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
  • O36.8299

    Fetal anemia and thrombocytopenia, unspecified trimester, other fetus

  • O36.831

    Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester

  • O36.8310

    Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, not applicable or unspecified

  • O36.8311

    Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 1

  • O36.8312

    Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 2

  • O36.8313

    Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 3

  • O36.8314

    Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 4

  • O36.8315

    Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 5

  • O36.8319

    Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, other fetus

  • O36.832

    Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester

  • O36.8320

    Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, not applicable or unspecified

  • O36.8321

    Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, fetus 1

  • O36.8322

    Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, fetus 2

  • O36.8323

    Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, fetus 3

  • O36.8324

    Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, fetus 4

  • O36.8325

    Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, fetus 5

  • O36.8329

    Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, other fetus

  • O36.833

    Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester

  • O36.8330

    Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, not applicable or unspecified

  • O36.8331

    Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, fetus 1

  • O36.8332

    Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, fetus 2

  • O36.8333

    Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, fetus 3

  • O36.8334

    Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, fetus 4

  • O36.8335

    Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, fetus 5

  • O36.8339

    Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, other fetus

  • O36.839

    Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester

  • O36.8390

    Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, not applicable or unspecified

  • O36.8391

    Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, fetus 1

  • O36.8392

    Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, fetus 2

  • O36.8393

    Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, fetus 3

  • O36.8394

    Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, fetus 4

  • O36.8395

    Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, fetus 5

  • O36.8399

    Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, other fetus

  • O36.891

    Maternal care for other specified fetal problems, first trimester

  • O36.8910

    Maternal care for other specified fetal problems, first trimester, not applicable or unspecified

  • O36.8911

    Maternal care for other specified fetal problems, first trimester, fetus 1

  • O36.8912

    Maternal care for other specified fetal problems, first trimester, fetus 2

  • O36.8913

    Maternal care for other specified fetal problems, first trimester, fetus 3

  • O36.8914

    Maternal care for other specified fetal problems, first trimester, fetus 4

  • O36.8915

    Maternal care for other specified fetal problems, first trimester, fetus 5

  • O36.8919

    Maternal care for other specified fetal problems, first trimester, other fetus

  • O36.892

    Maternal care for other specified fetal problems, second trimester

  • O36.8920

    Maternal care for other specified fetal problems, second trimester, not applicable or unspecified

  • O36.8921

    Maternal care for other specified fetal problems, second trimester, fetus 1

  • O36.8922

    Maternal care for other specified fetal problems, second trimester, fetus 2

  • O36.8923

    Maternal care for other specified fetal problems, second trimester, fetus 3

  • O36.8924

    Maternal care for other specified fetal problems, second trimester, fetus 4

  • O36.8925

    Maternal care for other specified fetal problems, second trimester, fetus 5

  • O36.8929

    Maternal care for other specified fetal problems, second trimester, other fetus

  • O36.893

    Maternal care for other specified fetal problems, third trimester

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