O31
Complications specific to multiple gestation
O31 is a non-billable ICD-10-CM code category for complications specific to multiple gestation. 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 O31.0 Papyraceous fetus, O31.1 Continuing pregnancy after spontaneous abortion of one fetus or more, O31.2 Continuing pregnancy after intrauterine death of one fetus or more, O31.3 Continuing pregnancy after elective fetal reduction of one fetus or more and 2 more. Its coding notes include a Use additional code instruction, 1 Excludes1 entry and 7 Excludes2 entries.
7th characters
Every code below needs one of these.
One of the following 7th characters is to be assigned to each code under category O31. 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 category O31 that has a 7th character of 1 through 9.
- 0not applicable or unspecified
- 1fetus 1
- 2fetus 2
- 3fetus 3
- 4fetus 4
- 5fetus 5
- 9other fetus
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.
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 (4 notes)
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
More specific codes under O31 6
- O31.0Papyraceous fetusHeader
- O31.1Continuing pregnancy after spontaneous abortion of one fetus or moreHeader
- O31.2Continuing pregnancy after intrauterine death of one fetus or moreHeader
- O31.3Continuing pregnancy after elective fetal reduction of one fetus or moreHeader
- O31.4Continuing pregnancy after vanishing twin syndrome of one fetus or moreHeader
- O31.8Other complications specific to multiple gestationHeader