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
  • O32.4XX3

    Maternal care for high head at term, fetus 3

  • O32.4XX4

    Maternal care for high head at term, fetus 4

  • O32.4XX5

    Maternal care for high head at term, fetus 5

  • O32.4XX9

    Maternal care for high head at term, other fetus

  • O32.6

    Maternal care for compound presentation

  • O32.6XX0

    Maternal care for compound presentation, not applicable or unspecified

  • O32.6XX1

    Maternal care for compound presentation, fetus 1

  • O32.6XX2

    Maternal care for compound presentation, fetus 2

  • O32.6XX3

    Maternal care for compound presentation, fetus 3

  • O32.6XX4

    Maternal care for compound presentation, fetus 4

  • O32.6XX5

    Maternal care for compound presentation, fetus 5

  • O32.6XX9

    Maternal care for compound presentation, other fetus

  • O32.8

    Maternal care for other malpresentation of fetus

  • O32.8XX0

    Maternal care for other malpresentation of fetus, not applicable or unspecified

  • O32.8XX1

    Maternal care for other malpresentation of fetus, fetus 1

  • O32.8XX2

    Maternal care for other malpresentation of fetus, fetus 2

  • O32.8XX3

    Maternal care for other malpresentation of fetus, fetus 3

  • O32.8XX4

    Maternal care for other malpresentation of fetus, fetus 4

  • O32.8XX5

    Maternal care for other malpresentation of fetus, fetus 5

  • O32.8XX9

    Maternal care for other malpresentation of fetus, other fetus

  • O32.9

    Maternal care for malpresentation of fetus, unspecified

  • O32.9XX0

    Maternal care for malpresentation of fetus, unspecified, not applicable or unspecified

  • O32.9XX1

    Maternal care for malpresentation of fetus, unspecified, fetus 1

  • O32.9XX2

    Maternal care for malpresentation of fetus, unspecified, fetus 2

  • O32.9XX3

    Maternal care for malpresentation of fetus, unspecified, fetus 3

  • O32.9XX4

    Maternal care for malpresentation of fetus, unspecified, fetus 4

  • O32.9XX5

    Maternal care for malpresentation of fetus, unspecified, fetus 5

  • O32.9XX9

    Maternal care for malpresentation of fetus, unspecified, other fetus

  • O33.0

    Maternal care for disproportion due to deformity of maternal pelvic bones

  • O33.1

    Maternal care for disproportion due to generally contracted pelvis

  • O33.2

    Maternal care for disproportion due to inlet contraction of pelvis

  • O33.3

    Maternal care for disproportion due to outlet contraction of pelvis

  • O33.3XX0

    Maternal care for disproportion due to outlet contraction of pelvis, not applicable or unspecified

  • O33.3XX1

    Maternal care for disproportion due to outlet contraction of pelvis, fetus 1

  • O33.3XX2

    Maternal care for disproportion due to outlet contraction of pelvis, fetus 2

  • O33.3XX3

    Maternal care for disproportion due to outlet contraction of pelvis, fetus 3

  • O33.3XX4

    Maternal care for disproportion due to outlet contraction of pelvis, fetus 4

  • O33.3XX5

    Maternal care for disproportion due to outlet contraction of pelvis, fetus 5

  • O33.3XX9

    Maternal care for disproportion due to outlet contraction of pelvis, other fetus

  • O33.4

    Maternal care for disproportion of mixed maternal and fetal origin

  • O33.4XX0

    Maternal care for disproportion of mixed maternal and fetal origin, not applicable or unspecified

  • O33.4XX1

    Maternal care for disproportion of mixed maternal and fetal origin, fetus 1

  • O33.4XX2

    Maternal care for disproportion of mixed maternal and fetal origin, fetus 2

  • O33.4XX3

    Maternal care for disproportion of mixed maternal and fetal origin, fetus 3

  • O33.4XX4

    Maternal care for disproportion of mixed maternal and fetal origin, fetus 4

  • O33.4XX5

    Maternal care for disproportion of mixed maternal and fetal origin, fetus 5

  • O33.4XX9

    Maternal care for disproportion of mixed maternal and fetal origin, other fetus

  • O33.5

    Maternal care for disproportion due to unusually large fetus

  • O33.5XX0

    Maternal care for disproportion due to unusually large fetus, not applicable or unspecified

  • O33.5XX1

    Maternal care for disproportion due to unusually large fetus, fetus 1

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