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BETA v.3.0

2025 ICD-10-CM code O80

Encounter for full-term uncomplicated delivery. Delivery requiring minimal or no assistance, with or without episiotomy.

Use additional code Z37.0 to indicate the outcome of delivery (single live birth). Use additional code(s) from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known. Do not use this code on the newborn's record.

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.

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