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
  • O31.11X5

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

  • O31.11X9

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

  • O31.12

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

  • O31.12X0

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

  • O31.12X1

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

  • O31.12X2

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

  • O31.12X3

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

  • O31.12X4

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

  • O31.12X5

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

  • O31.12X9

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

  • O31.13

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

  • O31.13X0

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

  • O31.13X1

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

  • O31.13X2

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

  • O31.13X3

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

  • O31.13X4

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

  • O31.13X5

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

  • O31.13X9

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

  • O31.20

    Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester

  • O31.20X0

    Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester, not applicable or unspecified

  • O31.20X1

    Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester, fetus 1

  • O31.20X2

    Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester, fetus 2

  • O31.20X3

    Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester, fetus 3

  • O31.20X4

    Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester, fetus 4

  • O31.20X5

    Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester, fetus 5

  • O31.20X9

    Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester, other fetus

  • O31.21

    Continuing pregnancy after intrauterine death of one fetus or more, first trimester

  • O31.21X0

    Continuing pregnancy after intrauterine death of one fetus or more, first trimester, not applicable or unspecified

  • O31.21X1

    Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 1

  • O31.21X2

    Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 2

  • O31.21X3

    Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 3

  • O31.21X4

    Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 4

  • O31.21X5

    Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 5

  • O31.21X9

    Continuing pregnancy after intrauterine death of one fetus or more, first trimester, other fetus

  • O31.22

    Continuing pregnancy after intrauterine death of one fetus or more, second trimester

  • O31.22X0

    Continuing pregnancy after intrauterine death of one fetus or more, second trimester, not applicable or unspecified

  • O31.22X1

    Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 1

  • O31.22X2

    Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 2

  • O31.22X3

    Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 3

  • O31.22X4

    Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 4

  • O31.22X5

    Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 5

  • O31.22X9

    Continuing pregnancy after intrauterine death of one fetus or more, second trimester, other fetus

  • O31.23

    Continuing pregnancy after intrauterine death of one fetus or more, third trimester

  • O31.23X0

    Continuing pregnancy after intrauterine death of one fetus or more, third trimester, not applicable or unspecified

  • O31.23X1

    Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 1

  • O31.23X2

    Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 2

  • O31.23X3

    Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 3

  • O31.23X4

    Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 4

  • O31.23X5

    Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 5

  • O31.23X9

    Continuing pregnancy after intrauterine death of one fetus or more, third trimester, other fetus

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