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
  • O41.91X2

    Disorder of amniotic fluid and membranes, unspecified, first trimester, fetus 2

  • O41.91X3

    Disorder of amniotic fluid and membranes, unspecified, first trimester, fetus 3

  • O41.91X4

    Disorder of amniotic fluid and membranes, unspecified, first trimester, fetus 4

  • O41.91X5

    Disorder of amniotic fluid and membranes, unspecified, first trimester, fetus 5

  • O41.91X9

    Disorder of amniotic fluid and membranes, unspecified, first trimester, other fetus

  • O41.92

    Disorder of amniotic fluid and membranes, unspecified, second trimester

  • O41.92X0

    Disorder of amniotic fluid and membranes, unspecified, second trimester, not applicable or unspecified

  • O41.92X1

    Disorder of amniotic fluid and membranes, unspecified, second trimester, fetus 1

  • O41.92X2

    Disorder of amniotic fluid and membranes, unspecified, second trimester, fetus 2

  • O41.92X3

    Disorder of amniotic fluid and membranes, unspecified, second trimester, fetus 3

  • O41.92X4

    Disorder of amniotic fluid and membranes, unspecified, second trimester, fetus 4

  • O41.92X5

    Disorder of amniotic fluid and membranes, unspecified, second trimester, fetus 5

  • O41.92X9

    Disorder of amniotic fluid and membranes, unspecified, second trimester, other fetus

  • O41.93

    Disorder of amniotic fluid and membranes, unspecified, third trimester

  • O41.93X0

    Disorder of amniotic fluid and membranes, unspecified, third trimester, not applicable or unspecified

  • O41.93X1

    Disorder of amniotic fluid and membranes, unspecified, third trimester, fetus 1

  • O41.93X2

    Disorder of amniotic fluid and membranes, unspecified, third trimester, fetus 2

  • O41.93X3

    Disorder of amniotic fluid and membranes, unspecified, third trimester, fetus 3

  • O41.93X4

    Disorder of amniotic fluid and membranes, unspecified, third trimester, fetus 4

  • O41.93X5

    Disorder of amniotic fluid and membranes, unspecified, third trimester, fetus 5

  • O41.93X9

    Disorder of amniotic fluid and membranes, unspecified, third trimester, other fetus

  • O42.00

    Premature rupture of membranes, onset of labor within 24 hours of rupture, unspecified weeks of gestation

  • O42.011

    Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, first trimester

  • O42.012

    Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, second trimester

  • O42.013

    Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, third trimester

  • O42.019

    Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, unspecified trimester

  • O42.02

    Full-term premature rupture of membranes, onset of labor within 24 hours of rupture

  • O42.10

    Premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified weeks of gestation

  • O42.111

    Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, first trimester

  • O42.112

    Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, second trimester

  • O42.113

    Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, third trimester

  • O42.119

    Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified trimester

  • O42.12

    Full-term premature rupture of membranes, onset of labor more than 24 hours following rupture

  • O42.90

    Premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, unspecified weeks of gestation

  • O42.911

    Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, first trimester

  • O42.912

    Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, second trimester

  • O42.913

    Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, third trimester

  • O42.919

    Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, unspecified trimester

  • O42.92

    Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor

  • O43.011

    Fetomaternal placental transfusion syndrome, first trimester

  • O43.012

    Fetomaternal placental transfusion syndrome, second trimester

  • O43.013

    Fetomaternal placental transfusion syndrome, third trimester

  • O43.019

    Fetomaternal placental transfusion syndrome, unspecified trimester

  • O43.021

    Fetus-to-fetus placental transfusion syndrome, first trimester

  • O43.022

    Fetus-to-fetus placental transfusion syndrome, second trimester

  • O43.023

    Fetus-to-fetus placental transfusion syndrome, third trimester

  • O43.029

    Fetus-to-fetus placental transfusion syndrome, unspecified trimester

  • O43.101

    Malformation of placenta, unspecified, first trimester

  • O43.102

    Malformation of placenta, unspecified, second trimester

  • O43.103

    Malformation of placenta, unspecified, third trimester

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