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
  • O99.321

    Drug use complicating pregnancy, first trimester

  • O99.322

    Drug use complicating pregnancy, second trimester

  • O99.323

    Drug use complicating pregnancy, third trimester

  • O99.324

    Drug use complicating childbirth

  • O99.325

    Drug use complicating the puerperium

  • O99.33

    Tobacco use disorder complicating pregnancy, childbirth, and the puerperium

  • O99.330

    Smoking (tobacco) complicating pregnancy, unspecified trimester

  • O99.331

    Smoking (tobacco) complicating pregnancy, first trimester

  • O99.332

    Smoking (tobacco) complicating pregnancy, second trimester

  • O99.333

    Smoking (tobacco) complicating pregnancy, third trimester

  • O99.334

    Smoking (tobacco) complicating childbirth

  • O99.335

    Smoking (tobacco) complicating the puerperium

  • O99.34

    Other mental disorders complicating pregnancy, childbirth, and the puerperium

  • O99.340

    Other mental disorders complicating pregnancy, unspecified trimester

  • O99.341

    Other mental disorders complicating pregnancy, first trimester

  • O99.342

    Other mental disorders complicating pregnancy, second trimester

  • O99.343

    Other mental disorders complicating pregnancy, third trimester

  • O99.344

    Other mental disorders complicating childbirth

  • O99.345

    Other mental disorders complicating the puerperium

  • O99.35

    Diseases of the nervous system complicating pregnancy, childbirth, and the puerperium

  • O99.350

    Diseases of the nervous system complicating pregnancy, unspecified trimester

  • O99.351

    Diseases of the nervous system complicating pregnancy, first trimester

  • O99.352

    Diseases of the nervous system complicating pregnancy, second trimester

  • O99.353

    Diseases of the nervous system complicating pregnancy, third trimester

  • O99.354

    Diseases of the nervous system complicating childbirth

  • O99.355

    Diseases of the nervous system complicating the puerperium

  • O99.4

    Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium

  • O99.41

    Diseases of the circulatory system complicating pregnancy

  • O99.411

    Diseases of the circulatory system complicating pregnancy, first trimester

  • O99.412

    Diseases of the circulatory system complicating pregnancy, second trimester

  • O99.413

    Diseases of the circulatory system complicating pregnancy, third trimester

  • O99.419

    Diseases of the circulatory system complicating pregnancy, unspecified trimester

  • O99.42

    Diseases of the circulatory system complicating childbirth

  • O99.43

    Diseases of the circulatory system complicating the puerperium

  • O99.5

    Diseases of the respiratory system complicating pregnancy, childbirth and the puerperium

  • O99.51

    Diseases of the respiratory system complicating pregnancy

  • O99.511

    Diseases of the respiratory system complicating pregnancy, first trimester

  • O99.512

    Diseases of the respiratory system complicating pregnancy, second trimester

  • O99.513

    Diseases of the respiratory system complicating pregnancy, third trimester

  • O99.519

    Diseases of the respiratory system complicating pregnancy, unspecified trimester

  • O99.52

    Diseases of the respiratory system complicating childbirth

  • O99.53

    Diseases of the respiratory system complicating the puerperium

  • O99.6

    Diseases of the digestive system complicating pregnancy, childbirth and the puerperium

  • O99.61

    Diseases of the digestive system complicating pregnancy

  • O99.611

    Diseases of the digestive system complicating pregnancy, first trimester

  • O99.612

    Diseases of the digestive system complicating pregnancy, second trimester

  • O99.613

    Diseases of the digestive system complicating pregnancy, third trimester

  • O99.619

    Diseases of the digestive system complicating pregnancy, unspecified trimester

  • O99.62

    Diseases of the digestive system complicating childbirth

  • O99.63

    Diseases of the digestive system complicating the puerperium

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