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
  • O26.13

    Low weight gain in pregnancy, third trimester

  • O26.2

    Pregnancy care for patient with recurrent pregnancy loss

  • O26.20

    Pregnancy care for patient with recurrent pregnancy loss, unspecified trimester

  • O26.21

    Pregnancy care for patient with recurrent pregnancy loss, first trimester

  • O26.22

    Pregnancy care for patient with recurrent pregnancy loss, second trimester

  • O26.23

    Pregnancy care for patient with recurrent pregnancy loss, third trimester

  • O26.3

    Retained intrauterine contraceptive device in pregnancy

  • O26.30

    Retained intrauterine contraceptive device in pregnancy, unspecified trimester

  • O26.31

    Retained intrauterine contraceptive device in pregnancy, first trimester

  • O26.32

    Retained intrauterine contraceptive device in pregnancy, second trimester

  • O26.33

    Retained intrauterine contraceptive device in pregnancy, third trimester

  • O26.4

    Herpes gestationis

  • O26.40

    Herpes gestationis, unspecified trimester

  • O26.41

    Herpes gestationis, first trimester

  • O26.42

    Herpes gestationis, second trimester

  • O26.43

    Herpes gestationis, third trimester

  • O26.5

    Maternal hypotension syndrome

  • 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

  • O26.6

    Liver and biliary tract disorders in pregnancy, childbirth and the puerperium

  • O26.61

    Liver and biliary tract disorders in pregnancy

  • 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

  • O26.64

    Intrahepatic cholestasis of pregnancy

  • 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

  • O26.7

    Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium

  • O26.71

    Subluxation of symphysis (pubis) in pregnancy

  • 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

  • O26.8

    Other specified pregnancy related conditions

  • O26.81

    Pregnancy related exhaustion and fatigue

  • 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

  • O26.82

    Pregnancy related peripheral neuritis

  • O26.821

    Pregnancy related peripheral neuritis, first trimester

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