Coding and coverage · ICD-10-CM
O60.20 Term delivery with preterm labor, unspecified trimester
This code needs a 7th character (use X as a placeholder for missing characters).
Codes under this one
- O60.20X0 Term delivery with preterm labor, unspecified trimester, not applicable or unspecified
- O60.20X1 Term delivery with preterm labor, unspecified trimester, fetus 1
- O60.20X2 Term delivery with preterm labor, unspecified trimester, fetus 2
- O60.20X3 Term delivery with preterm labor, unspecified trimester, fetus 3
- O60.20X4 Term delivery with preterm labor, unspecified trimester, fetus 4
- O60.20X5 Term delivery with preterm labor, unspecified trimester, fetus 5
- O60.20X9 Term delivery with preterm labor, unspecified trimester, other fetus
Instructional notes
Chapter 15
Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
- supervision of normal pregnancy (Z34.-)
Excludes2Not included here: the patient may have both; report both when both are present.
Use additional codeAdd a second code for the full picture.
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Notes
- CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
- Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
- Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
- 1st trimester- less than 14 weeks 0 days
- 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
- 3rd trimester- 28 weeks 0 days until delivery
O60
Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
Includes
- onset (spontaneous) of labor before 37 completed weeks of gestation
O60.2
7th charactersOne of the following 7th characters is to be assigned to each code under subcategory O60.2. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from subcategory O60.2 that has a 7th character of 1 through 9.
- 0 not applicable or unspecified
- 1 fetus 1
- 2 fetus 2
- 3 fetus 3
- 4 fetus 4
- 5 fetus 5
- 9 other fetus
Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A) · O60-O77 Complications of labor and delivery (O60-O77)
Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.
Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.