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
  • O30.099

    Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, unspecified trimester

  • O30.1

    Triplet pregnancy

  • O30.10

    Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs

  • O30.101

    Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester

  • O30.102

    Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester

  • O30.103

    Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester

  • O30.109

    Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester

  • O30.11

    Triplet pregnancy with two or more monochorionic fetuses

  • O30.111

    Triplet pregnancy with two or more monochorionic fetuses, first trimester

  • O30.112

    Triplet pregnancy with two or more monochorionic fetuses, second trimester

  • O30.113

    Triplet pregnancy with two or more monochorionic fetuses, third trimester

  • O30.119

    Triplet pregnancy with two or more monochorionic fetuses, unspecified trimester

  • O30.12

    Triplet pregnancy with two or more monoamniotic fetuses

  • O30.121

    Triplet pregnancy with two or more monoamniotic fetuses, first trimester

  • O30.122

    Triplet pregnancy with two or more monoamniotic fetuses, second trimester

  • O30.123

    Triplet pregnancy with two or more monoamniotic fetuses, third trimester

  • O30.129

    Triplet pregnancy with two or more monoamniotic fetuses, unspecified trimester

  • O30.13

    Triplet pregnancy, trichorionic/triamniotic

  • O30.131

    Triplet pregnancy, trichorionic/triamniotic, first trimester

  • O30.132

    Triplet pregnancy, trichorionic/triamniotic, second trimester

  • O30.133

    Triplet pregnancy, trichorionic/triamniotic, third trimester

  • O30.139

    Triplet pregnancy, trichorionic/triamniotic, unspecified trimester

  • O30.19

    Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs

  • O30.191

    Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester

  • O30.192

    Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs, second trimester

  • O30.193

    Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester

  • O30.199

    Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs, unspecified trimester

  • O30.2

    Quadruplet pregnancy

  • O30.20

    Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs

  • O30.201

    Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester

  • O30.202

    Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester

  • O30.203

    Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester

  • O30.209

    Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester

  • O30.21

    Quadruplet pregnancy with two or more monochorionic fetuses

  • O30.211

    Quadruplet pregnancy with two or more monochorionic fetuses, first trimester

  • O30.212

    Quadruplet pregnancy with two or more monochorionic fetuses, second trimester

  • O30.213

    Quadruplet pregnancy with two or more monochorionic fetuses, third trimester

  • O30.219

    Quadruplet pregnancy with two or more monochorionic fetuses, unspecified trimester

  • O30.22

    Quadruplet pregnancy with two or more monoamniotic fetuses

  • O30.221

    Quadruplet pregnancy with two or more monoamniotic fetuses, first trimester

  • O30.222

    Quadruplet pregnancy with two or more monoamniotic fetuses, second trimester

  • O30.223

    Quadruplet pregnancy with two or more monoamniotic fetuses, third trimester

  • O30.229

    Quadruplet pregnancy with two or more monoamniotic fetuses, unspecified trimester

  • O30.23

    Quadruplet pregnancy, quadrachorionic/quadra-amniotic

  • O30.231

    Quadruplet pregnancy, quadrachorionic/quadra-amniotic, first trimester

  • O30.232

    Quadruplet pregnancy, quadrachorionic/quadra-amniotic, second trimester

  • O30.233

    Quadruplet pregnancy, quadrachorionic/quadra-amniotic, third trimester

  • O30.239

    Quadruplet pregnancy, quadrachorionic/quadra-amniotic, unspecified trimester

  • O30.29

    Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs

  • O30.291

    Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester

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