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
  • O31.30

    Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester

  • O31.30X0

    Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester, not applicable or unspecified

  • O31.30X1

    Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester, fetus 1

  • O31.30X2

    Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester, fetus 2

  • O31.30X3

    Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester, fetus 3

  • O31.30X4

    Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester, fetus 4

  • O31.30X5

    Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester, fetus 5

  • O31.30X9

    Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester, other fetus

  • O31.31

    Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester

  • O31.31X0

    Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, not applicable or unspecified

  • O31.31X1

    Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, fetus 1

  • O31.31X2

    Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, fetus 2

  • O31.31X3

    Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, fetus 3

  • O31.31X4

    Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, fetus 4

  • O31.31X5

    Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, fetus 5

  • O31.31X9

    Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, other fetus

  • O31.32

    Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester

  • O31.32X0

    Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, not applicable or unspecified

  • O31.32X1

    Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, fetus 1

  • O31.32X2

    Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, fetus 2

  • O31.32X3

    Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, fetus 3

  • O31.32X4

    Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, fetus 4

  • O31.32X5

    Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, fetus 5

  • O31.32X9

    Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, other fetus

  • O31.33

    Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester

  • O31.33X0

    Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, not applicable or unspecified

  • O31.33X1

    Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, fetus 1

  • O31.33X2

    Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, fetus 2

  • O31.33X3

    Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, fetus 3

  • O31.33X4

    Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, fetus 4

  • O31.33X5

    Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, fetus 5

  • O31.33X9

    Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, other fetus

  • O31.8X1

    Other complications specific to multiple gestation, first trimester

  • O31.8X10

    Other complications specific to multiple gestation, first trimester, not applicable or unspecified

  • O31.8X11

    Other complications specific to multiple gestation, first trimester, fetus 1

  • O31.8X12

    Other complications specific to multiple gestation, first trimester, fetus 2

  • O31.8X13

    Other complications specific to multiple gestation, first trimester, fetus 3

  • O31.8X14

    Other complications specific to multiple gestation, first trimester, fetus 4

  • O31.8X15

    Other complications specific to multiple gestation, first trimester, fetus 5

  • O31.8X19

    Other complications specific to multiple gestation, first trimester, other fetus

  • O31.8X2

    Other complications specific to multiple gestation, second trimester

  • O31.8X20

    Other complications specific to multiple gestation, second trimester, not applicable or unspecified

  • O31.8X21

    Other complications specific to multiple gestation, second trimester, fetus 1

  • O31.8X22

    Other complications specific to multiple gestation, second trimester, fetus 2

  • O31.8X23

    Other complications specific to multiple gestation, second trimester, fetus 3

  • O31.8X24

    Other complications specific to multiple gestation, second trimester, fetus 4

  • O31.8X25

    Other complications specific to multiple gestation, second trimester, fetus 5

  • O31.8X29

    Other complications specific to multiple gestation, second trimester, other fetus

  • O31.8X3

    Other complications specific to multiple gestation, third trimester

  • O31.8X30

    Other complications specific to multiple gestation, third trimester, not applicable or unspecified

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