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
  • O30.90

    Multiple gestation, unspecified, unspecified trimester

  • O30.91

    Multiple gestation, unspecified, first trimester

  • O30.92

    Multiple gestation, unspecified, second trimester

  • O30.93

    Multiple gestation, unspecified, third trimester

  • O31.00

    Papyraceous fetus, unspecified trimester

  • O31.00X0

    Papyraceous fetus, unspecified trimester, not applicable or unspecified

  • O31.00X1

    Papyraceous fetus, unspecified trimester, fetus 1

  • O31.00X2

    Papyraceous fetus, unspecified trimester, fetus 2

  • O31.00X3

    Papyraceous fetus, unspecified trimester, fetus 3

  • O31.00X4

    Papyraceous fetus, unspecified trimester, fetus 4

  • O31.00X5

    Papyraceous fetus, unspecified trimester, fetus 5

  • O31.00X9

    Papyraceous fetus, unspecified trimester, other fetus

  • O31.01

    Papyraceous fetus, first trimester

  • O31.01X0

    Papyraceous fetus, first trimester, not applicable or unspecified

  • O31.01X1

    Papyraceous fetus, first trimester, fetus 1

  • O31.01X2

    Papyraceous fetus, first trimester, fetus 2

  • O31.01X3

    Papyraceous fetus, first trimester, fetus 3

  • O31.01X4

    Papyraceous fetus, first trimester, fetus 4

  • O31.01X5

    Papyraceous fetus, first trimester, fetus 5

  • O31.01X9

    Papyraceous fetus, first trimester, other fetus

  • O31.02

    Papyraceous fetus, second trimester

  • O31.02X0

    Papyraceous fetus, second trimester, not applicable or unspecified

  • O31.02X1

    Papyraceous fetus, second trimester, fetus 1

  • O31.02X2

    Papyraceous fetus, second trimester, fetus 2

  • O31.02X3

    Papyraceous fetus, second trimester, fetus 3

  • O31.02X4

    Papyraceous fetus, second trimester, fetus 4

  • O31.02X5

    Papyraceous fetus, second trimester, fetus 5

  • O31.02X9

    Papyraceous fetus, second trimester, other fetus

  • O31.03

    Papyraceous fetus, third trimester

  • O31.03X0

    Papyraceous fetus, third trimester, not applicable or unspecified

  • O31.03X1

    Papyraceous fetus, third trimester, fetus 1

  • O31.03X2

    Papyraceous fetus, third trimester, fetus 2

  • O31.03X3

    Papyraceous fetus, third trimester, fetus 3

  • O31.03X4

    Papyraceous fetus, third trimester, fetus 4

  • O31.03X5

    Papyraceous fetus, third trimester, fetus 5

  • O31.03X9

    Papyraceous fetus, third trimester, other fetus

  • O31.10

    Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester

  • O31.10X0

    Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, not applicable or unspecified

  • O31.10X1

    Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, fetus 1

  • O31.10X2

    Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, fetus 2

  • O31.10X3

    Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, fetus 3

  • O31.10X4

    Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, fetus 4

  • O31.10X5

    Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, fetus 5

  • O31.10X9

    Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, other fetus

  • O31.11

    Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester

  • O31.11X0

    Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, not applicable or unspecified

  • O31.11X1

    Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 1

  • O31.11X2

    Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 2

  • O31.11X3

    Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 3

  • O31.11X4

    Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 4

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