ICD-10-CM Codes
O00-O9A Pregnancy, childbirth and the puerperium
O30-O48 Maternal care related to the fetus and amniotic cavity and possible delivery problems
O31- Complications specific to multiple gestation

2018 ICD-10-CM Diagnosis Code O31

Complications specific to multiple gestation

2016

2017

2018

Non-Billable/Non-Specific Code

O31 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
The 2018 edition of ICD-10-CM O31 became effective on October 1, 2017.
This is the American ICD-10-CM version of O31 - other international versions of ICD-10 O31 may differ.

Type 2 Excludes

Type 2 Excludes Help

A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (O31) and the excluded code together.

delayed delivery of second twin, triplet, etc. (
ICD-10-CM Diagnosis Code O63.2
Delayed delivery of second twin, triplet, etc.
O63.2
)
malpresentation of one fetus or more (
ICD-10-CM Diagnosis Code O32.9
Maternal care for malpresentation of fetus, unspecified
O32.9
)
placental transfusion syndromes (
ICD-10-CM Diagnosis Code O43.0
Placental transfusion syndromes
O43.0-
)

The following code(s) above O31 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

Applicable To annotations, or
Code Also annotations, or
Code First annotations, or
Excludes1 annotations, or
Excludes2 annotations, or
Includes annotations, or
Note annotations, or
Use Additional annotations

that may be applicable to O31:

O00-O9A
2018 ICD-10-CM Range O00-O9A
Pregnancy, childbirth and the puerperium
Note
- 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
Type 1 Excludes
- supervision of normal pregnancy (Z34.-)
Type 2 Excludes
- mental and behavioral disorders associated with the puerperium (F53)
- obstetrical tetanus (A34)
- postpartum necrosis of pituitary gland (E23.0)
- puerperal osteomalacia (M83.0)
Use Additional
- code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Pregnancy, childbirth and the puerperium

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change

ICD-10-CM Codes Adjacent To O31

O30.89 Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs

O30.891 …… first trimester

O30.892 …… second trimester

O30.893 …… third trimester

O30.899 …… unspecified trimester

O30.9 Multiple gestation, unspecified

O30.90 …… unspecified trimester

O30.91 …… first trimester

O30.92 …… second trimester

O30.93 …… third trimester

O31 Complications specific to multiple gestation

O31.0 Papyraceous fetus

O31.00 Papyraceous fetus, unspecified trimester

O31.00X0 …… not applicable or unspecified

O31.00X1 …… fetus 1

O31.00X2 …… fetus 2

O31.00X3 …… fetus 3

O31.00X4 …… fetus 4

O31.00X5 …… fetus 5

O31.00X9 …… other fetus

O31.01 Papyraceous fetus, first trimester

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

2018 ICD-10-CM Diagnosis Code O31

Complications specific to multiple gestation

Delayed delivery of second twin, triplet, etc.

Maternal care for malpresentation of fetus, unspecified

Placental transfusion syndromes

Pregnancy, childbirth and the puerperium