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
  • O26.50|

    Maternal hypotension syndrome, unspecified trimester

  • O26.51|

    Maternal hypotension syndrome, first trimester

  • O26.52|

    Maternal hypotension syndrome, second trimester

  • O26.53|

    Maternal hypotension syndrome, third trimester

  • O26.611|

    Liver and biliary tract disorders in pregnancy, first trimester

  • O26.612|

    Liver and biliary tract disorders in pregnancy, second trimester

  • O26.613|

    Liver and biliary tract disorders in pregnancy, third trimester

  • O26.619|

    Liver and biliary tract disorders in pregnancy, unspecified trimester

  • O26.62|

    Liver and biliary tract disorders in childbirth

  • O26.63|

    Liver and biliary tract disorders in the puerperium

  • O26.641|

    Intrahepatic cholestasis of pregnancy, first trimester

  • O26.642|

    Intrahepatic cholestasis of pregnancy, second trimester

  • O26.643|

    Intrahepatic cholestasis of pregnancy, third trimester

  • O26.649|

    Intrahepatic cholestasis of pregnancy, unspecified trimester

  • O26.711|

    Subluxation of symphysis (pubis) in pregnancy, first trimester

  • O26.712|

    Subluxation of symphysis (pubis) in pregnancy, second trimester

  • O26.713|

    Subluxation of symphysis (pubis) in pregnancy, third trimester

  • O26.719|

    Subluxation of symphysis (pubis) in pregnancy, unspecified trimester

  • O26.72|

    Subluxation of symphysis (pubis) in childbirth

  • O26.73|

    Subluxation of symphysis (pubis) in the puerperium

  • O26.811|

    Pregnancy related exhaustion and fatigue, first trimester

  • O26.812|

    Pregnancy related exhaustion and fatigue, second trimester

  • O26.813|

    Pregnancy related exhaustion and fatigue, third trimester

  • O26.819|

    Pregnancy related exhaustion and fatigue, unspecified trimester

  • O26.821|

    Pregnancy related peripheral neuritis, first trimester

  • O26.822|

    Pregnancy related peripheral neuritis, second trimester

  • O26.823|

    Pregnancy related peripheral neuritis, third trimester

  • O26.829|

    Pregnancy related peripheral neuritis, unspecified trimester

  • O26.831|

    Pregnancy related renal disease, first trimester

  • O26.832|

    Pregnancy related renal disease, second trimester

  • O26.833|

    Pregnancy related renal disease, third trimester

  • O26.839|

    Pregnancy related renal disease, unspecified trimester

  • O26.841|

    Uterine size-date discrepancy, first trimester

  • O26.842|

    Uterine size-date discrepancy, second trimester

  • O26.843|

    Uterine size-date discrepancy, third trimester

  • O26.849|

    Uterine size-date discrepancy, unspecified trimester

  • O26.851|

    Spotting complicating pregnancy, first trimester

  • O26.852|

    Spotting complicating pregnancy, second trimester

  • O26.853|

    Spotting complicating pregnancy, third trimester

  • O26.859|

    Spotting complicating pregnancy, unspecified trimester

  • O26.86|

    Pruritic urticarial papules and plaques of pregnancy (PUPPP)

  • O26.872|

    Cervical shortening, second trimester

  • O26.873|

    Cervical shortening, third trimester

  • O26.879|

    Cervical shortening, unspecified trimester

  • O26.891|

    Other specified pregnancy related conditions, first trimester

  • O26.892|

    Other specified pregnancy related conditions, second trimester

  • O26.893|

    Other specified pregnancy related conditions, third trimester

  • O26.899|

    Other specified pregnancy related conditions, unspecified trimester

  • O26.90|

    Pregnancy related conditions, unspecified, unspecified trimester

  • O26.91|

    Pregnancy related conditions, unspecified, first trimester

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