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
  • O24.4

    Gestational diabetes mellitus

  • O24.41

    Gestational diabetes mellitus in pregnancy

  • O24.410

    Gestational diabetes mellitus in pregnancy, diet controlled

  • O24.414

    Gestational diabetes mellitus in pregnancy, insulin controlled

  • O24.415

    Gestational diabetes mellitus in pregnancy, controlled by oral hypoglycemic drugs

  • O24.419

    Gestational diabetes mellitus in pregnancy, unspecified control

  • O24.42

    Gestational diabetes mellitus in childbirth

  • O24.420

    Gestational diabetes mellitus in childbirth, diet controlled

  • O24.424

    Gestational diabetes mellitus in childbirth, insulin controlled

  • O24.425

    Gestational diabetes mellitus in childbirth, controlled by oral hypoglycemic drugs

  • O24.429

    Gestational diabetes mellitus in childbirth, unspecified control

  • O24.43

    Gestational diabetes mellitus in the puerperium

  • O24.430

    Gestational diabetes mellitus in the puerperium, diet controlled

  • O24.434

    Gestational diabetes mellitus in the puerperium, insulin controlled

  • O24.435

    Gestational diabetes mellitus in puerperium, controlled by oral hypoglycemic drugs

  • O24.439

    Gestational diabetes mellitus in the puerperium, unspecified control

  • O24.8

    Other pre-existing diabetes mellitus in pregnancy, childbirth, and the puerperium

  • O24.81

    Other pre-existing diabetes mellitus in pregnancy

  • O24.811

    Other pre-existing diabetes mellitus in pregnancy, first trimester

  • O24.812

    Other pre-existing diabetes mellitus in pregnancy, second trimester

  • O24.813

    Other pre-existing diabetes mellitus in pregnancy, third trimester

  • O24.819

    Other pre-existing diabetes mellitus in pregnancy, unspecified trimester

  • O24.82

    Other pre-existing diabetes mellitus in childbirth

  • O24.83

    Other pre-existing diabetes mellitus in the puerperium

  • O24.9

    Unspecified diabetes mellitus in pregnancy, childbirth and the puerperium

  • O24.91

    Unspecified diabetes mellitus in pregnancy

  • O24.911

    Unspecified diabetes mellitus in pregnancy, first trimester

  • O24.912

    Unspecified diabetes mellitus in pregnancy, second trimester

  • O24.913

    Unspecified diabetes mellitus in pregnancy, third trimester

  • O24.919

    Unspecified diabetes mellitus in pregnancy, unspecified trimester

  • O24.92

    Unspecified diabetes mellitus in childbirth

  • O24.93

    Unspecified diabetes mellitus in the puerperium

  • O25

    Malnutrition in pregnancy, childbirth and the puerperium

  • O25.1

    Malnutrition in pregnancy

  • O25.10

    Malnutrition in pregnancy, unspecified trimester

  • O25.11

    Malnutrition in pregnancy, first trimester

  • O25.12

    Malnutrition in pregnancy, second trimester

  • O25.13

    Malnutrition in pregnancy, third trimester

  • O25.2

    Malnutrition in childbirth

  • O25.3

    Malnutrition in the puerperium

  • O26

    Maternal care for other conditions predominantly related to pregnancy

  • O26.0

    Excessive weight gain in pregnancy

  • O26.00

    Excessive weight gain in pregnancy, unspecified trimester

  • O26.01

    Excessive weight gain in pregnancy, first trimester

  • O26.02

    Excessive weight gain in pregnancy, second trimester

  • O26.03

    Excessive weight gain in pregnancy, third trimester

  • O26.1

    Low weight gain in pregnancy

  • O26.10

    Low weight gain in pregnancy, unspecified trimester

  • O26.11

    Low weight gain in pregnancy, first trimester

  • O26.12

    Low weight gain in pregnancy, second trimester

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