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Home/Diagnosis/ICD-10 Coding for Premature Rupture of Membranes

ICD-10 Coding for Premature Rupture of Membranes

O42.011
O42.12

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

Also Known as:
PROM
Prelabor Rupture of Membranes
spontaneous rupture membranes
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Key Information: ICD-10 Coding for Premature Rupture of Membranes

Essential facts and insights about ICD-10 Coding for Premature Rupture of Membranes

Use ICD-10 code O42.011 for preterm premature rupture of membranes, onset of labor within 24 hours of rupture, first trimester, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, first trimester

Billable Code
O42.011
Billable

Diagnostic Criteria

  • • PROM occurs before 37 weeks with labor onset within 24 hours.

Applicable To

  • • Preterm PROM with labor onset within 24 hours

Important Notes

  • • Ensure accurate documentation of gestational age and timing of labor onset.

Term premature rupture of membranes, labor delayed by more than 24 hours

Billable Code
O42.12
Billable

Diagnostic Criteria

  • • PROM occurs at or after 37 weeks and labor is delayed by more than 24 hours.

Applicable To

  • • Full-term PROM with labor onset after 24 hours

Important Notes

  • • Ensure accurate documentation of gestational age and timing of labor onset.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z3A.32

32 weeks gestation of pregnancy

Use to specify gestational age when coding PROM.

Z3A.38

38 weeks gestation of pregnancy

Use to specify gestational age when coding PROM.

Frequently Asked Questions

What is the ICD-10 code for premature rupture of membranes?

The ICD-10 code for premature rupture of membranes varies based on gestational age and labor onset timing, such as O42.011 for preterm PROM with labor within 24 hours.

How is PROM coded in ICD-10?

PROM is coded using the O42 series, with specific codes based on gestational age and time to labor onset, such as O42.011 for preterm PROM.

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