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
  • O31.8X31

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

  • O31.8X32

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

  • O31.8X33

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

  • O31.8X34

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

  • O31.8X35

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

  • O31.8X39

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

  • O31.8X9

    Other complications specific to multiple gestation, unspecified trimester

  • O31.8X90

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

  • O31.8X91

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

  • O31.8X92

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

  • O31.8X93

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

  • O31.8X94

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

  • O31.8X95

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

  • O31.8X99

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

  • O32.0

    Maternal care for unstable lie

  • O32.0XX0

    Maternal care for unstable lie, not applicable or unspecified

  • O32.0XX1

    Maternal care for unstable lie, fetus 1

  • O32.0XX2

    Maternal care for unstable lie, fetus 2

  • O32.0XX3

    Maternal care for unstable lie, fetus 3

  • O32.0XX4

    Maternal care for unstable lie, fetus 4

  • O32.0XX5

    Maternal care for unstable lie, fetus 5

  • O32.0XX9

    Maternal care for unstable lie, other fetus

  • O32.1

    Maternal care for breech presentation

  • O32.1XX0

    Maternal care for breech presentation, not applicable or unspecified

  • O32.1XX1

    Maternal care for breech presentation, fetus 1

  • O32.1XX2

    Maternal care for breech presentation, fetus 2

  • O32.1XX3

    Maternal care for breech presentation, fetus 3

  • O32.1XX4

    Maternal care for breech presentation, fetus 4

  • O32.1XX5

    Maternal care for breech presentation, fetus 5

  • O32.1XX9

    Maternal care for breech presentation, other fetus

  • O32.2

    Maternal care for transverse and oblique lie

  • O32.2XX0

    Maternal care for transverse and oblique lie, not applicable or unspecified

  • O32.2XX1

    Maternal care for transverse and oblique lie, fetus 1

  • O32.2XX2

    Maternal care for transverse and oblique lie, fetus 2

  • O32.2XX3

    Maternal care for transverse and oblique lie, fetus 3

  • O32.2XX4

    Maternal care for transverse and oblique lie, fetus 4

  • O32.2XX5

    Maternal care for transverse and oblique lie, fetus 5

  • O32.2XX9

    Maternal care for transverse and oblique lie, other fetus

  • O32.3

    Maternal care for face, brow and chin presentation

  • O32.3XX0

    Maternal care for face, brow and chin presentation, not applicable or unspecified

  • O32.3XX1

    Maternal care for face, brow and chin presentation, fetus 1

  • O32.3XX2

    Maternal care for face, brow and chin presentation, fetus 2

  • O32.3XX3

    Maternal care for face, brow and chin presentation, fetus 3

  • O32.3XX4

    Maternal care for face, brow and chin presentation, fetus 4

  • O32.3XX5

    Maternal care for face, brow and chin presentation, fetus 5

  • O32.3XX9

    Maternal care for face, brow and chin presentation, other fetus

  • O32.4

    Maternal care for high head at term

  • O32.4XX0

    Maternal care for high head at term, not applicable or unspecified

  • O32.4XX1

    Maternal care for high head at term, fetus 1

  • O32.4XX2

    Maternal care for high head at term, fetus 2

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