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
  • O16.1

    Unspecified maternal hypertension, first trimester

  • O16.2

    Unspecified maternal hypertension, second trimester

  • O16.3

    Unspecified maternal hypertension, third trimester

  • O16.4

    Unspecified maternal hypertension, complicating childbirth

  • O16.5

    Unspecified maternal hypertension, complicating the puerperium

  • O16.9

    Unspecified maternal hypertension, unspecified trimester

  • O20.0

    Threatened abortion

  • O20.8

    Other hemorrhage in early pregnancy

  • O20.9

    Hemorrhage in early pregnancy, unspecified

  • O21.0

    Mild hyperemesis gravidarum

  • O21.1

    Hyperemesis gravidarum with metabolic disturbance

  • O21.2

    Late vomiting of pregnancy

  • O21.8

    Other vomiting complicating pregnancy

  • O21.9

    Vomiting of pregnancy, unspecified

  • O22.00

    Varicose veins of lower extremity in pregnancy, unspecified trimester

  • O22.01

    Varicose veins of lower extremity in pregnancy, first trimester

  • O22.02

    Varicose veins of lower extremity in pregnancy, second trimester

  • O22.03

    Varicose veins of lower extremity in pregnancy, third trimester

  • O22.10

    Genital varices in pregnancy, unspecified trimester

  • O22.11

    Genital varices in pregnancy, first trimester

  • O22.12

    Genital varices in pregnancy, second trimester

  • O22.13

    Genital varices in pregnancy, third trimester

  • O22.20

    Superficial thrombophlebitis in pregnancy, unspecified trimester

  • O22.21

    Superficial thrombophlebitis in pregnancy, first trimester

  • O22.22

    Superficial thrombophlebitis in pregnancy, second trimester

  • O22.23

    Superficial thrombophlebitis in pregnancy, third trimester

  • O22.30

    Deep phlebothrombosis in pregnancy, unspecified trimester

  • O22.31

    Deep phlebothrombosis in pregnancy, first trimester

  • O22.32

    Deep phlebothrombosis in pregnancy, second trimester

  • O22.33

    Deep phlebothrombosis in pregnancy, third trimester

  • O22.40

    Hemorrhoids in pregnancy, unspecified trimester

  • O22.41

    Hemorrhoids in pregnancy, first trimester

  • O22.42

    Hemorrhoids in pregnancy, second trimester

  • O22.43

    Hemorrhoids in pregnancy, third trimester

  • O22.50

    Cerebral venous thrombosis in pregnancy, unspecified trimester

  • O22.51

    Cerebral venous thrombosis in pregnancy, first trimester

  • O22.52

    Cerebral venous thrombosis in pregnancy, second trimester

  • O22.53

    Cerebral venous thrombosis in pregnancy, third trimester

  • O22.8X1

    Other venous complications in pregnancy, first trimester

  • O22.8X2

    Other venous complications in pregnancy, second trimester

  • O22.8X3

    Other venous complications in pregnancy, third trimester

  • O22.8X9

    Other venous complications in pregnancy, unspecified trimester

  • O22.90

    Venous complication in pregnancy, unspecified, unspecified trimester

  • O22.91

    Venous complication in pregnancy, unspecified, first trimester

  • O22.92

    Venous complication in pregnancy, unspecified, second trimester

  • O22.93

    Venous complication in pregnancy, unspecified, third trimester

  • O23.00

    Infections of kidney in pregnancy, unspecified trimester

  • O23.01

    Infections of kidney in pregnancy, first trimester

  • O23.02

    Infections of kidney in pregnancy, second trimester

  • O23.03

    Infections of kidney in pregnancy, third trimester

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