O20
Hemorrhage in early pregnancy
O20 is a non-billable ICD-10-CM code category for hemorrhage in early pregnancy. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are O20.0 Threatened abortion; O20.8 Other hemorrhage in early pregnancy and O20.9 Hemorrhage in early pregnancy, unspecified. Its coding notes include a Use additional code instruction, 2 Excludes1 entries and 6 Excludes2 entries.
Guidelines tip
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
The trimester character comes from the provider's documentation for the current encounter. The unspecified trimester code should rarely be used.
Use additional code
Add the listed code as a secondary code, if known.
Also from chapter/block level (1 note)
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Excludes1
Not coded here. The listed conditions generally should not be reported together.
- pregnancy with abortive outcome (O00-O08)
Also from chapter/block level (1 note)
- supervision of normal pregnancy (Z34.-)
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (6 notes)
- maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
- maternal diseases classifiable elsewhere but complicating pregnancy, labor and delivery, and the puerperium (O98-O99)
Includes
Further defines or gives examples of the content of the category.
- hemorrhage before completion of 20 weeks gestation
Notes
Also from chapter/block level (6 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