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2025 ICD-10-CM code O60.1

Preterm labor resulting in preterm delivery.

Follow official ICD-10-CM coding guidelines.Use additional codes as necessary to capture all relevant clinical information.

Medical necessity is established based on the clinical presentation of preterm labor,the gestational age at delivery, and the potential risks associated with preterm birth to both the mother and the infant.Justification for interventions (e.g., tocolysis, corticosteroids) should be documented.

Obstetrician/Gynecologist,Neonatal specialists (if applicable)

IMPORTANT:May be used with additional codes from category Z3A (Weeks of gestation) to specify the gestational week, if known.O60.0 (Preterm labor without delivery) should be considered if labor begins before 37 weeks but delivery does not occur.

In simple words: This code means the mother went into labor too early, before 37 weeks of pregnancy, and delivered the baby early.

This code signifies the onset of labor before 37 completed weeks of gestation, leading to the delivery of the infant.It encompasses spontaneous onset of labor and includes preterm labor with delivery, not otherwise specified (NOS).The code excludes false labor, threatened labor NOS, and other specified conditions.

Example 1: A 32-year-old woman at 34 weeks gestation presents with regular uterine contractions and cervical change, leading to preterm delivery. , A 25-year-old woman with a history of preterm birth at 28 weeks gestation experiences premature rupture of membranes at 32 weeks gestation followed by preterm labor and delivery., A 19-year-old primigravida experiences preterm labor at 35 weeks, and her cervix is 2cm dilated.She is given tocolytics and corticosteroids, but still delivers prematurely.

Detailed obstetrical history,frequency and intensity of contractions, cervical examination findings, fetal monitoring strips, gestational age determination (ultrasound),delivery records, and any interventions administered (e.g., tocolytics, corticosteroids).

** This code is for maternal records only. It should not be used on newborn records.The seventh character may be added to specify the fetus involved in multiple gestations.

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