Is ICD-10-CM code O60 billable?

No, O60 (Preterm labor) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code O60 belong to?

O60 belongs to Chapter 15 of the ICD-10-CM tabular list: O00–O9A (Pregnancy, Childbirth and the Puerperium).

O60Not billable, use a more specific code below

Preterm labor

In Complications of labor and delivery (O60-O77), chapter 15: Pregnancy, Childbirth and the Puerperium

52 billable codes under O60: 37 are an MCC, 14 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

Instructional notes

Includes: conditions that are coded here

onset (spontaneous) of labor before 37 completed weeks of gestation

Excludes1: not coded here, use a different code

false labor (O47.0-)
threatened labor NOS (O47.0-)

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)

Read Section I.C.15 (page 63), 11 more topics

All codes under O60

O60 can't be used on a claim. Pick a billable code below; grey headings group them.

O60 MS-DRGs

As the principal diagnosis, the billable codes under O60 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 (3 of 52 codes)
DRG 818 Other Antepartum Diagnoses with O.R. Procedures with CC (3 of 52 codes)
DRG 819 Other Antepartum Diagnoses with O.R. Procedures without CC/MCC (3 of 52 codes)
DRG 831 Other Antepartum Diagnoses without O.R. Procedures with MCC (3 of 52 codes)
DRG 832 Other Antepartum Diagnoses without O.R. Procedures with CC (3 of 52 codes)
DRG 833 Other Antepartum Diagnoses without O.R. Procedures without CC/MCC (3 of 52 codes)

Other codes that refer to O60

Notes on these codes point to O60.

O47 Excludes1: preterm labor (O60.-)
P03.89 Includes: Newborn affected by conditions classifiable to O60-O75 and by procedures used in labor and delivery not included in P02.- and P03.0-P03.6
Z3A Code First: obstetric condition or encounter for delivery (O09-O60, O80-O82, O94-O9A)

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.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.