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Home/Diagnosis/ICD-10 Coding for Preterm Premature Rupture of Membranes(O42.11)

ICD-10 Coding for Preterm Premature Rupture of Membranes(O42.11)

O42.11

Complete ICD-10-CM coding and documentation guide for icd-10 coding for preterm premature rupture of membranes(o42.11) includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
PPROM
Preterm PROM
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Key Information: ICD-10 Coding for Preterm Premature Rupture of Membranes(O42.11)

Essential facts and insights about ICD-10 Coding for Preterm Premature Rupture of Membranes(O42.11)

Use ICD-10 code O42.11 for preterm premature rupture of membranes with onset of labor more than 24 hours following rupture, third trimester, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Preterm premature rupture of membranes with onset of labor more than 24 hours following rupture, third trimester

Non-Billable
O42.11
Non-Billable

Diagnostic Criteria

clinical_criteria:
  • • Gestational age <37 weeks and labor onset >24 hours after rupture

Applicable To

  • • PPROM with labor onset >24h in third trimester

Important Notes

  • • Ensure documentation specifies gestational age and time between rupture and labor onset.
Ancillary Codes

Additional codes that may be used with this diagnosis

O41.1213

Chorioamnionitis, third trimester

Use when chorioamnionitis is documented alongside PPROM.

Frequently Asked Questions

What is the ICD-10 code for PPROM?

The ICD-10 code for preterm premature rupture of membranes (PPROM) with labor onset more than 24 hours after rupture is O42.11.

How is PPROM documented in medical records?

PPROM should be documented with gestational age, confirmation of rupture, timing of rupture, and any associated complications like chorioamnionitis.

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