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
  • O69.9XX1

    Labor and delivery complicated by cord complication, unspecified, fetus 1

  • O69.9XX2

    Labor and delivery complicated by cord complication, unspecified, fetus 2

  • O69.9XX3

    Labor and delivery complicated by cord complication, unspecified, fetus 3

  • O69.9XX4

    Labor and delivery complicated by cord complication, unspecified, fetus 4

  • O69.9XX5

    Labor and delivery complicated by cord complication, unspecified, fetus 5

  • O69.9XX9

    Labor and delivery complicated by cord complication, unspecified, other fetus

  • O70.0

    First degree perineal laceration during delivery

  • O70.1

    Second degree perineal laceration during delivery

  • O70.20

    Third degree perineal laceration during delivery, unspecified

  • O70.21

    Third degree perineal laceration during delivery, IIIa

  • O70.22

    Third degree perineal laceration during delivery, IIIb

  • O70.23

    Third degree perineal laceration during delivery, IIIc

  • O70.3

    Fourth degree perineal laceration during delivery

  • O70.4

    Anal sphincter tear complicating delivery, not associated with third degree laceration

  • O70.9

    Perineal laceration during delivery, unspecified

  • O71.00

    Rupture of uterus before onset of labor, unspecified trimester

  • O71.02

    Rupture of uterus before onset of labor, second trimester

  • O71.03

    Rupture of uterus before onset of labor, third trimester

  • O71.1

    Rupture of uterus during labor

  • O71.2

    Postpartum inversion of uterus

  • O71.3

    Obstetric laceration of cervix

  • O71.4

    Obstetric high vaginal laceration alone

  • O71.5

    Other obstetric injury to pelvic organs

  • O71.6

    Obstetric damage to pelvic joints and ligaments

  • O71.7

    Obstetric hematoma of pelvis

  • O71.81

    Laceration of uterus, not elsewhere classified

  • O71.82

    Other specified trauma to perineum and vulva

  • O71.89

    Other specified obstetric trauma

  • O71.9

    Obstetric trauma, unspecified

  • O72.0

    Third-stage hemorrhage

  • O72.1

    Other immediate postpartum hemorrhage

  • O72.2

    Delayed and secondary postpartum hemorrhage

  • O72.3

    Postpartum coagulation defects

  • O73.0

    Retained placenta without hemorrhage

  • O73.1

    Retained portions of placenta and membranes, without hemorrhage

  • O74.0

    Aspiration pneumonitis due to anesthesia during labor and delivery

  • O74.1

    Other pulmonary complications of anesthesia during labor and delivery

  • O74.2

    Cardiac complications of anesthesia during labor and delivery

  • O74.3

    Central nervous system complications of anesthesia during labor and delivery

  • O74.4

    Toxic reaction to local anesthesia during labor and delivery

  • O74.5

    Spinal and epidural anesthesia-induced headache during labor and delivery

  • O74.6

    Other complications of spinal and epidural anesthesia during labor and delivery

  • O74.7

    Failed or difficult intubation for anesthesia during labor and delivery

  • O74.8

    Other complications of anesthesia during labor and delivery

  • O74.9

    Complication of anesthesia during labor and delivery, unspecified

  • O75.0

    Maternal distress during labor and delivery

  • O75.1

    Shock during or following labor and delivery

  • O75.2

    Pyrexia during labor, not elsewhere classified

  • O75.3

    Other infection during labor

  • O75.4

    Other complications of obstetric surgery and procedures

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