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
  • O23.40

    Unspecified infection of urinary tract in pregnancy, unspecified trimester

  • O23.41

    Unspecified infection of urinary tract in pregnancy, first trimester

  • O23.42

    Unspecified infection of urinary tract in pregnancy, second trimester

  • O23.43

    Unspecified infection of urinary tract in pregnancy, third trimester

  • O23.5

    Infections of the genital tract in pregnancy

  • O23.51

    Infection of cervix in pregnancy

  • O23.511

    Infections of cervix in pregnancy, first trimester

  • O23.512

    Infections of cervix in pregnancy, second trimester

  • O23.513

    Infections of cervix in pregnancy, third trimester

  • O23.519

    Infections of cervix in pregnancy, unspecified trimester

  • O23.52

    Salpingo-oophoritis in pregnancy

  • O23.521

    Salpingo-oophoritis in pregnancy, first trimester

  • O23.522

    Salpingo-oophoritis in pregnancy, second trimester

  • O23.523

    Salpingo-oophoritis in pregnancy, third trimester

  • O23.529

    Salpingo-oophoritis in pregnancy, unspecified trimester

  • O23.59

    Infection of other part of genital tract in pregnancy

  • O23.591

    Infection of other part of genital tract in pregnancy, first trimester

  • O23.592

    Infection of other part of genital tract in pregnancy, second trimester

  • O23.593

    Infection of other part of genital tract in pregnancy, third trimester

  • O23.599

    Infection of other part of genital tract in pregnancy, unspecified trimester

  • O23.9

    Unspecified genitourinary tract infection in pregnancy

  • O23.90

    Unspecified genitourinary tract infection in pregnancy, unspecified trimester

  • O23.91

    Unspecified genitourinary tract infection in pregnancy, first trimester

  • O23.92

    Unspecified genitourinary tract infection in pregnancy, second trimester

  • O23.93

    Unspecified genitourinary tract infection in pregnancy, third trimester

  • O24

    Diabetes mellitus in pregnancy, childbirth, and the puerperium

  • O24.0

    Pre-existing type 1 diabetes mellitus, in pregnancy, childbirth and the puerperium

  • O24.01

    Pre-existing type 1 diabetes mellitus, in pregnancy

  • O24.011

    Pre-existing type 1 diabetes mellitus, in pregnancy, first trimester

  • O24.012

    Pre-existing type 1 diabetes mellitus, in pregnancy, second trimester

  • O24.013

    Pre-existing type 1 diabetes mellitus, in pregnancy, third trimester

  • O24.019

    Pre-existing type 1 diabetes mellitus, in pregnancy, unspecified trimester

  • O24.02

    Pre-existing type 1 diabetes mellitus, in childbirth

  • O24.03

    Pre-existing type 1 diabetes mellitus, in the puerperium

  • O24.1

    Pre-existing type 2 diabetes mellitus, in pregnancy, childbirth and the puerperium

  • O24.11

    Pre-existing type 2 diabetes mellitus, in pregnancy

  • O24.111

    Pre-existing type 2 diabetes mellitus, in pregnancy, first trimester

  • O24.112

    Pre-existing type 2 diabetes mellitus, in pregnancy, second trimester

  • O24.113

    Pre-existing type 2 diabetes mellitus, in pregnancy, third trimester

  • O24.119

    Pre-existing type 2 diabetes mellitus, in pregnancy, unspecified trimester

  • O24.12

    Pre-existing type 2 diabetes mellitus, in childbirth

  • O24.13

    Pre-existing type 2 diabetes mellitus, in the puerperium

  • O24.3

    Unspecified pre-existing diabetes mellitus in pregnancy, childbirth and the puerperium

  • O24.31

    Unspecified pre-existing diabetes mellitus in pregnancy

  • O24.311

    Unspecified pre-existing diabetes mellitus in pregnancy, first trimester

  • O24.312

    Unspecified pre-existing diabetes mellitus in pregnancy, second trimester

  • O24.313

    Unspecified pre-existing diabetes mellitus in pregnancy, third trimester

  • O24.319

    Unspecified pre-existing diabetes mellitus in pregnancy, unspecified trimester

  • O24.32

    Unspecified pre-existing diabetes mellitus in childbirth

  • O24.33

    Unspecified pre-existing diabetes mellitus in the puerperium

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