ICD-10-CM Book 2024 Edition

Chapters  /  Chapter 15  /  O60-O77

Complications of labor and delivery (O60-O77)

O60 Preterm labor
Includes onset (spontaneous) of labor before 37 completed weeks of gestation
Excludes1 false labor (O47.0-)
threatened labor NOS (O47.0-)
O60.0 Preterm labor without delivery
O60.00 Preterm labor without delivery, unspecified trimester
sex Female
age Maternity: [12-55]
O60.02 Preterm labor without delivery, second trimester
sex Female
age Maternity: [12-55]
O60.03 Preterm labor without delivery, third trimester
sex Female
age Maternity: [12-55]
O60.1 Preterm labor with preterm delivery
char7Note One of the following 7th characters is to be assigned to each code under subcategory O60.1. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from subcategory O60.1 that has a 7th character of 1 through 9.
char7Def 0: not applicable or unspecified
1: fetus 1
2: fetus 2
3: fetus 3
4: fetus 4
5: fetus 5
9: other fetus
O60.10 Preterm labor with preterm delivery, unspecified trimester
Preterm labor with delivery NOS
O60.12 Preterm labor second trimester with preterm delivery second trimester
O60.13 Preterm labor second trimester with preterm delivery third trimester
O60.14 Preterm labor third trimester with preterm delivery third trimester
O60.2 Term delivery with preterm labor
char7Note One of the following 7th characters is to be assigned to each code under subcategory O60.2. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from subcategory O60.2 that has a 7th character of 1 through 9.
char7Def 0: not applicable or unspecified
1: fetus 1
2: fetus 2
3: fetus 3
4: fetus 4
5: fetus 5
9: other fetus
O60.20 Term delivery with preterm labor, unspecified trimester
O60.22 Term delivery with preterm labor, second trimester
O60.23 Term delivery with preterm labor, third trimester
O61 Failed induction of labor
O61.0 Failed medical induction of labor
Failed induction (of labor) by oxytocin
Failed induction (of labor) by prostaglandins
sex Female
age Maternity: [12-55]
O61.1 Failed instrumental induction of labor
Failed mechanical induction (of labor)
Failed surgical induction (of labor)
sex Female
age Maternity: [12-55]
O61.8 Other failed induction of labor
sex Female
age Maternity: [12-55]
O61.9 Failed induction of labor, unspecified
sex Female
age Maternity: [12-55]
O62 Abnormalities of forces of labor
O62.0 Primary inadequate contractions
Failure of cervical dilatation
Primary hypotonic uterine dysfunction
Uterine inertia during latent phase of labor
sex Female
age Maternity: [12-55]
O62.1 Secondary uterine inertia
Arrested active phase of labor
Secondary hypotonic uterine dysfunction
sex Female
age Maternity: [12-55]
O62.2 Other uterine inertia
Atony of uterus without hemorrhage
Atony of uterus NOS
Desultory labor
Hypotonic uterine dysfunction NOS
Irregular labor
Poor contractions
Slow slope active phase of labor
Uterine inertia NOS
Excludes1 atony of uterus with hemorrhage (postpartum) (O72.1)
postpartum atony of uterus without hemorrhage (O75.89)
sex Female
age Maternity: [12-55]
O62.3 Precipitate labor
sex Female
age Maternity: [12-55]
O62.4 Hypertonic, incoordinate, and prolonged uterine contractions
Cervical spasm
Contraction ring dystocia
Dyscoordinate labor
Hour-glass contraction of uterus
Hypertonic uterine dysfunction
Incoordinate uterine action
Tetanic contractions
Uterine dystocia NOS
Uterine spasm
Excludes1 dystocia (fetal) (maternal) NOS (O66.9)
sex Female
age Maternity: [12-55]
O62.8 Other abnormalities of forces of labor
sex Female
age Maternity: [12-55]
O62.9 Abnormality of forces of labor, unspecified
sex Female
age Maternity: [12-55]
O63 Long labor
O63.0 Prolonged first stage (of labor)
sex Female
age Maternity: [12-55]
O63.1 Prolonged second stage (of labor)
sex Female
age Maternity: [12-55]
O63.2 Delayed delivery of second twin, triplet, etc.
sex Female
age Maternity: [12-55]
O63.9 Long labor, unspecified
Prolonged labor NOS
sex Female
age Maternity: [12-55]
O64 Obstructed labor due to malposition and malpresentation of fetus
char7Note One of the following 7th characters is to be assigned to each code under category O64. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O64 that has a 7th character of 1 through 9.
char7Def 0: not applicable or unspecified
1: fetus 1
2: fetus 2
3: fetus 3
4: fetus 4
5: fetus 5
9: other fetus
O64.0 Obstructed labor due to incomplete rotation of fetal head
Deep transverse arrest
Obstructed labor due to persistent occipitoiliac (position)
Obstructed labor due to persistent occipitoposterior (position)
Obstructed labor due to persistent occipitosacral (position)
Obstructed labor due to persistent occipitotransverse (position)
O64.1 Obstructed labor due to breech presentation
Obstructed labor due to buttocks presentation
Obstructed labor due to complete breech presentation
Obstructed labor due to frank breech presentation
O64.2 Obstructed labor due to face presentation
Obstructed labor due to chin presentation
O64.3 Obstructed labor due to brow presentation
O64.4 Obstructed labor due to shoulder presentation
Prolapsed arm
Excludes1 impacted shoulders (O66.0)
shoulder dystocia (O66.0)
O64.5 Obstructed labor due to compound presentation
O64.8 Obstructed labor due to other malposition and malpresentation
Obstructed labor due to footling presentation
Obstructed labor due to incomplete breech presentation
O64.9 Obstructed labor due to malposition and malpresentation, unspecified
O65 Obstructed labor due to maternal pelvic abnormality
O65.0 Obstructed labor due to deformed pelvis
sex Female
age Maternity: [12-55]
O65.1 Obstructed labor due to generally contracted pelvis
sex Female
age Maternity: [12-55]
O65.2 Obstructed labor due to pelvic inlet contraction
sex Female
age Maternity: [12-55]
O65.3 Obstructed labor due to pelvic outlet and mid-cavity contraction
sex Female
age Maternity: [12-55]
O65.4 Obstructed labor due to fetopelvic disproportion, unspecified
Excludes1 dystocia due to abnormality of fetus (O66.2-O66.3)
sex Female
age Maternity: [12-55]
O65.5 Obstructed labor due to abnormality of maternal pelvic organs
Obstructed labor due to conditions listed in O34.-
UseAdditionalCode code to identify abnormality of pelvic organs O34.-
sex Female
age Maternity: [12-55]
O65.8 Obstructed labor due to other maternal pelvic abnormalities
sex Female
age Maternity: [12-55]
O65.9 Obstructed labor due to maternal pelvic abnormality, unspecified
sex Female
age Maternity: [12-55]
O66 Other obstructed labor
O66.0 Obstructed labor due to shoulder dystocia
Impacted shoulders
sex Female
age Maternity: [12-55]
O66.1 Obstructed labor due to locked twins
sex Female
age Maternity: [12-55]
O66.2 Obstructed labor due to unusually large fetus
sex Female
age Maternity: [12-55]
O66.3 Obstructed labor due to other abnormalities of fetus
Dystocia due to fetal ascites
Dystocia due to fetal hydrops
Dystocia due to fetal meningomyelocele
Dystocia due to fetal sacral teratoma
Dystocia due to fetal tumor
Dystocia due to hydrocephalic fetus
UseAdditionalCode code to identify cause of obstruction
sex Female
age Maternity: [12-55]
O66.4 Failed trial of labor
O66.40 Failed trial of labor, unspecified
sex Female
age Maternity: [12-55]
O66.41 Failed attempted vaginal birth after previous cesarean delivery
CodeFirst rupture of uterus, if applicable (O71.0-, O71.1)
sex Female
age Maternity: [12-55]
O66.5 Attempted application of vacuum extractor and forceps
Attempted application of vacuum or forceps, with subsequent delivery by forceps or cesarean delivery
sex Female
age Maternity: [12-55]
O66.6 Obstructed labor due to other multiple fetuses
sex Female
age Maternity: [12-55]
O66.8 Other specified obstructed labor
UseAdditionalCode code to identify cause of obstruction
sex Female
age Maternity: [12-55]
O66.9 Obstructed labor, unspecified
Dystocia NOS
Fetal dystocia NOS
Maternal dystocia NOS
sex Female
age Maternity: [12-55]
O67 Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified
Excludes1 antepartum hemorrhage NEC (O46.-)
placenta previa (O44.-)
premature separation of placenta [abruptio placentae] (O45.-)
Excludes2 postpartum hemorrhage (O72.-)
O67.0 Intrapartum hemorrhage with coagulation defect
Intrapartum hemorrhage (excessive) associated with afibrinogenemia
Intrapartum hemorrhage (excessive) associated with disseminated intravascular coagulation
Intrapartum hemorrhage (excessive) associated with hyperfibrinolysis
Intrapartum hemorrhage (excessive) associated with hypofibrinogenemia
sex Female
age Maternity: [12-55]
O67.8 Other intrapartum hemorrhage
Excessive intrapartum hemorrhage
sex Female
age Maternity: [12-55]
O67.9 Intrapartum hemorrhage, unspecified
sex Female
age Maternity: [12-55]
O68 Labor and delivery complicated by abnormality of fetal acid-base balance
Fetal acidemia complicating labor and delivery
Fetal acidosis complicating labor and delivery
Fetal alkalosis complicating labor and delivery
Fetal metabolic acidemia complicating labor and delivery
Excludes1 fetal stress NOS (O77.9)
labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)
Excludes2 abnormality in fetal heart rate or rhythm (O76)
labor and delivery complicated by meconium in amniotic fluid (O77.0)
sex Female
age Maternity: [12-55]
O69 Labor and delivery complicated by umbilical cord complications
char7Note One of the following 7th characters is to be assigned to each code under category O69. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O69 that has a 7th character of 1 through 9.
char7Def 0: not applicable or unspecified
1: fetus 1
2: fetus 2
3: fetus 3
4: fetus 4
5: fetus 5
9: other fetus
O69.0 Labor and delivery complicated by prolapse of cord
O69.1 Labor and delivery complicated by cord around neck, with compression
Excludes1 labor and delivery complicated by cord around neck, without compression (O69.81)
O69.2 Labor and delivery complicated by other cord entanglement, with compression
Labor and delivery complicated by compression of cord NOS
Labor and delivery complicated by entanglement of cords of twins in monoamniotic sac
Labor and delivery complicated by knot in cord
Excludes1 labor and delivery complicated by other cord entanglement, without compression (O69.82)
O69.3 Labor and delivery complicated by short cord
O69.4 Labor and delivery complicated by vasa previa
Labor and delivery complicated by hemorrhage from vasa previa
O69.5 Labor and delivery complicated by vascular lesion of cord
Labor and delivery complicated by cord bruising
Labor and delivery complicated by cord hematoma
Labor and delivery complicated by thrombosis of umbilical vessels
O69.8 Labor and delivery complicated by other cord complications
O69.81 Labor and delivery complicated by cord around neck, without compression
O69.82 Labor and delivery complicated by other cord entanglement, without compression
O69.89 Labor and delivery complicated by other cord complications
O69.9 Labor and delivery complicated by cord complication, unspecified
O70 Perineal laceration during delivery
Includes episiotomy extended by laceration
Excludes1 obstetric high vaginal laceration alone (O71.4)
O70.0 First degree perineal laceration during delivery
Perineal laceration, rupture or tear involving fourchette during delivery
Perineal laceration, rupture or tear involving labia during delivery
Perineal laceration, rupture or tear involving skin during delivery
Perineal laceration, rupture or tear involving vagina during delivery
Perineal laceration, rupture or tear involving vulva during delivery
Slight perineal laceration, rupture or tear during delivery
sex Female
age Maternity: [12-55]
O70.1 Second degree perineal laceration during delivery
Perineal laceration, rupture or tear during delivery as in O70.0, also involving pelvic floor
Perineal laceration, rupture or tear during delivery as in O70.0, also involving perineal muscles
Perineal laceration, rupture or tear during delivery as in O70.0, also involving vaginal muscles
Excludes1 perineal laceration involving anal sphincter (O70.2)
sex Female
age Maternity: [12-55]
O70.2 Third degree perineal laceration during delivery
Perineal laceration, rupture or tear during delivery as in O70.1, also involving anal sphincter
Perineal laceration, rupture or tear during delivery as in O70.1, also involving rectovaginal septum
Perineal laceration, rupture or tear during delivery as in O70.1, also involving sphincter NOS
Excludes1 anal sphincter tear during delivery without third degree perineal laceration (O70.4)
perineal laceration involving anal or rectal mucosa (O70.3)
O70.20 Third degree perineal laceration during delivery, unspecified
sex Female
age Maternity: [12-55]
O70.21 Third degree perineal laceration during delivery, IIIa
Third degree perineal laceration during delivery with less than 50% of external anal sphincter (EAS) thickness torn
sex Female
age Maternity: [12-55]
O70.22 Third degree perineal laceration during delivery, IIIb
Third degree perineal laceration during delivery with more than 50% external anal sphincter (EAS) thickness torn
sex Female
age Maternity: [12-55]
O70.23 Third degree perineal laceration during delivery, IIIc
Third degree perineal laceration during delivery with both external anal sphincter (EAS) and internal anal sphincter (IAS) torn
sex Female
age Maternity: [12-55]
O70.3 Fourth degree perineal laceration during delivery
Perineal laceration, rupture or tear during delivery as in O70.2, also involving anal mucosa
Perineal laceration, rupture or tear during delivery as in O70.2, also involving rectal mucosa
sex Female
age Maternity: [12-55]
O70.4 Anal sphincter tear complicating delivery, not associated with third degree laceration
Excludes1 anal sphincter tear with third degree perineal laceration (O70.2)
sex Female
age Maternity: [12-55]
O70.9 Perineal laceration during delivery, unspecified
sex Female
age Maternity: [12-55]
O71 Other obstetric trauma
Includes obstetric damage from instruments
O71.0 Rupture of uterus (spontaneous) before onset of labor
Excludes1 disruption of (current) cesarean delivery wound (O90.0)
laceration of uterus, NEC (O71.81)
O71.00 Rupture of uterus before onset of labor, unspecified trimester
sex Female
age Maternity: [12-55]
O71.02 Rupture of uterus before onset of labor, second trimester
sex Female
age Maternity: [12-55]
O71.03 Rupture of uterus before onset of labor, third trimester
sex Female
age Maternity: [12-55]
O71.1 Rupture of uterus during labor
Rupture of uterus not stated as occurring before onset of labor
Excludes1 disruption of cesarean delivery wound (O90.0)
laceration of uterus, NEC (O71.81)
sex Female
age Maternity: [12-55]
O71.2 Postpartum inversion of uterus
sex Female
age Maternity: [12-55]
O71.3 Obstetric laceration of cervix
Annular detachment of cervix
sex Female
age Maternity: [12-55]
O71.4 Obstetric high vaginal laceration alone
Laceration of vaginal wall without perineal laceration
Excludes1 obstetric high vaginal laceration with perineal laceration (O70.-)
sex Female
age Maternity: [12-55]
O71.5 Other obstetric injury to pelvic organs
Obstetric injury to bladder
Obstetric injury to urethra
Excludes2 obstetric periurethral trauma (O71.82)
sex Female
age Maternity: [12-55]
O71.6 Obstetric damage to pelvic joints and ligaments
Obstetric avulsion of inner symphyseal cartilage
Obstetric damage to coccyx
Obstetric traumatic separation of symphysis (pubis)
sex Female
age Maternity: [12-55]
O71.7 Obstetric hematoma of pelvis
Obstetric hematoma of perineum
Obstetric hematoma of vagina
Obstetric hematoma of vulva
sex Female
age Maternity: [12-55]
O71.8 Other specified obstetric trauma
O71.81 Laceration of uterus, not elsewhere classified
sex Female
age Maternity: [12-55]
O71.82 Other specified trauma to perineum and vulva
Obstetric periurethral trauma
sex Female
age Maternity: [12-55]
O71.89 Other specified obstetric trauma
sex Female
age Maternity: [12-55]
O71.9 Obstetric trauma, unspecified
sex Female
age Maternity: [12-55]
O72 Postpartum hemorrhage
Includes hemorrhage after delivery of fetus or infant
O72.0 Third-stage hemorrhage
Hemorrhage associated with retained, trapped or adherent placenta
Retained placenta NOS
CodeAlso type of adherent placenta (O43.2-)
sex Female
age Maternity: [12-55]
O72.1 Other immediate postpartum hemorrhage
Hemorrhage following delivery of placenta
Postpartum hemorrhage (atonic) NOS
Uterine atony with hemorrhage
Excludes1 uterine atony NOS (O62.2)
uterine atony without hemorrhage (O62.2)
postpartum atony of uterus without hemorrhage (O75.89)
sex Female
age Maternity: [12-55]
O72.2 Delayed and secondary postpartum hemorrhage
Hemorrhage associated with retained portions of placenta or membranes after the first 24 hours following delivery of placenta
Retained products of conception NOS, following delivery
sex Female
age Maternity: [12-55]
O72.3 Postpartum coagulation defects
Postpartum afibrinogenemia
Postpartum fibrinolysis
sex Female
age Maternity: [12-55]
O73 Retained placenta and membranes, without hemorrhage
Excludes1 placenta accreta (O43.21-)
placenta increta (O43.22-)
placenta percreta (O43.23-)
O73.0 Retained placenta without hemorrhage
Adherent placenta, without hemorrhage
Trapped placenta without hemorrhage
sex Female
age Maternity: [12-55]
O73.1 Retained portions of placenta and membranes, without hemorrhage
Retained products of conception following delivery, without hemorrhage
sex Female
age Maternity: [12-55]
O74 Complications of anesthesia during labor and delivery
Includes maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during labor and delivery
UseAdditionalCode code, if applicable, to identify specific complication
O74.0 Aspiration pneumonitis due to anesthesia during labor and delivery
Inhalation of stomach contents or secretions NOS due to anesthesia during labor and delivery
Mendelson's syndrome due to anesthesia during labor and delivery
sex Female
age Maternity: [12-55]
O74.1 Other pulmonary complications of anesthesia during labor and delivery
sex Female
age Maternity: [12-55]
O74.2 Cardiac complications of anesthesia during labor and delivery
sex Female
age Maternity: [12-55]
O74.3 Central nervous system complications of anesthesia during labor and delivery
sex Female
age Maternity: [12-55]
O74.4 Toxic reaction to local anesthesia during labor and delivery
sex Female
age Maternity: [12-55]
O74.5 Spinal and epidural anesthesia-induced headache during labor and delivery
sex Female
age Maternity: [12-55]
O74.6 Other complications of spinal and epidural anesthesia during labor and delivery
sex Female
age Maternity: [12-55]
O74.7 Failed or difficult intubation for anesthesia during labor and delivery
sex Female
age Maternity: [12-55]
O74.8 Other complications of anesthesia during labor and delivery
sex Female
age Maternity: [12-55]
O74.9 Complication of anesthesia during labor and delivery, unspecified
sex Female
age Maternity: [12-55]
O75 Other complications of labor and delivery, not elsewhere classified
Excludes2 puerperal (postpartum) infection (O86.-)
puerperal (postpartum) sepsis (O85)
O75.0 Maternal distress during labor and delivery
sex Female
age Maternity: [12-55]
O75.1 Shock during or following labor and delivery
Obstetric shock following labor and delivery
sex Female
age Maternity: [12-55]
O75.2 Pyrexia during labor, not elsewhere classified
sex Female
age Maternity: [12-55]
O75.3 Other infection during labor
Sepsis during labor
UseAdditionalCode code (B95-B97), to identify infectious agent
sex Female
age Maternity: [12-55]
O75.4 Other complications of obstetric surgery and procedures
Cardiac arrest following obstetric surgery or procedures
Cardiac failure following obstetric surgery or procedures
Cerebral anoxia following obstetric surgery or procedures
Pulmonary edema following obstetric surgery or procedures
UseAdditionalCode code to identify specific complication
Excludes2 complications of anesthesia during labor and delivery (O74.-)
disruption of obstetrical (surgical) wound (O90.0-O90.1)
hematoma of obstetrical (surgical) wound (O90.2)
infection of obstetrical (surgical) wound (O86.0-)
sex Female
age Maternity: [12-55]
O75.5 Delayed delivery after artificial rupture of membranes
sex Female
age Maternity: [12-55]
O75.8 Other specified complications of labor and delivery
O75.81 Maternal exhaustion complicating labor and delivery
sex Female
age Maternity: [12-55]
O75.82 Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section
Delivery by (planned) cesarean section occurring after 37 completed weeks of gestation but before 39 completed weeks gestation due to (spontaneous) onset of labor
CodeFirst to specify reason for planned cesarean section such as:
cephalopelvic disproportion (normally formed fetus) (O33.9)
previous cesarean delivery (O34.21-)
sex Female
age Maternity: [12-55]
O75.89 Other specified complications of labor and delivery
sex Female
age Maternity: [12-55]
O75.9 Complication of labor and delivery, unspecified
sex Female
age Maternity: [12-55]
O76 Abnormality in fetal heart rate and rhythm complicating labor and delivery
Depressed fetal heart rate tones complicating labor and delivery
Fetal bradycardia complicating labor and delivery
Fetal heart rate decelerations complicating labor and delivery
Fetal heart rate irregularity complicating labor and delivery
Fetal heart rate abnormal variability complicating labor and delivery
Fetal tachycardia complicating labor and delivery
Non-reassuring fetal heart rate or rhythm complicating labor and delivery
Excludes1 fetal stress NOS (O77.9)
labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)
Excludes2 fetal metabolic acidemia (O68)
other fetal stress (O77.0-O77.1)
sex Female
age Maternity: [12-55]
O77 Other fetal stress complicating labor and delivery
O77.0 Labor and delivery complicated by meconium in amniotic fluid
sex Female
age Maternity: [12-55]
O77.1 Fetal stress in labor or delivery due to drug administration
sex Female
age Maternity: [12-55]
O77.8 Labor and delivery complicated by other evidence of fetal stress
Labor and delivery complicated by electrocardiographic evidence of fetal stress
Labor and delivery complicated by ultrasonic evidence of fetal stress
Excludes1 abnormality of fetal acid-base balance (O68)
abnormality in fetal heart rate or rhythm (O76)
fetal metabolic acidemia (O68)
sex Female
age Maternity: [12-55]
O77.9 Labor and delivery complicated by fetal stress, unspecified
Excludes1 abnormality of fetal acid-base balance (O68)
abnormality in fetal heart rate or rhythm (O76)
fetal metabolic acidemia (O68)
sex Female
age Maternity: [12-55]