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
  • O60.14X9

    Preterm labor third trimester with preterm delivery third trimester, other fetus

  • O60.20

    Term delivery with preterm labor, unspecified trimester

  • O60.20X0

    Term delivery with preterm labor, unspecified trimester, not applicable or unspecified

  • O60.20X1

    Term delivery with preterm labor, unspecified trimester, fetus 1

  • O60.20X2

    Term delivery with preterm labor, unspecified trimester, fetus 2

  • O60.20X3

    Term delivery with preterm labor, unspecified trimester, fetus 3

  • O60.20X4

    Term delivery with preterm labor, unspecified trimester, fetus 4

  • O60.20X5

    Term delivery with preterm labor, unspecified trimester, fetus 5

  • O60.20X9

    Term delivery with preterm labor, unspecified trimester, other fetus

  • O60.22

    Term delivery with preterm labor, second trimester

  • O60.22X0

    Term delivery with preterm labor, second trimester, not applicable or unspecified

  • O60.22X1

    Term delivery with preterm labor, second trimester, fetus 1

  • O60.22X2

    Term delivery with preterm labor, second trimester, fetus 2

  • O60.22X3

    Term delivery with preterm labor, second trimester, fetus 3

  • O60.22X4

    Term delivery with preterm labor, second trimester, fetus 4

  • O60.22X5

    Term delivery with preterm labor, second trimester, fetus 5

  • O60.22X9

    Term delivery with preterm labor, second trimester, other fetus

  • O60.23

    Term delivery with preterm labor, third trimester

  • O60.23X0

    Term delivery with preterm labor, third trimester, not applicable or unspecified

  • O60.23X1

    Term delivery with preterm labor, third trimester, fetus 1

  • O60.23X2

    Term delivery with preterm labor, third trimester, fetus 2

  • O60.23X3

    Term delivery with preterm labor, third trimester, fetus 3

  • O60.23X4

    Term delivery with preterm labor, third trimester, fetus 4

  • O60.23X5

    Term delivery with preterm labor, third trimester, fetus 5

  • O60.23X9

    Term delivery with preterm labor, third trimester, other fetus

  • O61.0

    Failed medical induction of labor

  • O61.1

    Failed instrumental induction of labor

  • O61.8

    Other failed induction of labor

  • O61.9

    Failed induction of labor, unspecified

  • O62.0

    Primary inadequate contractions

  • O62.1

    Secondary uterine inertia

  • O62.2

    Other uterine inertia

  • O62.3

    Precipitate labor

  • O62.4

    Hypertonic, incoordinate, and prolonged uterine contractions

  • O62.8

    Other abnormalities of forces of labor

  • O62.9

    Abnormality of forces of labor, unspecified

  • O63.0

    Prolonged first stage (of labor)

  • O63.1

    Prolonged second stage (of labor)

  • O63.2

    Delayed delivery of second twin, triplet, etc.

  • O63.9

    Long labor, unspecified

  • O64.0

    Obstructed labor due to incomplete rotation of fetal head

  • O64.0XX0

    Obstructed labor due to incomplete rotation of fetal head, not applicable or unspecified

  • O64.0XX1

    Obstructed labor due to incomplete rotation of fetal head, fetus 1

  • O64.0XX2

    Obstructed labor due to incomplete rotation of fetal head, fetus 2

  • O64.0XX3

    Obstructed labor due to incomplete rotation of fetal head, fetus 3

  • O64.0XX4

    Obstructed labor due to incomplete rotation of fetal head, fetus 4

  • O64.0XX5

    Obstructed labor due to incomplete rotation of fetal head, fetus 5

  • O64.0XX9

    Obstructed labor due to incomplete rotation of fetal head, other fetus

  • O64.1

    Obstructed labor due to breech presentation

  • O64.1XX0

    Obstructed labor due to breech presentation, not applicable or unspecified

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