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
  • O91.211

    Nonpurulent mastitis associated with pregnancy, first trimester

  • O91.212

    Nonpurulent mastitis associated with pregnancy, second trimester

  • O91.213

    Nonpurulent mastitis associated with pregnancy, third trimester

  • O91.219

    Nonpurulent mastitis associated with pregnancy, unspecified trimester

  • O91.22

    Nonpurulent mastitis associated with the puerperium

  • O91.23

    Nonpurulent mastitis associated with lactation

  • O92.011

    Retracted nipple associated with pregnancy, first trimester

  • O92.012

    Retracted nipple associated with pregnancy, second trimester

  • O92.013

    Retracted nipple associated with pregnancy, third trimester

  • O92.019

    Retracted nipple associated with pregnancy, unspecified trimester

  • O92.02

    Retracted nipple associated with the puerperium

  • O92.03

    Retracted nipple associated with lactation

  • O92.111

    Cracked nipple associated with pregnancy, first trimester

  • O92.112

    Cracked nipple associated with pregnancy, second trimester

  • O92.113

    Cracked nipple associated with pregnancy, third trimester

  • O92.119

    Cracked nipple associated with pregnancy, unspecified trimester

  • O92.12

    Cracked nipple associated with the puerperium

  • O92.13

    Cracked nipple associated with lactation

  • O92.20

    Unspecified disorder of breast associated with pregnancy and the puerperium

  • O92.29

    Other disorders of breast associated with pregnancy and the puerperium

  • O92.3

    Agalactia

  • O92.4

    Hypogalactia

  • O92.5

    Suppressed lactation

  • O92.6

    Galactorrhea

  • O92.70

    Unspecified disorders of lactation

  • O92.79

    Other disorders of lactation

  • O94

    Sequelae of complication of pregnancy, childbirth, and the puerperium

  • O98.011

    Tuberculosis complicating pregnancy, first trimester

  • O98.012

    Tuberculosis complicating pregnancy, second trimester

  • O98.013

    Tuberculosis complicating pregnancy, third trimester

  • O98.019

    Tuberculosis complicating pregnancy, unspecified trimester

  • O98.02

    Tuberculosis complicating childbirth

  • O98.03

    Tuberculosis complicating the puerperium

  • O98.111

    Syphilis complicating pregnancy, first trimester

  • O98.112

    Syphilis complicating pregnancy, second trimester

  • O98.113

    Syphilis complicating pregnancy, third trimester

  • O98.119

    Syphilis complicating pregnancy, unspecified trimester

  • O98.12

    Syphilis complicating childbirth

  • O98.13

    Syphilis complicating the puerperium

  • O98.211

    Gonorrhea complicating pregnancy, first trimester

  • O98.212

    Gonorrhea complicating pregnancy, second trimester

  • O98.213

    Gonorrhea complicating pregnancy, third trimester

  • O98.219

    Gonorrhea complicating pregnancy, unspecified trimester

  • O98.22

    Gonorrhea complicating childbirth

  • O98.23

    Gonorrhea complicating the puerperium

  • O98.311

    Other infections with a predominantly sexual mode of transmission complicating pregnancy, first trimester

  • O98.312

    Other infections with a predominantly sexual mode of transmission complicating pregnancy, second trimester

  • O98.313

    Other infections with a predominantly sexual mode of transmission complicating pregnancy, third trimester

  • O98.319

    Other infections with a predominantly sexual mode of transmission complicating pregnancy, unspecified trimester

  • O98.32

    Other infections with a predominantly sexual mode of transmission complicating childbirth

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