O31.01X4
Papyraceous fetus, first trimester, fetus 4
O31.01X4 (also written O3101X4) is a billable ICD-10-CM diagnosis code for papyraceous fetus, first trimester, fetus 4. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 168 codes in category O31 (Complications specific to multiple gestation). Its 7th character, 4, means fetus 4. Its coding notes include a Use additional code instruction, 1 Excludes1 entry and 7 Excludes2 entries.
7th character
Category O31 requires a 7th character. O31.01 has only 5 characters, so a placeholder X fills the 6th position.
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