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
  • O45.099

    Premature separation of placenta with other coagulation defect, unspecified trimester

  • O45.8

    Other premature separation of placenta

  • O45.8X

    Other premature separation of placenta

  • O45.8X1

    Other premature separation of placenta, first trimester

  • O45.8X2

    Other premature separation of placenta, second trimester

  • O45.8X3

    Other premature separation of placenta, third trimester

  • O45.8X9

    Other premature separation of placenta, unspecified trimester

  • O45.9

    Premature separation of placenta, unspecified

  • O45.90

    Premature separation of placenta, unspecified, unspecified trimester

  • O45.91

    Premature separation of placenta, unspecified, first trimester

  • O45.92

    Premature separation of placenta, unspecified, second trimester

  • O45.93

    Premature separation of placenta, unspecified, third trimester

  • O46

    Antepartum hemorrhage, not elsewhere classified

  • O46.0

    Antepartum hemorrhage with coagulation defect

  • O46.00

    Antepartum hemorrhage with coagulation defect, unspecified

  • O46.001

    Antepartum hemorrhage with coagulation defect, unspecified, first trimester

  • O46.002

    Antepartum hemorrhage with coagulation defect, unspecified, second trimester

  • O46.003

    Antepartum hemorrhage with coagulation defect, unspecified, third trimester

  • O46.009

    Antepartum hemorrhage with coagulation defect, unspecified, unspecified trimester

  • O46.01

    Antepartum hemorrhage with afibrinogenemia

  • O46.011

    Antepartum hemorrhage with afibrinogenemia, first trimester

  • O46.012

    Antepartum hemorrhage with afibrinogenemia, second trimester

  • O46.013

    Antepartum hemorrhage with afibrinogenemia, third trimester

  • O46.019

    Antepartum hemorrhage with afibrinogenemia, unspecified trimester

  • O46.02

    Antepartum hemorrhage with disseminated intravascular coagulation

  • O46.021

    Antepartum hemorrhage with disseminated intravascular coagulation, first trimester

  • O46.022

    Antepartum hemorrhage with disseminated intravascular coagulation, second trimester

  • O46.023

    Antepartum hemorrhage with disseminated intravascular coagulation, third trimester

  • O46.029

    Antepartum hemorrhage with disseminated intravascular coagulation, unspecified trimester

  • O46.09

    Antepartum hemorrhage with other coagulation defect

  • O46.091

    Antepartum hemorrhage with other coagulation defect, first trimester

  • O46.092

    Antepartum hemorrhage with other coagulation defect, second trimester

  • O46.093

    Antepartum hemorrhage with other coagulation defect, third trimester

  • O46.099

    Antepartum hemorrhage with other coagulation defect, unspecified trimester

  • O46.8

    Other antepartum hemorrhage

  • O46.8X

    Other antepartum hemorrhage

  • O46.8X1

    Other antepartum hemorrhage, first trimester

  • O46.8X2

    Other antepartum hemorrhage, second trimester

  • O46.8X3

    Other antepartum hemorrhage, third trimester

  • O46.8X9

    Other antepartum hemorrhage, unspecified trimester

  • O46.9

    Antepartum hemorrhage, unspecified

  • O46.90

    Antepartum hemorrhage, unspecified, unspecified trimester

  • O46.91

    Antepartum hemorrhage, unspecified, first trimester

  • O46.92

    Antepartum hemorrhage, unspecified, second trimester

  • O46.93

    Antepartum hemorrhage, unspecified, third trimester

  • O47

    False labor

  • O47.0

    False labor before 37 completed weeks of gestation

  • O47.00

    False labor before 37 completed weeks of gestation, unspecified trimester

  • O47.02

    False labor before 37 completed weeks of gestation, second trimester

  • O47.03

    False labor before 37 completed weeks of gestation, third trimester

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