2025 ICD-10-CM code O80
(Active) Effective Date: N/A Pregnancy, childbirth and the puerperium - Encounter for delivery 15 Feed
Encounter for full-term uncomplicated delivery. Delivery requiring minimal or no assistance, with or without episiotomy.
This code is used for billing purposes to indicate a normal, uncomplicated vaginal delivery.
Obstetrician/Gynecologist (OB/GYN) or other healthcare professional attending the delivery.
In simple words: This code represents a normal vaginal delivery of a single baby at full term without any complications.
Delivery requiring minimal or no assistance, with or without episiotomy, without fetal manipulation (e.g., rotation version) or instrumentation (forceps) of a spontaneous, cephalic, vaginal, full-term, single, live-born infant. This code is for use as a single diagnosis code and is not to be used with any other code from Chapter 15. Use additional code to indicate outcome of delivery (Z37.0).
Example 1: A 39-week pregnant woman presents in spontaneous labor and delivers a healthy baby vaginally without any complications or assistance., A 40-week pregnant woman undergoes a spontaneous vaginal delivery with an episiotomy. The delivery requires minimal assistance., A pregnant woman at 38 weeks and 6 days of gestation experiences a normal, spontaneous vaginal delivery without complications.
Documentation should include details of the delivery, including the presentation of the fetus, whether an episiotomy was performed, and confirmation of a full-term, single, live birth. Any minimal assistance provided during the delivery should also be documented.
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Birthing Center