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Home/Diagnosis/ICD-10 Coding for Preterm Delivery

ICD-10 Coding for Preterm Delivery

O60.1XX-
O60.3XX-

Complete ICD-10-CM coding and documentation guide for icd-10 coding for preterm delivery includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Premature Birth
Early Delivery
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Key Information: ICD-10 Coding for Preterm Delivery

Essential facts and insights about ICD-10 Coding for Preterm Delivery

Use ICD-10 code O60.1XX- for preterm spontaneous labor with preterm delivery, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Preterm spontaneous labor with preterm delivery

Non-Billable
O60.1XX-
Non-Billable

Diagnostic Criteria

  • • Presence of regular contractions and cervical change before 37 weeks.

Applicable To

  • • Spontaneous preterm labor resulting in delivery

Important Notes

  • • Sequence O60.1 first when preterm labor leads to delivery.

Preterm induced labor with preterm delivery

Non-Billable
O60.3XX-
Non-Billable

Diagnostic Criteria

  • • Indication for induction documented
  • • Gestational age less than 37 weeks

Applicable To

  • • Medically induced preterm labor resulting in delivery

Important Notes

  • • Sequence O60.3 first when induced labor leads to delivery.
Ancillary Codes

Additional codes that may be used with this diagnosis

O42.0-

Premature rupture of membranes (PROM)

Use when PROM occurs before labor begins.

O42.1-

PROM ≥24hrs

Use when PROM occurs 24 hours or more before labor.

Frequently Asked Questions

What is the ICD-10 code for preterm delivery?

The ICD-10 code for preterm delivery is O60.1XX- for spontaneous labor and O60.3XX- for induced labor, both requiring gestational age documentation.

How do you code preterm delivery with PROM?

Code O60.1 for preterm delivery and O42.0- for PROM if membranes ruptured before labor. Ensure gestational age is documented with Z3A.XX.

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