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
  • O98.9

    Unspecified maternal infectious and parasitic disease complicating pregnancy, childbirth and the puerperium

  • O98.91

    Unspecified maternal infectious and parasitic disease complicating pregnancy

  • O98.911

    Unspecified maternal infectious and parasitic disease complicating pregnancy, first trimester

  • O98.912

    Unspecified maternal infectious and parasitic disease complicating pregnancy, second trimester

  • O98.913

    Unspecified maternal infectious and parasitic disease complicating pregnancy, third trimester

  • O98.919

    Unspecified maternal infectious and parasitic disease complicating pregnancy, unspecified trimester

  • O98.92

    Unspecified maternal infectious and parasitic disease complicating childbirth

  • O98.93

    Unspecified maternal infectious and parasitic disease complicating the puerperium

  • O99

    Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

  • O99.0

    Anemia complicating pregnancy, childbirth and the puerperium

  • O99.01

    Anemia complicating pregnancy

  • O99.011

    Anemia complicating pregnancy, first trimester

  • O99.012

    Anemia complicating pregnancy, second trimester

  • O99.013

    Anemia complicating pregnancy, third trimester

  • O99.019

    Anemia complicating pregnancy, unspecified trimester

  • O99.02

    Anemia complicating childbirth

  • O99.03

    Anemia complicating the puerperium

  • O99.1

    Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium

  • O99.11

    Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy

  • O99.111

    Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, first trimester

  • O99.112

    Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, second trimester

  • O99.113

    Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, third trimester

  • O99.119

    Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, unspecified trimester

  • O99.12

    Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating childbirth

  • O99.13

    Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating the puerperium

  • O99.2

    Endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium

  • O99.21

    Obesity complicating pregnancy, childbirth, and the puerperium

  • O99.210

    Obesity complicating pregnancy, unspecified trimester

  • O99.211

    Obesity complicating pregnancy, first trimester

  • O99.212

    Obesity complicating pregnancy, second trimester

  • O99.213

    Obesity complicating pregnancy, third trimester

  • O99.214

    Obesity complicating childbirth

  • O99.215

    Obesity complicating the puerperium

  • O99.28

    Other endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium

  • O99.280

    Endocrine, nutritional and metabolic diseases complicating pregnancy, unspecified trimester

  • O99.281

    Endocrine, nutritional and metabolic diseases complicating pregnancy, first trimester

  • O99.282

    Endocrine, nutritional and metabolic diseases complicating pregnancy, second trimester

  • O99.283

    Endocrine, nutritional and metabolic diseases complicating pregnancy, third trimester

  • O99.284

    Endocrine, nutritional and metabolic diseases complicating childbirth

  • O99.285

    Endocrine, nutritional and metabolic diseases complicating the puerperium

  • O99.3

    Mental disorders and diseases of the nervous system complicating pregnancy, childbirth and the puerperium

  • O99.31

    Alcohol use complicating pregnancy, childbirth, and the puerperium

  • O99.310

    Alcohol use complicating pregnancy, unspecified trimester

  • O99.311

    Alcohol use complicating pregnancy, first trimester

  • O99.312

    Alcohol use complicating pregnancy, second trimester

  • O99.313

    Alcohol use complicating pregnancy, third trimester

  • O99.314

    Alcohol use complicating childbirth

  • O99.315

    Alcohol use complicating the puerperium

  • O99.32

    Drug use complicating pregnancy, childbirth, and the puerperium

  • O99.320

    Drug use complicating pregnancy, unspecified trimester

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