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
  • O11

    Pre-existing hypertension with pre-eclampsia

  • O11.1

    Pre-existing hypertension with pre-eclampsia, first trimester

  • O11.2

    Pre-existing hypertension with pre-eclampsia, second trimester

  • O11.3

    Pre-existing hypertension with pre-eclampsia, third trimester

  • O11.4

    Pre-existing hypertension with pre-eclampsia, complicating childbirth

  • O11.5

    Pre-existing hypertension with pre-eclampsia, complicating the puerperium

  • O11.9

    Pre-existing hypertension with pre-eclampsia, unspecified trimester

  • O12

    Gestational [pregnancy-induced] edema and proteinuria without hypertension

  • O12.0

    Gestational edema

  • O12.00

    Gestational edema, unspecified trimester

  • O12.01

    Gestational edema, first trimester

  • O12.02

    Gestational edema, second trimester

  • O12.03

    Gestational edema, third trimester

  • O12.04

    Gestational edema, complicating childbirth

  • O12.05

    Gestational edema, complicating the puerperium

  • O12.1

    Gestational proteinuria

  • O12.10

    Gestational proteinuria, unspecified trimester

  • O12.11

    Gestational proteinuria, first trimester

  • O12.12

    Gestational proteinuria, second trimester

  • O12.13

    Gestational proteinuria, third trimester

  • O12.14

    Gestational proteinuria, complicating childbirth

  • O12.15

    Gestational proteinuria, complicating the puerperium

  • O12.2

    Gestational edema with proteinuria

  • O12.20

    Gestational edema with proteinuria, unspecified trimester

  • O12.21

    Gestational edema with proteinuria, first trimester

  • O12.22

    Gestational edema with proteinuria, second trimester

  • O12.23

    Gestational edema with proteinuria, third trimester

  • O12.24

    Gestational edema with proteinuria, complicating childbirth

  • O12.25

    Gestational edema with proteinuria, complicating the puerperium

  • O13

    Gestational [pregnancy-induced] hypertension without significant proteinuria

  • O13.1

    Gestational [pregnancy-induced] hypertension without significant proteinuria, first trimester

  • O13.2

    Gestational [pregnancy-induced] hypertension without significant proteinuria, second trimester

  • O13.3

    Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester

  • O13.4

    Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating childbirth

  • O13.5

    Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating the puerperium

  • O13.9

    Gestational [pregnancy-induced] hypertension without significant proteinuria, unspecified trimester

  • O14

    Pre-eclampsia

  • O14.0

    Mild to moderate pre-eclampsia

  • O14.00

    Mild to moderate pre-eclampsia, unspecified trimester

  • O14.02

    Mild to moderate pre-eclampsia, second trimester

  • O14.03

    Mild to moderate pre-eclampsia, third trimester

  • O14.04

    Mild to moderate pre-eclampsia, complicating childbirth

  • O14.05

    Mild to moderate pre-eclampsia, complicating the puerperium

  • O14.1

    Severe pre-eclampsia

  • O14.10

    Severe pre-eclampsia, unspecified trimester

  • O14.12

    Severe pre-eclampsia, second trimester

  • O14.13

    Severe pre-eclampsia, third trimester

  • O14.14

    Severe pre-eclampsia complicating childbirth

  • O14.15

    Severe pre-eclampsia, complicating the puerperium

  • O14.2

    HELLP syndrome

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