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.

All Codes Billable Only

Internal Codes

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O69.89X9|
Labor and delivery complicated by other cord complications, other fetus
O69.9|
Labor and delivery complicated by cord complication, unspecified
O69.9XX0|
Labor and delivery complicated by cord complication, unspecified, not applicable or unspecified
O69.9XX1|
Labor and delivery complicated by cord complication, unspecified, fetus 1
O69.9XX2|
Labor and delivery complicated by cord complication, unspecified, fetus 2
O69.9XX3|
Labor and delivery complicated by cord complication, unspecified, fetus 3
O69.9XX4|
Labor and delivery complicated by cord complication, unspecified, fetus 4
O69.9XX5|
Labor and delivery complicated by cord complication, unspecified, fetus 5
O69.9XX9|
Labor and delivery complicated by cord complication, unspecified, other fetus
O70|
Perineal laceration during delivery
O70.0|
First degree perineal laceration during delivery
O70.1|
Second degree perineal laceration during delivery
O70.2|
Third degree perineal laceration during delivery
O70.20|
Third degree perineal laceration during delivery, unspecified
O70.21|
Third degree perineal laceration during delivery, IIIa
O70.22|
Third degree perineal laceration during delivery, IIIb
O70.23|
Third degree perineal laceration during delivery, IIIc
O70.3|
Fourth degree perineal laceration during delivery
O70.4|
Anal sphincter tear complicating delivery, not associated with third degree laceration
O70.9|
Perineal laceration during delivery, unspecified
O71|
Other obstetric trauma
O71.0|
Rupture of uterus (spontaneous) before onset of labor
O71.00|
Rupture of uterus before onset of labor, unspecified trimester
O71.02|
Rupture of uterus before onset of labor, second trimester
O71.03|
Rupture of uterus before onset of labor, third trimester
O71.1|
Rupture of uterus during labor
O71.2|
Postpartum inversion of uterus
O71.3|
Obstetric laceration of cervix
O71.4|
Obstetric high vaginal laceration alone
O71.5|
Other obstetric injury to pelvic organs
O71.6|
Obstetric damage to pelvic joints and ligaments
O71.7|
Obstetric hematoma of pelvis
O71.8|
Other specified obstetric trauma
O71.81|
Laceration of uterus, not elsewhere classified
O71.82|
Other specified trauma to perineum and vulva
O71.89|
Other specified obstetric trauma
O71.9|
Obstetric trauma, unspecified
O72|
Postpartum hemorrhage
O72.0|
Third-stage hemorrhage
O72.1|
Other immediate postpartum hemorrhage
O72.2|
Delayed and secondary postpartum hemorrhage
O72.3|
Postpartum coagulation defects
O73|
Retained placenta and membranes, without hemorrhage
O73.0|
Retained placenta without hemorrhage
O73.1|
Retained portions of placenta and membranes, without hemorrhage
O74|
Complications of anesthesia during labor and delivery
O74.0|
Aspiration pneumonitis due to anesthesia during labor and delivery
O74.1|
Other pulmonary complications of anesthesia during labor and delivery
O74.2|
Cardiac complications of anesthesia during labor and delivery
O74.3|
Central nervous system complications of anesthesia during labor and delivery

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