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
  • O75.5

    Delayed delivery after artificial rupture of membranes

  • O75.81

    Maternal exhaustion complicating labor and delivery

  • O75.82

    Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section

  • O75.89

    Other specified complications of labor and delivery

  • O75.9

    Complication of labor and delivery, unspecified

  • O76

    Abnormality in fetal heart rate and rhythm complicating labor and delivery

  • O77.0

    Labor and delivery complicated by meconium in amniotic fluid

  • O77.1

    Fetal stress in labor or delivery due to drug administration

  • O77.8

    Labor and delivery complicated by other evidence of fetal stress

  • O77.9

    Labor and delivery complicated by fetal stress, unspecified

  • O80

    Encounter for full-term uncomplicated delivery

  • O82

    Encounter for cesarean delivery without indication

  • O85

    Puerperal sepsis

  • O86.00

    Infection of obstetric surgical wound, unspecified

  • O86.01

    Infection of obstetric surgical wound, superficial incisional site

  • O86.02

    Infection of obstetric surgical wound, deep incisional site

  • O86.03

    Infection of obstetric surgical wound, organ and space site

  • O86.04

    Sepsis following an obstetrical procedure

  • O86.09

    Infection of obstetric surgical wound, other surgical site

  • O86.11

    Cervicitis following delivery

  • O86.12

    Endometritis following delivery

  • O86.13

    Vaginitis following delivery

  • O86.19

    Other infection of genital tract following delivery

  • O86.20

    Urinary tract infection following delivery, unspecified

  • O86.21

    Infection of kidney following delivery

  • O86.22

    Infection of bladder following delivery

  • O86.29

    Other urinary tract infection following delivery

  • O86.4

    Pyrexia of unknown origin following delivery

  • O86.81

    Puerperal septic thrombophlebitis

  • O86.89

    Other specified puerperal infections

  • O87.0

    Superficial thrombophlebitis in the puerperium

  • O87.1

    Deep phlebothrombosis in the puerperium

  • O87.2

    Hemorrhoids in the puerperium

  • O87.3

    Cerebral venous thrombosis in the puerperium

  • O87.4

    Varicose veins of lower extremity in the puerperium

  • O87.8

    Other venous complications in the puerperium

  • O87.9

    Venous complication in the puerperium, unspecified

  • O88.011

    Air embolism in pregnancy, first trimester

  • O88.012

    Air embolism in pregnancy, second trimester

  • O88.013

    Air embolism in pregnancy, third trimester

  • O88.019

    Air embolism in pregnancy, unspecified trimester

  • O88.02

    Air embolism in childbirth

  • O88.03

    Air embolism in the puerperium

  • O88.111

    Amniotic fluid embolism in pregnancy, first trimester

  • O88.112

    Amniotic fluid embolism in pregnancy, second trimester

  • O88.113

    Amniotic fluid embolism in pregnancy, third trimester

  • O88.119

    Amniotic fluid embolism in pregnancy, unspecified trimester

  • O88.12

    Amniotic fluid embolism in childbirth

  • O88.13

    Amniotic fluid embolism in the puerperium

  • O88.211

    Thromboembolism in pregnancy, first trimester

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