2025 ICD-10-CM code O60
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Pregnancy, childbirth and the puerperium - Complications of labor and delivery Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A) Feed
Preterm labor; onset of labor before 37 completed weeks of gestation.
Modifiers may apply depending on the specific circumstances and services rendered. Consult the appropriate coding guidelines.
Medical necessity for preterm labor codes is established by clinical presentation of regular uterine contractions and progressive cervical change prior to 37 weeks gestation, requiring medical intervention to manage the condition or potential delivery.Specific justifications may include fetal distress or maternal complications.
Obstetrician-gynecologist, other healthcare professionals involved in maternal care.
- Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A)
- O60-O77 (Complications of labor and delivery)
In simple words: Preterm labor means labor starts before the 37th week of pregnancy.This is when the baby is not yet fully developed.The labor may or may not lead to the baby being born early.
Preterm labor refers to the onset of labor before 37 completed weeks of gestation (less than 259 days from the first day of the last menstrual period). This encompasses spontaneous onset of labor before term,occurring after the fetus has reached viability (usually between 20 and 37 weeks).The condition may or may not result in preterm delivery.Specific subcodes (e.g., O60.0, O60.1) further delineate whether delivery occurred.
Example 1: A 32-year-old pregnant woman at 34 weeks gestation presents with regular uterine contractions and cervical change.Diagnosis: O60.1 (Preterm labor with preterm delivery)., A 28-year-old pregnant woman at 30 weeks gestation experiences regular contractions but manages to suppress labor through tocolysis.Diagnosis: O60.0 (Preterm labor without delivery)., A 25-year-old pregnant woman at 28 weeks gestation goes into labor, leading to a preterm delivery of a viable infant.Diagnosis: O60.1 (Preterm labor with preterm delivery), potentially with additional codes specifying the gestational age.
Maternal medical history, complete physical examination, fetal monitoring results (including non-stress tests, biophysical profiles, etc.), cervical examination findings, obstetric ultrasound reports, documentation of any tocolytic medications, delivery records (if applicable).
** The information provided is for guidance only and should not replace consultation with official coding manuals and guidelines. Always verify codes and their usage with current standards.
- Revenue Code:
- RVU:
- Global Days:
- Payment Status: Active
- Modifier TC rule:
- Fee Schedule:
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center