.89Labor and delivery complicated by other cord complications
- O69.89X0Labor and delivery complicated by other cord complications, not applicable or unspecified
- O69.89X1Labor and delivery complicated by other cord complications, fetus 1
- O69.89X2Labor and delivery complicated by other cord complications, fetus 2
- O69.89X3Labor and delivery complicated by other cord complications, fetus 3
- O69.89X4Labor and delivery complicated by other cord complications, fetus 4
- O69.89X5Labor and delivery complicated by other cord complications, fetus 5
- O69.89X9Labor and delivery complicated by other cord complications, other fetus
- O69.9Labor and delivery complicated by cord complication, unspecified
- O69.9XX0Labor and delivery complicated by cord complication, unspecified, not applicable or unspecified
- O69.9XX1Labor and delivery complicated by cord complication, unspecified, fetus 1
- O69.9XX2Labor and delivery complicated by cord complication, unspecified, fetus 2
- O69.9XX3Labor and delivery complicated by cord complication, unspecified, fetus 3
- O69.9XX4Labor and delivery complicated by cord complication, unspecified, fetus 4
- O69.9XX5Labor and delivery complicated by cord complication, unspecified, fetus 5
- O69.9XX9Labor and delivery complicated by cord complication, unspecified, other fetus
- O70Perineal laceration during delivery
- O70.0First degree perineal laceration during delivery
- O70.1Second degree perineal laceration during delivery
- O70.2Third degree perineal laceration during delivery
- O70.20Third degree perineal laceration during delivery, unspecified
- O70.21Third degree perineal laceration during delivery, IIIa
- O70.22Third degree perineal laceration during delivery, IIIb
- O70.23Third degree perineal laceration during delivery, IIIc
- O70.3Fourth degree perineal laceration during delivery
- O70.4Anal sphincter tear complicating delivery, not associated with third degree laceration
- O70.9Perineal laceration during delivery, unspecified
- O71Other obstetric trauma
- O71.0Rupture of uterus (spontaneous) before onset of labor
- O71.00Rupture of uterus before onset of labor, unspecified trimester
- O71.02Rupture of uterus before onset of labor, second trimester
- O71.03Rupture of uterus before onset of labor, third trimester
- O71.1Rupture of uterus during labor
- O71.2Postpartum inversion of uterus
- O71.3Obstetric laceration of cervix
- O71.4Obstetric high vaginal laceration alone
- O71.5Other obstetric injury to pelvic organs
- O71.6Obstetric damage to pelvic joints and ligaments
- O71.7Obstetric hematoma of pelvis
- O71.8Other specified obstetric trauma
- O71.81Laceration of uterus, not elsewhere classified
- O71.82Other specified trauma to perineum and vulva
- O71.89Other specified obstetric trauma
- O71.9Obstetric trauma, unspecified
- O72Postpartum hemorrhage
- O72.0Third-stage hemorrhage
- O72.1Other immediate postpartum hemorrhage
- O72.2Delayed and secondary postpartum hemorrhage
- O72.3Postpartum coagulation defects
- O73Retained placenta and membranes, without hemorrhage
- O73.0Retained placenta without hemorrhage
- O73.1Retained portions of placenta and membranes, without hemorrhage
- O74Complications of anesthesia during labor and delivery
- O74.0Aspiration pneumonitis due to anesthesia during labor and delivery
- O74.1Other pulmonary complications of anesthesia during labor and delivery
- O74.2Cardiac complications of anesthesia during labor and delivery
- O74.3Central nervous system complications of anesthesia during labor and delivery
- O74.4Toxic reaction to local anesthesia during labor and delivery
- O74.5Spinal and epidural anesthesia-induced headache during labor and delivery
- O74.6Other complications of spinal and epidural anesthesia during labor and delivery
- O74.7Failed or difficult intubation for anesthesia during labor and delivery
- O74.8Other complications of anesthesia during labor and delivery
- O74.9Complication of anesthesia during labor and delivery, unspecified
- O75Other complications of labor and delivery, not elsewhere classified
- O75.0Maternal distress during labor and delivery
- O75.1Shock during or following labor and delivery
- O75.2Pyrexia during labor, not elsewhere classified
- O75.3Other infection during labor
- O75.4Other complications of obstetric surgery and procedures
- O75.5Delayed delivery after artificial rupture of membranes
- O75.8Other specified complications of labor and delivery
- O75.81Maternal exhaustion complicating labor and delivery
- O75.82Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section
- O75.89Other specified complications of labor and delivery
- O75.9Complication of labor and delivery, unspecified
- O76Abnormality in fetal heart rate and rhythm complicating labor and delivery
- O77Other fetal stress complicating labor and delivery
- O77.0Labor and delivery complicated by meconium in amniotic fluid
- O77.1Fetal stress in labor or delivery due to drug administration
- O77.8Labor and delivery complicated by other evidence of fetal stress
- O77.9Labor and delivery complicated by fetal stress, unspecified
O60-O77 MS-DRGs
This code does not group to an MS-DRG as a principal diagnosis.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Preterm Labor
Preterm labor is labor that starts before 37 completed weeks of pregnancy. It can lead to premature birth. Premature babies may face serious health risks.
Read more about preterm labor on MedlinePlus