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
  • O64.1XX1

    Obstructed labor due to breech presentation, fetus 1

  • O64.1XX2

    Obstructed labor due to breech presentation, fetus 2

  • O64.1XX3

    Obstructed labor due to breech presentation, fetus 3

  • O64.1XX4

    Obstructed labor due to breech presentation, fetus 4

  • O64.1XX5

    Obstructed labor due to breech presentation, fetus 5

  • O64.1XX9

    Obstructed labor due to breech presentation, other fetus

  • O64.2

    Obstructed labor due to face presentation

  • O64.2XX0

    Obstructed labor due to face presentation, not applicable or unspecified

  • O64.2XX1

    Obstructed labor due to face presentation, fetus 1

  • O64.2XX2

    Obstructed labor due to face presentation, fetus 2

  • O64.2XX3

    Obstructed labor due to face presentation, fetus 3

  • O64.2XX4

    Obstructed labor due to face presentation, fetus 4

  • O64.2XX5

    Obstructed labor due to face presentation, fetus 5

  • O64.2XX9

    Obstructed labor due to face presentation, other fetus

  • O64.3

    Obstructed labor due to brow presentation

  • O64.3XX0

    Obstructed labor due to brow presentation, not applicable or unspecified

  • O64.3XX1

    Obstructed labor due to brow presentation, fetus 1

  • O64.3XX2

    Obstructed labor due to brow presentation, fetus 2

  • O64.3XX3

    Obstructed labor due to brow presentation, fetus 3

  • O64.3XX4

    Obstructed labor due to brow presentation, fetus 4

  • O64.3XX5

    Obstructed labor due to brow presentation, fetus 5

  • O64.3XX9

    Obstructed labor due to brow presentation, other fetus

  • O64.4

    Obstructed labor due to shoulder presentation

  • O64.4XX0

    Obstructed labor due to shoulder presentation, not applicable or unspecified

  • O64.4XX1

    Obstructed labor due to shoulder presentation, fetus 1

  • O64.4XX2

    Obstructed labor due to shoulder presentation, fetus 2

  • O64.4XX3

    Obstructed labor due to shoulder presentation, fetus 3

  • O64.4XX4

    Obstructed labor due to shoulder presentation, fetus 4

  • O64.4XX5

    Obstructed labor due to shoulder presentation, fetus 5

  • O64.4XX9

    Obstructed labor due to shoulder presentation, other fetus

  • O64.5

    Obstructed labor due to compound presentation

  • O64.5XX0

    Obstructed labor due to compound presentation, not applicable or unspecified

  • O64.5XX1

    Obstructed labor due to compound presentation, fetus 1

  • O64.5XX2

    Obstructed labor due to compound presentation, fetus 2

  • O64.5XX3

    Obstructed labor due to compound presentation, fetus 3

  • O64.5XX4

    Obstructed labor due to compound presentation, fetus 4

  • O64.5XX5

    Obstructed labor due to compound presentation, fetus 5

  • O64.5XX9

    Obstructed labor due to compound presentation, other fetus

  • O64.8

    Obstructed labor due to other malposition and malpresentation

  • O64.8XX0

    Obstructed labor due to other malposition and malpresentation, not applicable or unspecified

  • O64.8XX1

    Obstructed labor due to other malposition and malpresentation, fetus 1

  • O64.8XX2

    Obstructed labor due to other malposition and malpresentation, fetus 2

  • O64.8XX3

    Obstructed labor due to other malposition and malpresentation, fetus 3

  • O64.8XX4

    Obstructed labor due to other malposition and malpresentation, fetus 4

  • O64.8XX5

    Obstructed labor due to other malposition and malpresentation, fetus 5

  • O64.8XX9

    Obstructed labor due to other malposition and malpresentation, other fetus

  • O64.9

    Obstructed labor due to malposition and malpresentation, unspecified

  • O64.9XX0

    Obstructed labor due to malposition and malpresentation, unspecified, not applicable or unspecified

  • O64.9XX1

    Obstructed labor due to malposition and malpresentation, unspecified, fetus 1

  • O64.9XX2

    Obstructed labor due to malposition and malpresentation, unspecified, fetus 2

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