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
  • O36.23X9

    Maternal care for hydrops fetalis, third trimester, other fetus

  • O36.4

    Maternal care for intrauterine death

  • O36.4XX0

    Maternal care for intrauterine death, not applicable or unspecified

  • O36.4XX1

    Maternal care for intrauterine death, fetus 1

  • O36.4XX2

    Maternal care for intrauterine death, fetus 2

  • O36.4XX3

    Maternal care for intrauterine death, fetus 3

  • O36.4XX4

    Maternal care for intrauterine death, fetus 4

  • O36.4XX5

    Maternal care for intrauterine death, fetus 5

  • O36.4XX9

    Maternal care for intrauterine death, other fetus

  • O36.511

    Maternal care for known or suspected placental insufficiency, first trimester

  • O36.5110

    Maternal care for known or suspected placental insufficiency, first trimester, not applicable or unspecified

  • O36.5111

    Maternal care for known or suspected placental insufficiency, first trimester, fetus 1

  • O36.5112

    Maternal care for known or suspected placental insufficiency, first trimester, fetus 2

  • O36.5113

    Maternal care for known or suspected placental insufficiency, first trimester, fetus 3

  • O36.5114

    Maternal care for known or suspected placental insufficiency, first trimester, fetus 4

  • O36.5115

    Maternal care for known or suspected placental insufficiency, first trimester, fetus 5

  • O36.5119

    Maternal care for known or suspected placental insufficiency, first trimester, other fetus

  • O36.512

    Maternal care for known or suspected placental insufficiency, second trimester

  • O36.5120

    Maternal care for known or suspected placental insufficiency, second trimester, not applicable or unspecified

  • O36.5121

    Maternal care for known or suspected placental insufficiency, second trimester, fetus 1

  • O36.5122

    Maternal care for known or suspected placental insufficiency, second trimester, fetus 2

  • O36.5123

    Maternal care for known or suspected placental insufficiency, second trimester, fetus 3

  • O36.5124

    Maternal care for known or suspected placental insufficiency, second trimester, fetus 4

  • O36.5125

    Maternal care for known or suspected placental insufficiency, second trimester, fetus 5

  • O36.5129

    Maternal care for known or suspected placental insufficiency, second trimester, other fetus

  • O36.513

    Maternal care for known or suspected placental insufficiency, third trimester

  • O36.5130

    Maternal care for known or suspected placental insufficiency, third trimester, not applicable or unspecified

  • O36.5131

    Maternal care for known or suspected placental insufficiency, third trimester, fetus 1

  • O36.5132

    Maternal care for known or suspected placental insufficiency, third trimester, fetus 2

  • O36.5133

    Maternal care for known or suspected placental insufficiency, third trimester, fetus 3

  • O36.5134

    Maternal care for known or suspected placental insufficiency, third trimester, fetus 4

  • O36.5135

    Maternal care for known or suspected placental insufficiency, third trimester, fetus 5

  • O36.5139

    Maternal care for known or suspected placental insufficiency, third trimester, other fetus

  • O36.519

    Maternal care for known or suspected placental insufficiency, unspecified trimester

  • O36.5190

    Maternal care for known or suspected placental insufficiency, unspecified trimester, not applicable or unspecified

  • O36.5191

    Maternal care for known or suspected placental insufficiency, unspecified trimester, fetus 1

  • O36.5192

    Maternal care for known or suspected placental insufficiency, unspecified trimester, fetus 2

  • O36.5193

    Maternal care for known or suspected placental insufficiency, unspecified trimester, fetus 3

  • O36.5194

    Maternal care for known or suspected placental insufficiency, unspecified trimester, fetus 4

  • O36.5195

    Maternal care for known or suspected placental insufficiency, unspecified trimester, fetus 5

  • O36.5199

    Maternal care for known or suspected placental insufficiency, unspecified trimester, other fetus

  • O36.591

    Maternal care for other known or suspected poor fetal growth, first trimester

  • O36.5910

    Maternal care for other known or suspected poor fetal growth, first trimester, not applicable or unspecified

  • O36.5911

    Maternal care for other known or suspected poor fetal growth, first trimester, fetus 1

  • O36.5912

    Maternal care for other known or suspected poor fetal growth, first trimester, fetus 2

  • O36.5913

    Maternal care for other known or suspected poor fetal growth, first trimester, fetus 3

  • O36.5914

    Maternal care for other known or suspected poor fetal growth, first trimester, fetus 4

  • O36.5915

    Maternal care for other known or suspected poor fetal growth, first trimester, fetus 5

  • O36.5919

    Maternal care for other known or suspected poor fetal growth, first trimester, other fetus

  • O36.592

    Maternal care for other known or suspected poor fetal growth, second trimester

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