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
  • O14.20

    HELLP syndrome (HELLP), unspecified trimester

  • O14.22

    HELLP syndrome (HELLP), second trimester

  • O14.23

    HELLP syndrome (HELLP), third trimester

  • O14.24

    HELLP syndrome, complicating childbirth

  • O14.25

    HELLP syndrome, complicating the puerperium

  • O14.9

    Unspecified pre-eclampsia

  • O14.90

    Unspecified pre-eclampsia, unspecified trimester

  • O14.92

    Unspecified pre-eclampsia, second trimester

  • O14.93

    Unspecified pre-eclampsia, third trimester

  • O14.94

    Unspecified pre-eclampsia, complicating childbirth

  • O14.95

    Unspecified pre-eclampsia, complicating the puerperium

  • O15

    Eclampsia

  • O15.0

    Eclampsia complicating pregnancy

  • O15.00

    Eclampsia complicating pregnancy, unspecified trimester

  • O15.02

    Eclampsia complicating pregnancy, second trimester

  • O15.03

    Eclampsia complicating pregnancy, third trimester

  • O15.1

    Eclampsia complicating labor

  • O15.2

    Eclampsia complicating the puerperium

  • O15.9

    Eclampsia, unspecified as to time period

  • O16

    Unspecified maternal hypertension

  • O16.1

    Unspecified maternal hypertension, first trimester

  • O16.2

    Unspecified maternal hypertension, second trimester

  • O16.3

    Unspecified maternal hypertension, third trimester

  • O16.4

    Unspecified maternal hypertension, complicating childbirth

  • O16.5

    Unspecified maternal hypertension, complicating the puerperium

  • O16.9

    Unspecified maternal hypertension, unspecified trimester

  • O20

    Hemorrhage in early pregnancy

  • O20.0

    Threatened abortion

  • O20.8

    Other hemorrhage in early pregnancy

  • O20.9

    Hemorrhage in early pregnancy, unspecified

  • O21

    Excessive vomiting in pregnancy

  • O21.0

    Mild hyperemesis gravidarum

  • O21.1

    Hyperemesis gravidarum with metabolic disturbance

  • O21.2

    Late vomiting of pregnancy

  • O21.8

    Other vomiting complicating pregnancy

  • O21.9

    Vomiting of pregnancy, unspecified

  • O22

    Venous complications and hemorrhoids in pregnancy

  • O22.0

    Varicose veins of lower extremity in pregnancy

  • O22.00

    Varicose veins of lower extremity in pregnancy, unspecified trimester

  • O22.01

    Varicose veins of lower extremity in pregnancy, first trimester

  • O22.02

    Varicose veins of lower extremity in pregnancy, second trimester

  • O22.03

    Varicose veins of lower extremity in pregnancy, third trimester

  • O22.1

    Genital varices in pregnancy

  • O22.10

    Genital varices in pregnancy, unspecified trimester

  • O22.11

    Genital varices in pregnancy, first trimester

  • O22.12

    Genital varices in pregnancy, second trimester

  • O22.13

    Genital varices in pregnancy, third trimester

  • O22.2

    Superficial thrombophlebitis in pregnancy

  • O22.20

    Superficial thrombophlebitis in pregnancy, unspecified trimester

  • O22.21

    Superficial thrombophlebitis in pregnancy, first trimester

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