O60.2

Term delivery with preterm labor

FY2027Chapter 15: Pregnancy, childbirth and the puerperium/O60–O77 Complications of labor and delivery

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

O60.2 is a non-billable ICD-10-CM code header for term delivery with preterm labor. 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 O60.20 Term delivery with preterm labor, unspecified trimester; O60.22 Term delivery with preterm labor, second trimester and O60.23 Term delivery with preterm labor, third trimester. Its coding notes include a Use additional code instruction, 3 Excludes1 entries and 4 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 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.

  • 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.

Guidelines I.C.15.a.3; I.C.15.a.5Pregnancy: the trimester characterRead the official text

Use additional code

Add the listed code as a secondary code, if known.

Also from chapter/block level (1 note)
Inherited from Chapter 15 Pregnancy, childbirth and the puerperium
  • 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.

Inherited from O60 Preterm labor
Also from chapter/block level (1 note)
Inherited from Chapter 15 Pregnancy, childbirth and the puerperium
  • 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)
Inherited from Chapter 15 Pregnancy, childbirth and the puerperium
  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)

Includes

Further defines or gives examples of the content of the category.

Inherited from O60 Preterm labor
  • onset (spontaneous) of labor before 37 completed weeks of gestation

Notes

Also from chapter/block level (6 notes)
Inherited from Chapter 15 Pregnancy, childbirth and the puerperium
  • 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 O60.2 3