Coding and coverage · ICD-10-CM

O75 › O75.8

O75.82 Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section

BillableNo payment HCCChapter 15

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.
  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)
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

O75

Excludes2Not included here: the patient may have both; report both when both are present.
  • puerperal (postpartum) infection (O86.-)
  • puerperal (postpartum) sepsis (O85)

This code

Code firstSequence the underlying condition first.
  • to specify reason for planned cesarean section such as:
  • cephalopelvic disproportion (normally formed fetus) (O33.9)
  • previous cesarean delivery (O34.21-)
Inclusion terms
  • Delivery by (planned) cesarean section occurring after 37 completed weeks of gestation but before 39 completed weeks gestation due to (spontaneous) onset of labor

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.