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
  • O30.292

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

  • O30.293

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

  • O30.299

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

  • O30.8

    Other specified multiple gestation

  • O30.80

    Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs

  • O30.801

    Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, first trimester

  • O30.802

    Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, second trimester

  • O30.803

    Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, third trimester

  • O30.809

    Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, unspecified trimester

  • O30.81

    Other specified multiple gestation with two or more monochorionic fetuses

  • O30.811

    Other specified multiple gestation with two or more monochorionic fetuses, first trimester

  • O30.812

    Other specified multiple gestation with two or more monochorionic fetuses, second trimester

  • O30.813

    Other specified multiple gestation with two or more monochorionic fetuses, third trimester

  • O30.819

    Other specified multiple gestation with two or more monochorionic fetuses, unspecified trimester

  • O30.82

    Other specified multiple gestation with two or more monoamniotic fetuses

  • O30.821

    Other specified multiple gestation with two or more monoamniotic fetuses, first trimester

  • O30.822

    Other specified multiple gestation with two or more monoamniotic fetuses, second trimester

  • O30.823

    Other specified multiple gestation with two or more monoamniotic fetuses, third trimester

  • O30.829

    Other specified multiple gestation with two or more monoamniotic fetuses, unspecified trimester

  • O30.83

    Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses

  • O30.831

    Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses, first trimester

  • O30.832

    Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses, second trimester

  • O30.833

    Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses, third trimester

  • O30.839

    Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses, unspecified trimester

  • O30.89

    Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs

  • O30.891

    Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs, first trimester

  • O30.892

    Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs, second trimester

  • O30.893

    Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs, third trimester

  • O30.899

    Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs, unspecified trimester

  • O30.9

    Multiple gestation, unspecified

  • O30.90

    Multiple gestation, unspecified, unspecified trimester

  • O30.91

    Multiple gestation, unspecified, first trimester

  • O30.92

    Multiple gestation, unspecified, second trimester

  • O30.93

    Multiple gestation, unspecified, third trimester

  • O31

    Complications specific to multiple gestation

  • O31.0

    Papyraceous fetus

  • O31.00

    Papyraceous fetus, unspecified trimester

  • O31.00X0

    Papyraceous fetus, unspecified trimester, not applicable or unspecified

  • O31.00X1

    Papyraceous fetus, unspecified trimester, fetus 1

  • O31.00X2

    Papyraceous fetus, unspecified trimester, fetus 2

  • O31.00X3

    Papyraceous fetus, unspecified trimester, fetus 3

  • O31.00X4

    Papyraceous fetus, unspecified trimester, fetus 4

  • O31.00X5

    Papyraceous fetus, unspecified trimester, fetus 5

  • O31.00X9

    Papyraceous fetus, unspecified trimester, other fetus

  • O31.01

    Papyraceous fetus, first trimester

  • O31.01X0

    Papyraceous fetus, first trimester, not applicable or unspecified

  • O31.01X1

    Papyraceous fetus, first trimester, fetus 1

  • O31.01X2

    Papyraceous fetus, first trimester, fetus 2

  • O31.01X3

    Papyraceous fetus, first trimester, fetus 3

  • O31.01X4

    Papyraceous fetus, first trimester, fetus 4

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