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
  • O09.12

    Supervision of pregnancy with history of ectopic pregnancy, second trimester

  • O09.13

    Supervision of pregnancy with history of ectopic pregnancy, third trimester

  • O09.211

    Supervision of pregnancy with history of pre-term labor, first trimester

  • O09.212

    Supervision of pregnancy with history of pre-term labor, second trimester

  • O09.213

    Supervision of pregnancy with history of pre-term labor, third trimester

  • O09.219

    Supervision of pregnancy with history of pre-term labor, unspecified trimester

  • O09.291

    Supervision of pregnancy with other poor reproductive or obstetric history, first trimester

  • O09.292

    Supervision of pregnancy with other poor reproductive or obstetric history, second trimester

  • O09.293

    Supervision of pregnancy with other poor reproductive or obstetric history, third trimester

  • O09.299

    Supervision of pregnancy with other poor reproductive or obstetric history, unspecified trimester

  • O09.30

    Supervision of pregnancy with insufficient antenatal care, unspecified trimester

  • O09.31

    Supervision of pregnancy with insufficient antenatal care, first trimester

  • O09.32

    Supervision of pregnancy with insufficient antenatal care, second trimester

  • O09.33

    Supervision of pregnancy with insufficient antenatal care, third trimester

  • O09.40

    Supervision of pregnancy with grand multiparity, unspecified trimester

  • O09.41

    Supervision of pregnancy with grand multiparity, first trimester

  • O09.42

    Supervision of pregnancy with grand multiparity, second trimester

  • O09.43

    Supervision of pregnancy with grand multiparity, third trimester

  • O09.511

    Supervision of elderly primigravida, first trimester

  • O09.512

    Supervision of elderly primigravida, second trimester

  • O09.513

    Supervision of elderly primigravida, third trimester

  • O09.519

    Supervision of elderly primigravida, unspecified trimester

  • O09.521

    Supervision of elderly multigravida, first trimester

  • O09.522

    Supervision of elderly multigravida, second trimester

  • O09.523

    Supervision of elderly multigravida, third trimester

  • O09.529

    Supervision of elderly multigravida, unspecified trimester

  • O09.611

    Supervision of young primigravida, first trimester

  • O09.612

    Supervision of young primigravida, second trimester

  • O09.613

    Supervision of young primigravida, third trimester

  • O09.619

    Supervision of young primigravida, unspecified trimester

  • O09.621

    Supervision of young multigravida, first trimester

  • O09.622

    Supervision of young multigravida, second trimester

  • O09.623

    Supervision of young multigravida, third trimester

  • O09.629

    Supervision of young multigravida, unspecified trimester

  • O09.70

    Supervision of high risk pregnancy due to social problems, unspecified trimester

  • O09.71

    Supervision of high risk pregnancy due to social problems, first trimester

  • O09.72

    Supervision of high risk pregnancy due to social problems, second trimester

  • O09.73

    Supervision of high risk pregnancy due to social problems, third trimester

  • O09.811

    Supervision of pregnancy resulting from assisted reproductive technology, first trimester

  • O09.812

    Supervision of pregnancy resulting from assisted reproductive technology, second trimester

  • O09.813

    Supervision of pregnancy resulting from assisted reproductive technology, third trimester

  • O09.819

    Supervision of pregnancy resulting from assisted reproductive technology, unspecified trimester

  • O09.821

    Supervision of pregnancy with history of in utero procedure during previous pregnancy, first trimester

  • O09.822

    Supervision of pregnancy with history of in utero procedure during previous pregnancy, second trimester

  • O09.823

    Supervision of pregnancy with history of in utero procedure during previous pregnancy, third trimester

  • O09.829

    Supervision of pregnancy with history of in utero procedure during previous pregnancy, unspecified trimester

  • O09.891

    Supervision of other high risk pregnancies, first trimester

  • O09.892

    Supervision of other high risk pregnancies, second trimester

  • O09.893

    Supervision of other high risk pregnancies, third trimester

  • O09.899

    Supervision of other high risk pregnancies, unspecified trimester

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