Chapter 15

O00–O9A: Pregnancy, Childbirth and the Puerperium

Pregnancy, Childbirth and the Puerperium diagnostic classification updated for 2026.

Chapter 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.
Internal Codes
  • O29.5X1

    Other complications of spinal and epidural anesthesia during pregnancy, first trimester

  • O29.5X2

    Other complications of spinal and epidural anesthesia during pregnancy, second trimester

  • O29.5X3

    Other complications of spinal and epidural anesthesia during pregnancy, third trimester

  • O29.5X9

    Other complications of spinal and epidural anesthesia during pregnancy, unspecified trimester

  • O29.60

    Failed or difficult intubation for anesthesia during pregnancy, unspecified trimester

  • O29.61

    Failed or difficult intubation for anesthesia during pregnancy, first trimester

  • O29.62

    Failed or difficult intubation for anesthesia during pregnancy, second trimester

  • O29.63

    Failed or difficult intubation for anesthesia during pregnancy, third trimester

  • O29.8X1

    Other complications of anesthesia during pregnancy, first trimester

  • O29.8X2

    Other complications of anesthesia during pregnancy, second trimester

  • O29.8X3

    Other complications of anesthesia during pregnancy, third trimester

  • O29.8X9

    Other complications of anesthesia during pregnancy, unspecified trimester

  • O29.90

    Unspecified complication of anesthesia during pregnancy, unspecified trimester

  • O29.91

    Unspecified complication of anesthesia during pregnancy, first trimester

  • O29.92

    Unspecified complication of anesthesia during pregnancy, second trimester

  • O29.93

    Unspecified complication of anesthesia during pregnancy, third trimester

  • O30.001

    Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester

  • O30.002

    Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester

  • O30.003

    Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester

  • O30.009

    Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester

  • O30.011

    Twin pregnancy, monochorionic/monoamniotic, first trimester

  • O30.012

    Twin pregnancy, monochorionic/monoamniotic, second trimester

  • O30.013

    Twin pregnancy, monochorionic/monoamniotic, third trimester

  • O30.019

    Twin pregnancy, monochorionic/monoamniotic, unspecified trimester

  • O30.021

    Conjoined twin pregnancy, first trimester

  • O30.022

    Conjoined twin pregnancy, second trimester

  • O30.023

    Conjoined twin pregnancy, third trimester

  • O30.029

    Conjoined twin pregnancy, unspecified trimester

  • O30.031

    Twin pregnancy, monochorionic/diamniotic, first trimester

  • O30.032

    Twin pregnancy, monochorionic/diamniotic, second trimester

  • O30.033

    Twin pregnancy, monochorionic/diamniotic, third trimester

  • O30.039

    Twin pregnancy, monochorionic/diamniotic, unspecified trimester

  • O30.041

    Twin pregnancy, dichorionic/diamniotic, first trimester

  • O30.042

    Twin pregnancy, dichorionic/diamniotic, second trimester

  • O30.043

    Twin pregnancy, dichorionic/diamniotic, third trimester

  • O30.049

    Twin pregnancy, dichorionic/diamniotic, unspecified trimester

  • O30.091

    Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester

  • O30.092

    Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, second trimester

  • O30.093

    Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester

  • O30.099

    Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, unspecified trimester

  • O30.101

    Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester

  • O30.102

    Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester

  • O30.103

    Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester

  • O30.109

    Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester

  • O30.111

    Triplet pregnancy with two or more monochorionic fetuses, first trimester

  • O30.112

    Triplet pregnancy with two or more monochorionic fetuses, second trimester

  • O30.113

    Triplet pregnancy with two or more monochorionic fetuses, third trimester

  • O30.119

    Triplet pregnancy with two or more monochorionic fetuses, unspecified trimester

  • O30.121

    Triplet pregnancy with two or more monoamniotic fetuses, first trimester

  • O30.122

    Triplet pregnancy with two or more monoamniotic fetuses, second trimester

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