O30-O48
Medium Complexity

Maternal care related to the fetus and amniotic cavity and possible delivery problems

Primary Specialty: Obstetrics
Last Updated: 2025-09-10

ICD-10 Codes (200)

195 billable
0 category headers
O31
Billable
Complications specific to multiple gestation
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O31.0
Billable
Papyraceous fetus
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O31.00
Billable
Papyraceous fetus, unspecified trimester
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O31.01
Billable
Papyraceous fetus, first trimester
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O31.02
Billable
Papyraceous fetus, second trimester
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O31.03
Billable
Papyraceous fetus, third trimester
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O31.1
Billable
Continuing pregnancy after spontaneous abortion of one fetus or more
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O31.10
Billable
Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester
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O31.11
Billable
Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester
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O31.12
Billable
Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester
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O31.13
Billable
Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester
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O31.2
Billable
Continuing pregnancy after intrauterine death of one fetus or more
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O31.20
Billable
Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester
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O31.21
Billable
Continuing pregnancy after intrauterine death of one fetus or more, first trimester
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O31.22
Billable
Continuing pregnancy after intrauterine death of one fetus or more, second trimester
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O31.23
Billable
Continuing pregnancy after intrauterine death of one fetus or more, third trimester
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O31.3
Billable
Continuing pregnancy after elective fetal reduction of one fetus or more
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O31.30
Billable
Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester
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O31.31
Billable
Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester
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O31.32
Billable
Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester
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O31.33
Billable
Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester
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O31.8
Billable
Other complications specific to multiple gestation
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O32
Maternal care for malpresentation of fetus
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O32.0
Billable
Maternal care for unstable lie
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O32.1
Billable
Maternal care for breech presentation
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O32.2
Billable
Maternal care for transverse and oblique lie
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O32.3
Billable
Maternal care for face, brow and chin presentation
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O32.4
Billable
Maternal care for high head at term
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O32.6
Billable
Maternal care for compound presentation
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O32.8
Billable
Maternal care for other malpresentation of fetus
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O32.9
Billable
Maternal care for malpresentation of fetus, unspecified
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O33
Maternal care for disproportion
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O33.0
Billable
Maternal care for disproportion due to deformity of maternal pelvic bones
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O33.1
Billable
Maternal care for disproportion due to generally contracted pelvis
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O33.2
Billable
Maternal care for disproportion due to inlet contraction of pelvis
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O33.3
Billable
Maternal care for disproportion due to outlet contraction of pelvis
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O33.4
Billable
Maternal care for disproportion of mixed maternal and fetal origin
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O33.5
Billable
Maternal care for disproportion due to unusually large fetus
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O33.6
Billable
Maternal care for disproportion due to hydrocephalic fetus
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O33.7
Billable
Maternal care for disproportion due to other fetal deformities
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O33.8
Billable
Maternal care for disproportion of other origin
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O33.9
Billable
Maternal care for disproportion, unspecified
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O34
Maternal care for abnormality of pelvic organs
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O34.0
Billable
Maternal care for congenital malformation of uterus
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O34.00
Billable
Maternal care for unspecified congenital malformation of uterus, unspecified trimester
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O34.01
Billable
Maternal care for unspecified congenital malformation of uterus, first trimester
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O34.02
Billable
Maternal care for unspecified congenital malformation of uterus, second trimester
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O34.03
Billable
Maternal care for unspecified congenital malformation of uterus, third trimester
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O34.1
Billable
Maternal care for benign tumor of corpus uteri
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O34.10
Billable
Maternal care for benign tumor of corpus uteri, unspecified trimester
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O34.11
Billable
Maternal care for benign tumor of corpus uteri, first trimester
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O34.12
Billable
Maternal care for benign tumor of corpus uteri, second trimester
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O34.13
Billable
Maternal care for benign tumor of corpus uteri, third trimester
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O34.2
Billable
Maternal care due to uterine scar from previous surgery
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O34.21
Billable
Maternal care for scar from previous cesarean delivery
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O34.211
Billable
Maternal care for low transverse scar from previous cesarean delivery
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O34.212
Billable
Maternal care for vertical scar from previous cesarean delivery
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O34.218
Billable
Maternal care for other type scar from previous cesarean delivery
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O34.219
Billable
Maternal care for unspecified type scar from previous cesarean delivery
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O34.22
Billable
Maternal care for cesarean scar defect (isthmocele)
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O34.29
Billable
Maternal care due to uterine scar from other previous surgery
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O34.3
Billable
Maternal care for cervical incompetence
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O34.30
Billable
Maternal care for cervical incompetence, unspecified trimester
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O34.31
Billable
Maternal care for cervical incompetence, first trimester
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O34.32
Billable
Maternal care for cervical incompetence, second trimester
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O34.33
Billable
Maternal care for cervical incompetence, third trimester
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O34.4
Billable
Maternal care for other abnormalities of cervix
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O34.40
Billable
Maternal care for other abnormalities of cervix, unspecified trimester
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O34.41
Billable
Maternal care for other abnormalities of cervix, first trimester
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O34.42
Billable
Maternal care for other abnormalities of cervix, second trimester
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O34.43
Billable
Maternal care for other abnormalities of cervix, third trimester
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O34.5
Billable
Maternal care for other abnormalities of gravid uterus
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O34.51
Billable
Maternal care for incarceration of gravid uterus
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O34.511
Billable
Maternal care for incarceration of gravid uterus, first trimester
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O34.512
Billable
Maternal care for incarceration of gravid uterus, second trimester
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O34.513
Billable
Maternal care for incarceration of gravid uterus, third trimester
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O34.519
Billable
Maternal care for incarceration of gravid uterus, unspecified trimester
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O34.52
Billable
Maternal care for prolapse of gravid uterus
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O34.521
Billable
Maternal care for prolapse of gravid uterus, first trimester
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O34.522
Billable
Maternal care for prolapse of gravid uterus, second trimester
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O34.523
Billable
Maternal care for prolapse of gravid uterus, third trimester
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O34.529
Billable
Maternal care for prolapse of gravid uterus, unspecified trimester
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O34.53
Billable
Maternal care for retroversion of gravid uterus
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O34.531
Billable
Maternal care for retroversion of gravid uterus, first trimester
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O34.532
Billable
Maternal care for retroversion of gravid uterus, second trimester
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O34.533
Billable
Maternal care for retroversion of gravid uterus, third trimester
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O34.539
Billable
Maternal care for retroversion of gravid uterus, unspecified trimester
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O34.59
Billable
Maternal care for other abnormalities of gravid uterus
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O34.591
Billable
Maternal care for other abnormalities of gravid uterus, first trimester
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O34.592
Billable
Maternal care for other abnormalities of gravid uterus, second trimester
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O34.593
Billable
Maternal care for other abnormalities of gravid uterus, third trimester
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O34.599
Billable
Maternal care for other abnormalities of gravid uterus, unspecified trimester
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O34.6
Billable
Maternal care for abnormality of vagina
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O34.60
Billable
Maternal care for abnormality of vagina, unspecified trimester
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O34.61
Billable
Maternal care for abnormality of vagina, first trimester
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O34.62
Billable
Maternal care for abnormality of vagina, second trimester
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O34.63
Billable
Maternal care for abnormality of vagina, third trimester
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O34.7
Billable
Maternal care for abnormality of vulva and perineum
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O34.70
Billable
Maternal care for abnormality of vulva and perineum, unspecified trimester
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O34.71
Billable
Maternal care for abnormality of vulva and perineum, first trimester
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O34.72
Billable
Maternal care for abnormality of vulva and perineum, second trimester
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O34.73
Billable
Maternal care for abnormality of vulva and perineum, third trimester
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O34.8
Billable
Maternal care for other abnormalities of pelvic organs
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O34.80
Billable
Maternal care for other abnormalities of pelvic organs, unspecified trimester
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O34.81
Billable
Maternal care for other abnormalities of pelvic organs, first trimester
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O34.82
Billable
Maternal care for other abnormalities of pelvic organs, second trimester
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O34.83
Billable
Maternal care for other abnormalities of pelvic organs, third trimester
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O34.9
Billable
Maternal care for abnormality of pelvic organ, unspecified
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O34.90
Billable
Maternal care for abnormality of pelvic organ, unspecified, unspecified trimester
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O34.91
Billable
Maternal care for abnormality of pelvic organ, unspecified, first trimester
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O34.92
Billable
Maternal care for abnormality of pelvic organ, unspecified, second trimester
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O34.93
Billable
Maternal care for abnormality of pelvic organ, unspecified, third trimester
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O35
Maternal care for known or suspected fetal abnormality and damage
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O35.0
Billable
Maternal care for (suspected) central nervous system malformation in fetus
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O35.00
Billable
Maternal care for (suspected) central nervous system malformation or damage in fetus, unspecified
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O35.01
Billable
Maternal care for (suspected) central nervous system malformation or damage in fetus, agenesis of the corpus callosum
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O35.02
Billable
Maternal care for (suspected) central nervous system malformation or damage in fetus, anencephaly
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O35.03
Billable
Maternal care for (suspected) central nervous system malformation or damage in fetus, choroid plexus cysts
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O35.04
Billable
Maternal care for (suspected) central nervous system malformation or damage in fetus, encephalocele
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O35.05
Billable
Maternal care for (suspected) central nervous system malformation or damage in fetus, holoprosencephaly
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O35.06
Billable
Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly
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O35.07
Billable
Maternal care for (suspected) central nervous system malformation or damage in fetus, microcephaly
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O35.08
Billable
Maternal care for (suspected) central nervous system malformation or damage in fetus, spina bifida
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O35.09
Billable
Maternal care for (suspected) other central nervous system malformation or damage in fetus
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O35.1
Billable
Maternal care for (suspected) chromosomal abnormality in fetus
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O35.10
Billable
Maternal care for (suspected) chromosomal abnormality in fetus, unspecified
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O35.11
Billable
Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 13
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O35.12
Billable
Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 18
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O35.13
Billable
Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 21
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O35.14
Billable
Maternal care for (suspected) chromosomal abnormality in fetus, Turner Syndrome
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O35.15
Billable
Maternal care for (suspected) chromosomal abnormality in fetus, sex chromosome abnormality
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O35.19
Billable
Maternal care for (suspected) chromosomal abnormality in fetus, other chromosomal abnormality
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O35.2
Billable
Maternal care for (suspected) hereditary disease in fetus
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O35.3
Billable
Maternal care for (suspected) damage to fetus from viral disease in mother
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O35.4
Billable
Maternal care for (suspected) damage to fetus from alcohol
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O35.5
Billable
Maternal care for (suspected) damage to fetus by drugs
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O35.6
Billable
Maternal care for (suspected) damage to fetus by radiation
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O35.7
Billable
Maternal care for (suspected) damage to fetus by other medical procedures
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O35.8
Billable
Maternal care for other (suspected) fetal abnormality and damage
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O35.9
Billable
Maternal care for (suspected) fetal abnormality and damage, unspecified
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O36
Maternal care for other fetal problems
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O36.0
Billable
Maternal care for rhesus isoimmunization
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O36.01
Billable
Maternal care for anti-D [Rh] antibodies
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O36.011
Billable
Maternal care for anti-D [Rh] antibodies, first trimester
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O36.0110
Billable
Maternal care for anti-D [Rh] antibodies, first trimester (not applicable or unspecified)
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O36.0111
Billable
Maternal care for anti-D [Rh] antibodies, first trimester (fetus 1)
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O36.0112
Billable
Maternal care for anti-D [Rh] antibodies, first trimester (fetus 2)
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O36.0113
Billable
Maternal care for anti-D [Rh] antibodies, first trimester (fetus 3)
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O36.0114
Billable
Maternal care for anti-D [Rh] antibodies, first trimester (fetus 4)
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O36.0115
Billable
Maternal care for anti-D [Rh] antibodies, first trimester (fetus 5)
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O36.0119
Billable
Maternal care for anti-D [Rh] antibodies, first trimester (other fetus)
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O36.012
Billable
Maternal care for anti-D [Rh] antibodies, second trimester
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O36.0120
Billable
Maternal care for anti-D [Rh] antibodies, second trimester (not applicable or unspecified)
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O36.0121
Billable
Maternal care for anti-D [Rh] antibodies, second trimester (fetus 1)
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O36.0122
Billable
Maternal care for anti-D [Rh] antibodies, second trimester (fetus 2)
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O36.0123
Billable
Maternal care for anti-D [Rh] antibodies, second trimester (fetus 3)
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O36.0124
Billable
Maternal care for anti-D [Rh] antibodies, second trimester (fetus 4)
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O36.0125
Billable
Maternal care for anti-D [Rh] antibodies, second trimester (fetus 5)
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O36.0129
Billable
Maternal care for anti-D [Rh] antibodies, second trimester (other fetus)
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O36.013
Billable
Maternal care for anti-D [Rh] antibodies, third trimester
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O36.0130
Billable
Maternal care for anti-D [Rh] antibodies, third trimester (not applicable or unspecified)
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O36.0131
Billable
Maternal care for anti-D [Rh] antibodies, third trimester (fetus 1)
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O36.0132
Billable
Maternal care for anti-D [Rh] antibodies, third trimester (fetus 2)
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O36.0133
Billable
Maternal care for anti-D [Rh] antibodies, third trimester (fetus 3)
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O36.0134
Billable
Maternal care for anti-D [Rh] antibodies, third trimester (fetus 4)
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O36.0135
Billable
Maternal care for anti-D [Rh] antibodies, third trimester (fetus 5)
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O36.0139
Billable
Maternal care for anti-D [Rh] antibodies, third trimester (other fetus)
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O36.019
Billable
Maternal care for anti-D [Rh] antibodies, unspecified trimester
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O36.0190
Billable
Maternal care for anti-D [Rh] antibodies, unspecified trimester (not applicable or unspecified)
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O36.0191
Billable
Maternal care for anti-D [Rh] antibodies, unspecified trimester (fetus 1)
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O36.0192
Billable
Maternal care for anti-D [Rh] antibodies, unspecified trimester (fetus 2)
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O36.0193
Billable
Maternal care for anti-D [Rh] antibodies, unspecified trimester (fetus 3)
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O36.0194
Billable
Maternal care for anti-D [Rh] antibodies, unspecified trimester (fetus 4)
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O36.0195
Billable
Maternal care for anti-D [Rh] antibodies, unspecified trimester (fetus 5)
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O36.0199
Billable
Maternal care for anti-D [Rh] antibodies, unspecified trimester (other fetus)
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O36.09
Billable
Maternal care for other rhesus isoimmunization
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O36.091
Billable
Maternal care for other rhesus isoimmunization, first trimester
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O36.0910
Billable
Maternal care for other rhesus isoimmunization, first trimester (not applicable or unspecified)
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O36.0911
Billable
Maternal care for other rhesus isoimmunization, first trimester (fetus 1)
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O36.0912
Billable
Maternal care for other rhesus isoimmunization, first trimester (fetus 2)
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O36.0913
Billable
Maternal care for other rhesus isoimmunization, first trimester (fetus 3)
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O36.0914
Billable
Maternal care for other rhesus isoimmunization, first trimester (fetus 4)
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O36.0915
Billable
Maternal care for other rhesus isoimmunization, first trimester (fetus 5)
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O36.0919
Billable
Maternal care for other rhesus isoimmunization, first trimester (other fetus)
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O36.092
Billable
Maternal care for other rhesus isoimmunization, second trimester
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O36.0920
Billable
Maternal care for other rhesus isoimmunization, second trimester (not applicable or unspecified)
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O36.0921
Billable
Maternal care for other rhesus isoimmunization, second trimester (fetus 1)
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O36.0922
Billable
Maternal care for other rhesus isoimmunization, second trimester (fetus 2)
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O36.0923
Billable
Maternal care for other rhesus isoimmunization, second trimester (fetus 3)
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O36.0924
Billable
Maternal care for other rhesus isoimmunization, second trimester (fetus 4)
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O36.0925
Billable
Maternal care for other rhesus isoimmunization, second trimester (fetus 5)
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O36.0929
Billable
Maternal care for other rhesus isoimmunization, second trimester (other fetus)
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O36.093
Billable
Maternal care for other rhesus isoimmunization, third trimester
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O36.0930
Billable
Maternal care for other rhesus isoimmunization, third trimester (not applicable or unspecified)
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O36.0931
Billable
Maternal care for other rhesus isoimmunization, third trimester (fetus 1)
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O36.0932
Billable
Maternal care for other rhesus isoimmunization, third trimester (fetus 2)
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O36.0933
Billable
Maternal care for other rhesus isoimmunization, third trimester (fetus 3)
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O36.0934
Billable
Maternal care for other rhesus isoimmunization, third trimester (fetus 4)
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O36.0935
Billable
Maternal care for other rhesus isoimmunization, third trimester (fetus 5)
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O36.0939
Billable
Maternal care for other rhesus isoimmunization, third trimester (other fetus)
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Updates & Changes

FY 2026 Updates

Current Year

New Codes (1)

O03.87
Complete or unspecified spontaneous abortion with embolism, complicated by delayed or excessive hemorrhage

Revised Codes (1)

O00.9
Ectopic pregnancy, unspecified - updated hCG correlation requirements

Deleted Codes

No codes deleted in this range for FY 2026

Historical Changes

  • •FY 2025: Routine maintenance updates with minor terminology clarifications
  • •FY 2024: Enhanced specificity requirements for certain code ranges
  • •FY 2023: Updated documentation guidelines for improved clarity

Upcoming Changes

  • •Proposed updates pending review by Coordination and Maintenance Committee
  • •Under consideration: Enhanced digital health integration codes

Implementation Guidance

  • •Review all FY 2026 updates for O30-O48 codes before implementation
  • •Always verify the most current codes in the ICD-10-CM manual
  • •Ensure clinical documentation supports the selected diagnosis codes
  • +3 more guidance items...

Range Overview

high priority

The ICD-10 code range O30-O48 pertains to maternal care related to the fetus and amniotic cavity and potential delivery problems. These codes are used to document conditions and complications that may arise during pregnancy, affecting either the mother or the fetus. They cover a wide array of issues, including multiple gestation, maternal care for abnormalities of the fetus, and complications of the amniotic cavity.

Key Usage Points:

  • •Use these codes to document conditions and complications that arise during pregnancy.
  • •These codes cover multiple gestation, maternal care for fetal abnormalities, and complications of the amniotic cavity.
  • •Always code to the highest level of specificity.
  • •Use additional codes from other chapters to identify any associated maternal conditions.
  • •Follow the ICD-10 guidelines for coding pregnancy, childbirth, and the puerperium.

Coding Guidelines

When to Use:

  • ✓When documenting multiple gestation pregnancies.
  • ✓When documenting maternal care for known or suspected fetal abnormalities.
  • ✓When documenting complications related to the amniotic cavity.
  • ✓When documenting potential delivery problems due to maternal pelvic and perineal conditions.
  • ✓When documenting potential delivery problems due to fetal conditions.

When NOT to Use:

  • ✗When the pregnancy is uncomplicated.
  • ✗When the condition does not affect the current pregnancy, childbirth, or the puerperium.
  • ✗When the condition is related to the mother but does not affect the fetus or amniotic cavity.
  • ✗When the condition is a routine prenatal visit.

Code Exclusions

Always verify exclusions with the latest ICD-10-CM Official Guidelines for Coding and Reporting.

Documentation Requirements

Accurate documentation is crucial for coding within this range. It should include detailed information about the pregnancy, any complications or conditions affecting the mother or fetus, and the impact of these conditions on the pregnancy or potential delivery.

Clinical Information:

  • •Detailed description of the pregnancy (e.g., gestational age, number of fetuses).
  • •Detailed description of any complications or conditions.
  • •Impact of the condition on the pregnancy or potential delivery.
  • •Any treatment provided or planned.

Supporting Evidence:

  • •Medical history.
  • •Clinical findings.
  • •Diagnostic test results.
  • •Treatment plans.
Good Documentation Example:

Patient is 28 weeks pregnant with twins. Ultrasound shows Twin B is breech. Plan for cesarean section.

Poor Documentation Example:

Twin pregnancy.

Common Documentation Errors:

  • âš Not coding to the highest level of specificity.
  • âš Not documenting the impact of the condition on the pregnancy or potential delivery.
  • âš Not using additional codes to identify any associated maternal conditions.

Range Statistics

16
Total Codes
195
Billable
Complexity:
Medium
Primary Use:Clinical Documentation
Chapter:15

Coding Complexity

Medium
Complexity Rating

Coding within this range requires a good understanding of obstetric medical terminology and the ability to interpret detailed clinical documentation. Coders must also be familiar with the ICD-10 coding guidelines for pregnancy, childbirth, and the puerperium, and be able to code to the highest level of specificity. The need to use additional codes to fully capture the patient's clinical picture adds to the complexity.

Key Factors:
  • â–¸Understanding of obstetric medical terminology.
  • â–¸Ability to interpret detailed clinical documentation.
  • â–¸Knowledge of ICD-10 coding guidelines for pregnancy, childbirth, and the puerperium.
  • â–¸Ability to code to the highest level of specificity.
  • â–¸Understanding of when to use additional codes.

Specialty Focus

These codes are primarily used by obstetricians and maternal-fetal medicine specialists. They may also be used by family practitioners and midwives who provide prenatal care.

Primary Specialties:
Obstetrics
60%
Maternal-Fetal Medicine
30%
Clinical Scenarios:
  • • Multiple gestation pregnancy with one or more fetuses in breech presentation.
  • • Pregnancy with known fetal abnormality requiring special monitoring.
  • • Pregnancy complicated by polyhydramnios.
  • • Pregnancy with potential delivery problems due to maternal pelvic deformity.
  • • Pregnancy with potential delivery problems due to fetal macrosomia.

Resources & References

Resources for these codes include the ICD-10-CM Official Guidelines for Coding and Reporting, medical dictionaries, and clinical textbooks. Educational materials can be found through professional coding organizations and continuing education providers.

Official Guidelines:

  • ICD-10-CM Official Guidelines for Coding and Reporting
  • World Health Organization's ICD-10 Browser
  • National Center for Health Statistics ICD-10-CM

Clinical References:

  • Obstetrics: Normal and Problem Pregnancies
  • Williams Obstetrics

Educational Materials:

  • American Academy of Professional Coders (AAPC)
  • American Health Information Management Association (AHIMA)

Frequently Asked Questions

Can I use these codes for routine prenatal visits?

No, these codes are for conditions and complications that arise during pregnancy. For routine prenatal visits, use codes from the Z3A series.