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v1.0.0
ICD-10 Guide
DiagnosesSrom

Srom

ICD-10 Coding for Spontaneous Rupture of Membranes(O42.92, O42.02)

PRIMARY SPECIALTYObstetrics
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Srom?
Essential facts and insights about Spontaneous Rupture of Membranes

Key Clinical Considerations:

  • Abdominal pain or discomfort
  • Ultrasound findings of abnormal fetal positioning
  • Pelvic examination revealing cervical changes

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including obstetric history and current symptoms
  • Use of specific terms like 'SROM' or 'spontaneous rupture of membranes'
  • Examples of documentation: 'Patient reports sudden leakage of fluid' or 'Ultrasound confirms fetal position'

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for coding based on gestational age and complications.
  • Common errors include misclassifying the timing of rupture.

Code Exclusions

Important Exclusions

  • Conditions like cervical incompetence or other causes of fluid leakage
  • Alternative codes for other types of membrane rupture

Related ICD-10 Codes

Primary Codes
O42.0
Premature rupture of membranes, term gestation
O42.1
Premature rupture of membranes, preterm gestation
Ancillary Codes
Z3A.__
Differential Codes
O42.02
O42.92

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Obstetrics

Specialty Applications

  • Pregnant patients experiencing membrane rupture
  • Obstetric emergency settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Document the timing, nature of fluid leakage, and any associated symptoms.

Billing considerations?

Ensure accurate coding based on gestational age and any complications.