ICD-10-CM Section O30-O48
Maternal care related to the fetus and amniotic cavity and possible delivery problems
- O30 Multiple gestation NON-BILLABLE
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- O30.00 Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs NON-BILLABLE
- O30.01 Twin pregnancy, monochorionic/monoamniotic NON-BILLABLE
- O30.02 Conjoined twin pregnancy NON-BILLABLE
- O30.03 Twin pregnancy, monochorionic/diamniotic NON-BILLABLE
- O30.04 Twin pregnancy, dichorionic/diamniotic NON-BILLABLE
- O30.09 Twin pregnancy, unable to determine number of placenta and number of amniotic sacs NON-BILLABLE
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- O30.10 Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs NON-BILLABLE
- O30.11 Triplet pregnancy with two or more monochorionic fetuses NON-BILLABLE
- O30.12 Triplet pregnancy with two or more monoamniotic fetuses NON-BILLABLE
- O30.19 Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs NON-BILLABLE
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- O30.20 Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs NON-BILLABLE
- O30.21 Quadruplet pregnancy with two or more monochorionic fetuses NON-BILLABLE
- O30.22 Quadruplet pregnancy with two or more monoamniotic fetuses NON-BILLABLE
- O30.29 Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs NON-BILLABLE
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- O30.80 Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs NON-BILLABLE
- O30.81 Other specified multiple gestation with two or more monochorionic fetuses NON-BILLABLE
- O30.82 Other specified multiple gestation with two or more monoamniotic fetuses NON-BILLABLE
- O30.89 Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs NON-BILLABLE
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- O31 Complications specific to multiple gestation NON-BILLABLE
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- O31.10 Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester BILLABLE
- O31.11 Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester BILLABLE
- O31.12 Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester BILLABLE
- O31.13 Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester BILLABLE
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- O31.20 Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester BILLABLE
- O31.21 Continuing pregnancy after intrauterine death of one fetus or more, first trimester BILLABLE
- O31.22 Continuing pregnancy after intrauterine death of one fetus or more, second trimester BILLABLE
- O31.23 Continuing pregnancy after intrauterine death of one fetus or more, third trimester BILLABLE
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- O31.30 Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester BILLABLE
- O31.31 Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester BILLABLE
- O31.32 Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester BILLABLE
- O31.33 Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester BILLABLE
- O32 Maternal care for malpresentation of fetus NON-BILLABLE
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- BILLABLE O32.0 Maternal care for unstable lie
- BILLABLE O32.1 Maternal care for breech presentation
- BILLABLE O32.2 Maternal care for transverse and oblique lie
- BILLABLE O32.3 Maternal care for face, brow and chin presentation
- BILLABLE O32.4 Maternal care for high head at term
- BILLABLE O32.6 Maternal care for compound presentation
- BILLABLE O32.8 Maternal care for other malpresentation of fetus
- BILLABLE O32.9 Maternal care for malpresentation of fetus, unspecified
- O33 Maternal care for disproportion NON-BILLABLE
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- BILLABLE O33.0 Maternal care for disproportion due to deformity of maternal pelvic bones
- BILLABLE O33.1 Maternal care for disproportion due to generally contracted pelvis
- BILLABLE O33.2 Maternal care for disproportion due to inlet contraction of pelvis
- BILLABLE O33.3 Maternal care for disproportion due to outlet contraction of pelvis
- BILLABLE O33.4 Maternal care for disproportion of mixed maternal and fetal origin
- BILLABLE O33.5 Maternal care for disproportion due to unusually large fetus
- BILLABLE O33.6 Maternal care for disproportion due to hydrocephalic fetus
- BILLABLE O33.7 Maternal care for disproportion due to other fetal deformities
- BILLABLE O33.8 Maternal care for disproportion of other origin
- BILLABLE O33.9 Maternal care for disproportion, unspecified
- O34 Maternal care for abnormality of pelvic organs NON-BILLABLE
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- O34.00 Maternal care for unspecified congenital malformation of uterus, unspecified trimester BILLABLE
- O34.01 Maternal care for unspecified congenital malformation of uterus, first trimester BILLABLE
- O34.02 Maternal care for unspecified congenital malformation of uterus, second trimester BILLABLE
- O34.03 Maternal care for unspecified congenital malformation of uterus, third trimester BILLABLE
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- O34.10 Maternal care for benign tumor of corpus uteri, unspecified trimester BILLABLE
- O34.11 Maternal care for benign tumor of corpus uteri, first trimester BILLABLE
- O34.12 Maternal care for benign tumor of corpus uteri, second trimester BILLABLE
- O34.13 Maternal care for benign tumor of corpus uteri, third trimester BILLABLE
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- O34.40 Maternal care for other abnormalities of cervix, unspecified trimester BILLABLE
- O34.41 Maternal care for other abnormalities of cervix, first trimester BILLABLE
- O34.42 Maternal care for other abnormalities of cervix, second trimester BILLABLE
- O34.43 Maternal care for other abnormalities of cervix, third trimester BILLABLE
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- O34.51 Maternal care for incarceration of gravid uterus NON-BILLABLE
- O34.52 Maternal care for prolapse of gravid uterus NON-BILLABLE
- O34.53 Maternal care for retroversion of gravid uterus NON-BILLABLE
- O34.59 Maternal care for other abnormalities of gravid uterus NON-BILLABLE
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- O34.70 Maternal care for abnormality of vulva and perineum, unspecified trimester BILLABLE
- O34.71 Maternal care for abnormality of vulva and perineum, first trimester BILLABLE
- O34.72 Maternal care for abnormality of vulva and perineum, second trimester BILLABLE
- O34.73 Maternal care for abnormality of vulva and perineum, third trimester BILLABLE
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- O34.80 Maternal care for other abnormalities of pelvic organs, unspecified trimester BILLABLE
- O34.81 Maternal care for other abnormalities of pelvic organs, first trimester BILLABLE
- O34.82 Maternal care for other abnormalities of pelvic organs, second trimester BILLABLE
- O34.83 Maternal care for other abnormalities of pelvic organs, third trimester BILLABLE
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- O34.90 Maternal care for abnormality of pelvic organ, unspecified, unspecified trimester BILLABLE
- O34.91 Maternal care for abnormality of pelvic organ, unspecified, first trimester BILLABLE
- O34.92 Maternal care for abnormality of pelvic organ, unspecified, second trimester BILLABLE
- O34.93 Maternal care for abnormality of pelvic organ, unspecified, third trimester BILLABLE
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- O35 Maternal care for known or suspected fetal abnormality and damage NON-BILLABLE
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- BILLABLE O35.0 Maternal care for (suspected) central nervous system malformation in fetus
- BILLABLE O35.1 Maternal care for (suspected) chromosomal abnormality in fetus
- BILLABLE O35.2 Maternal care for (suspected) hereditary disease in fetus
- BILLABLE O35.3 Maternal care for (suspected) damage to fetus from viral disease in mother
- BILLABLE O35.4 Maternal care for (suspected) damage to fetus from alcohol
- BILLABLE O35.5 Maternal care for (suspected) damage to fetus by drugs
- BILLABLE O35.6 Maternal care for (suspected) damage to fetus by radiation
- BILLABLE O35.7 Maternal care for (suspected) damage to fetus by other medical procedures
- BILLABLE O35.8 Maternal care for other (suspected) fetal abnormality and damage
- BILLABLE O35.9 Maternal care for (suspected) fetal abnormality and damage, unspecified
- O36 Maternal care for other fetal problems NON-BILLABLE
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- O36.01 Maternal care for anti-D [Rh] antibodies NON-BILLABLE
- O36.09 Maternal care for other rhesus isoimmunization NON-BILLABLE
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- O36.11 Maternal care for Anti-A sensitization NON-BILLABLE
- O36.19 Maternal care for other isoimmunization NON-BILLABLE
- BILLABLE O36.4 Maternal care for intrauterine death
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- O36.60 Maternal care for excessive fetal growth, unspecified trimester BILLABLE
- O36.61 Maternal care for excessive fetal growth, first trimester BILLABLE
- O36.62 Maternal care for excessive fetal growth, second trimester BILLABLE
- O36.63 Maternal care for excessive fetal growth, third trimester BILLABLE
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- O36.70 Maternal care for viable fetus in abdominal pregnancy, unspecified trimester BILLABLE
- O36.71 Maternal care for viable fetus in abdominal pregnancy, first trimester BILLABLE
- O36.72 Maternal care for viable fetus in abdominal pregnancy, second trimester BILLABLE
- O36.73 Maternal care for viable fetus in abdominal pregnancy, third trimester BILLABLE
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- O36.80 Pregnancy with inconclusive fetal viability BILLABLE
- O36.81 Decreased fetal movements NON-BILLABLE
- O36.82 Fetal anemia and thrombocytopenia NON-BILLABLE
- O36.89 Maternal care for other specified fetal problems NON-BILLABLE
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- O36.90 Maternal care for fetal problem, unspecified, unspecified trimester BILLABLE
- O36.91 Maternal care for fetal problem, unspecified, first trimester BILLABLE
- O36.92 Maternal care for fetal problem, unspecified, second trimester BILLABLE
- O36.93 Maternal care for fetal problem, unspecified, third trimester BILLABLE
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- O40 Polyhydramnios NON-BILLABLE
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- BILLABLE O40.1 Polyhydramnios, first trimester
- BILLABLE O40.2 Polyhydramnios, second trimester
- BILLABLE O40.3 Polyhydramnios, third trimester
- BILLABLE O40.9 Polyhydramnios, unspecified trimester
- O41 Other disorders of amniotic fluid and membranes NON-BILLABLE
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- O41.10 Infection of amniotic sac and membranes, unspecified NON-BILLABLE
- O41.12 Chorioamnionitis NON-BILLABLE
- O41.14 Placentitis NON-BILLABLE
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- O41.90 Disorder of amniotic fluid and membranes, unspecified, unspecified trimester BILLABLE
- O41.91 Disorder of amniotic fluid and membranes, unspecified, first trimester BILLABLE
- O41.92 Disorder of amniotic fluid and membranes, unspecified, second trimester BILLABLE
- O41.93 Disorder of amniotic fluid and membranes, unspecified, third trimester BILLABLE
- O42 Premature rupture of membranes NON-BILLABLE
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- O42.00 Premature rupture of membranes, onset of labor within 24 hours of rupture, unspecified weeks of gestation BILLABLE
- O42.01 Preterm premature rupture of membranes, onset of labor within 24 hours of rupture NON-BILLABLE
- O42.02 Full-term premature rupture of membranes, onset of labor within 24 hours of rupture BILLABLE
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- O42.10 Premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified weeks of gestation BILLABLE
- O42.11 Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture NON-BILLABLE
- O42.12 Full-term premature rupture of membranes, onset of labor more than 24 hours following rupture BILLABLE
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- O42.90 Premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, unspecified weeks of gestation BILLABLE
- O42.91 Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor NON-BILLABLE
- O42.92 Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor BILLABLE
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- O43 Placental disorders NON-BILLABLE
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- O43.01 Fetomaternal placental transfusion syndrome NON-BILLABLE
- O43.02 Fetus-to-fetus placental transfusion syndrome NON-BILLABLE
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- O43.10 Malformation of placenta, unspecified NON-BILLABLE
- O43.11 Circumvallate placenta NON-BILLABLE
- O43.12 Velamentous insertion of umbilical cord NON-BILLABLE
- O43.19 Other malformation of placenta NON-BILLABLE
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- O43.21 Placenta accreta NON-BILLABLE
- O43.22 Placenta increta NON-BILLABLE
- O43.23 Placenta percreta NON-BILLABLE
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- O43.81 Placental infarction NON-BILLABLE
- O43.89 Other placental disorders NON-BILLABLE
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- O44 Placenta previa NON-BILLABLE
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- O44.00 Placenta previa specified as without hemorrhage, unspecified trimester BILLABLE
- O44.01 Placenta previa specified as without hemorrhage, first trimester BILLABLE
- O44.02 Placenta previa specified as without hemorrhage, second trimester BILLABLE
- O44.03 Placenta previa specified as without hemorrhage, third trimester BILLABLE
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- O45 Premature separation of placenta [abruptio placentae] NON-BILLABLE
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- O45.00 Premature separation of placenta with coagulation defect, unspecified NON-BILLABLE
- O45.01 Premature separation of placenta with afibrinogenemia NON-BILLABLE
- O45.02 Premature separation of placenta with disseminated intravascular coagulation NON-BILLABLE
- O45.09 Premature separation of placenta with other coagulation defect NON-BILLABLE
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- O45.8X Other premature separation of placenta NON-BILLABLE
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- O45.90 Premature separation of placenta, unspecified, unspecified trimester BILLABLE
- O45.91 Premature separation of placenta, unspecified, first trimester BILLABLE
- O45.92 Premature separation of placenta, unspecified, second trimester BILLABLE
- O45.93 Premature separation of placenta, unspecified, third trimester BILLABLE
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- O46 Antepartum hemorrhage, not elsewhere classified NON-BILLABLE
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- O46.8X Other antepartum hemorrhage NON-BILLABLE
- O47 False labor NON-BILLABLE
- O48 Late pregnancy NON-BILLABLE
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- BILLABLE O48.0 Post-term pregnancy
- BILLABLE O48.1 Prolonged pregnancy
Coding Notes for Section O30-O48
- Section Notes:
- CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
- Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
- Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
- 1st trimester- less than 14 weeks 0 days
- 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
- 3rd trimester- 28 weeks 0 days until delivery
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Additional Code Note:
Use Additional Code
Use Additional Code note means a second code must be used in conjunction with this code. Codes with this note are Etiology codes and must be followed by a Manifestation code or codes. - Code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy See code Z3A
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Section Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here." - Supervision of normal pregnancy - instead, use code Z34.-
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Section Type-2 Excludes:
Type-2 Excludes
Type-2 Excludes means the excluded conditions are different, although they may appear similar. A patient may have both conditions, but one does not include the other. Excludes 2 means "not coded here." - Mental and behavioral disorders associated with the puerperium - instead, use Code F53
- Obstetrical tetanus - instead, use Code A34
- Postpartum necrosis of pituitary gland - instead, use code E23.0
- Puerperal osteomalacia - instead, use code M83.0