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
  • O9A.31|

    Physical abuse complicating pregnancy

  • O9A.311|

    Physical abuse complicating pregnancy, first trimester

  • O9A.312|

    Physical abuse complicating pregnancy, second trimester

  • O9A.313|

    Physical abuse complicating pregnancy, third trimester

  • O9A.319|

    Physical abuse complicating pregnancy, unspecified trimester

  • O9A.32|

    Physical abuse complicating childbirth

  • O9A.33|

    Physical abuse complicating the puerperium

  • O9A.4|

    Sexual abuse complicating pregnancy, childbirth and the puerperium

  • O9A.41|

    Sexual abuse complicating pregnancy

  • O9A.411|

    Sexual abuse complicating pregnancy, first trimester

  • O9A.412|

    Sexual abuse complicating pregnancy, second trimester

  • O9A.413|

    Sexual abuse complicating pregnancy, third trimester

  • O9A.419|

    Sexual abuse complicating pregnancy, unspecified trimester

  • O9A.42|

    Sexual abuse complicating childbirth

  • O9A.43|

    Sexual abuse complicating the puerperium

  • O9A.5|

    Psychological abuse complicating pregnancy, childbirth and the puerperium

  • O9A.51|

    Psychological abuse complicating pregnancy

  • O9A.511|

    Psychological abuse complicating pregnancy, first trimester

  • O9A.512|

    Psychological abuse complicating pregnancy, second trimester

  • O9A.513|

    Psychological abuse complicating pregnancy, third trimester

  • O9A.519|

    Psychological abuse complicating pregnancy, unspecified trimester

  • O9A.52|

    Psychological abuse complicating childbirth

  • O9A.53|

    Psychological abuse complicating the puerperium

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