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
  • O99.519

    Diseases of the respiratory system complicating pregnancy, unspecified trimester

  • O99.52

    Diseases of the respiratory system complicating childbirth

  • O99.53

    Diseases of the respiratory system complicating the puerperium

  • O99.611

    Diseases of the digestive system complicating pregnancy, first trimester

  • O99.612

    Diseases of the digestive system complicating pregnancy, second trimester

  • O99.613

    Diseases of the digestive system complicating pregnancy, third trimester

  • O99.619

    Diseases of the digestive system complicating pregnancy, unspecified trimester

  • O99.62

    Diseases of the digestive system complicating childbirth

  • O99.63

    Diseases of the digestive system complicating the puerperium

  • O99.711

    Diseases of the skin and subcutaneous tissue complicating pregnancy, first trimester

  • O99.712

    Diseases of the skin and subcutaneous tissue complicating pregnancy, second trimester

  • O99.713

    Diseases of the skin and subcutaneous tissue complicating pregnancy, third trimester

  • O99.719

    Diseases of the skin and subcutaneous tissue complicating pregnancy, unspecified trimester

  • O99.72

    Diseases of the skin and subcutaneous tissue complicating childbirth

  • O99.73

    Diseases of the skin and subcutaneous tissue complicating the puerperium

  • O99.810

    Abnormal glucose complicating pregnancy

  • O99.814

    Abnormal glucose complicating childbirth

  • O99.815

    Abnormal glucose complicating the puerperium

  • O99.820

    Streptococcus B carrier state complicating pregnancy

  • O99.824

    Streptococcus B carrier state complicating childbirth

  • O99.825

    Streptococcus B carrier state complicating the puerperium

  • O99.830

    Other infection carrier state complicating pregnancy

  • O99.834

    Other infection carrier state complicating childbirth

  • O99.835

    Other infection carrier state complicating the puerperium

  • O99.840

    Bariatric surgery status complicating pregnancy, unspecified trimester

  • O99.841

    Bariatric surgery status complicating pregnancy, first trimester

  • O99.842

    Bariatric surgery status complicating pregnancy, second trimester

  • O99.843

    Bariatric surgery status complicating pregnancy, third trimester

  • O99.844

    Bariatric surgery status complicating childbirth

  • O99.845

    Bariatric surgery status complicating the puerperium

  • O99.891

    Other specified diseases and conditions complicating pregnancy

  • O99.892

    Other specified diseases and conditions complicating childbirth

  • O99.893

    Other specified diseases and conditions complicating puerperium

  • O9A.111

    Malignant neoplasm complicating pregnancy, first trimester

  • O9A.112

    Malignant neoplasm complicating pregnancy, second trimester

  • O9A.113

    Malignant neoplasm complicating pregnancy, third trimester

  • O9A.119

    Malignant neoplasm complicating pregnancy, unspecified trimester

  • O9A.12

    Malignant neoplasm complicating childbirth

  • O9A.13

    Malignant neoplasm complicating the puerperium

  • O9A.211

    Injury, poisoning and certain other consequences of external causes complicating pregnancy, first trimester

  • O9A.212

    Injury, poisoning and certain other consequences of external causes complicating pregnancy, second trimester

  • O9A.213

    Injury, poisoning and certain other consequences of external causes complicating pregnancy, third trimester

  • O9A.219

    Injury, poisoning and certain other consequences of external causes complicating pregnancy, unspecified trimester

  • O9A.22

    Injury, poisoning and certain other consequences of external causes complicating childbirth

  • O9A.23

    Injury, poisoning and certain other consequences of external causes complicating the puerperium

  • O9A.311

    Physical abuse complicating pregnancy, first trimester

  • O9A.312

    Physical abuse complicating pregnancy, second trimester

  • O9A.313

    Physical abuse complicating pregnancy, third trimester

  • O9A.319

    Physical abuse complicating pregnancy, unspecified trimester

  • O9A.32

    Physical abuse complicating childbirth

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