{"code":"O42","type":"category","title":"Premature rupture of membranes","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":[],"excludes2":[],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true},"sibling_codes":["O42.0","O42.01","O42.011","O42.012","O42.013","O42.019","O42.02","O42.1","O42.10","O42.11","O42.111","O42.112","O42.113","O42.119","O42.12","O42.9","O42.90","O42.91","O42.911","O42.912","O42.913","O42.919","O42.92"],"inclusionTerms":[],"sibling_titles":{"code":"O42.92","title":"Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Premature rupture of membranes is a non-billable ICD-10-CM category code (O42). A more specific billable subcode must be selected for claims submission.","officialDefinition":"Premature rupture of membranes is a non-billable ICD-10-CM category code (O42). A more specific billable subcode must be selected for claims submission.","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[{"code":"O42.0","title":"Premature rupture of membranes, onset of labor within 24 hours of rupture","description":"Premature rupture of membranes, onset of labor within 24 hours of rupture is a non-billable ICD-10-CM category code (O42.0). A more specific billable subcode must be selected for claims submission.","isBillable":false,"slug":"o42.0-premature-rupture-of-membranes-onset-of-labor-within-24-hours"},{"code":"O42.00","title":"Premature rupture of membranes, onset of labor within 24 hours of rupture, unspecified weeks of gestation","description":"Premature rupture of membranes, onset of labor within 24 hours of rupture, unspecified weeks of gestation is a billable ICD-10-CM diagnosis code (O42.00).","isBillable":true,"slug":"o42.00-premature-rupture-of-membranes-onset-of-labor-within-24-hours"},{"code":"O42.01","title":"Preterm premature rupture of membranes, onset of labor within 24 hours of rupture","description":"Preterm premature rupture of membranes, onset of labor within 24 hours of rupture is a non-billable ICD-10-CM category code (O42.01). A more specific billable subcode must be selected for claims submission. Inclusion terms: Premature rupture of membranes before 37 completed weeks of gestation.","isBillable":false,"slug":"o42.01-preterm-premature-rupture-of-membranes-onset-of-labor-within-24"},{"code":"O42.011","title":"Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, first trimester","description":"Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, first trimester is a billable ICD-10-CM diagnosis code (O42.011).","isBillable":true,"slug":"o42.011-preterm-premature-rupture-of-membranes-onset-of-labor-within-24"},{"code":"O42.012","title":"Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, second trimester","description":"Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, second trimester is a billable ICD-10-CM diagnosis code (O42.012).","isBillable":true,"slug":"o42.012-preterm-premature-rupture-of-membranes-onset-of-labor-within-24"},{"code":"O42.013","title":"Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, third trimester","description":"Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, third trimester is a billable ICD-10-CM diagnosis code (O42.013).","isBillable":true,"slug":"o42.013-preterm-premature-rupture-of-membranes-onset-of-labor-within-24"},{"code":"O42.019","title":"Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, unspecified trimester","description":"Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, unspecified trimester is a billable ICD-10-CM diagnosis code (O42.019).","isBillable":true,"slug":"o42.019-preterm-premature-rupture-of-membranes-onset-of-labor-within-24"},{"code":"O42.02","title":"Full-term premature rupture of membranes, onset of labor within 24 hours of rupture","description":"Full-term premature rupture of membranes, onset of labor within 24 hours of rupture is a billable ICD-10-CM diagnosis code (O42.02). Inclusion terms: Premature rupture of membranes at or after 37 completed weeks of gestation, onset of labor within 24 hours of rupture.","isBillable":true,"slug":"o42.02-full-term-premature-rupture-of-membranes-onset-of-labor-within"},{"code":"O42.1","title":"Premature rupture of membranes, onset of labor more than 24 hours following rupture","description":"Premature rupture of membranes, onset of labor more than 24 hours following rupture is a non-billable ICD-10-CM category code (O42.1). A more specific billable subcode must be selected for claims submission.","isBillable":false,"slug":"o42.1-premature-rupture-of-membranes-onset-of-labor-more-than-24"},{"code":"O42.10","title":"Premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified weeks of gestation","description":"Premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified weeks of gestation is a billable ICD-10-CM diagnosis code (O42.10).","isBillable":true,"slug":"o42.10-premature-rupture-of-membranes-onset-of-labor-more-than-24"},{"code":"O42.11","title":"Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture","description":"Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture is a non-billable ICD-10-CM category code (O42.11). A more specific billable subcode must be selected for claims submission. Inclusion terms: Premature rupture of membranes before 37 completed weeks of gestation.","isBillable":false,"slug":"o42.11-preterm-premature-rupture-of-membranes-onset-of-labor-more-than"},{"code":"O42.111","title":"Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, first trimester","description":"Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, first trimester is a billable ICD-10-CM diagnosis code (O42.111).","isBillable":true,"slug":"o42.111-preterm-premature-rupture-of-membranes-onset-of-labor-more-than"},{"code":"O42.112","title":"Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, second trimester","description":"Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, second trimester is a billable ICD-10-CM diagnosis code (O42.112).","isBillable":true,"slug":"o42.112-preterm-premature-rupture-of-membranes-onset-of-labor-more-than"},{"code":"O42.113","title":"Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, third trimester","description":"Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, third trimester is a billable ICD-10-CM diagnosis code (O42.113).","isBillable":true,"slug":"o42.113-preterm-premature-rupture-of-membranes-onset-of-labor-more-than"},{"code":"O42.119","title":"Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified trimester","description":"Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified trimester is a billable ICD-10-CM diagnosis code (O42.119).","isBillable":true,"slug":"o42.119-preterm-premature-rupture-of-membranes-onset-of-labor-more-than"},{"code":"O42.12","title":"Full-term premature rupture of membranes, onset of labor more than 24 hours following rupture","description":"Full-term premature rupture of membranes, onset of labor more than 24 hours following rupture is a billable ICD-10-CM diagnosis code (O42.12). Inclusion terms: Premature rupture of membranes at or after 37 completed weeks of gestation, onset of labor more than 24 hours following rupture.","isBillable":true,"slug":"o42.12-full-term-premature-rupture-of-membranes-onset-of-labor-more"},{"code":"O42.9","title":"Premature rupture of membranes, unspecified as to length of time between rupture and onset of labor","description":"Premature rupture of membranes, unspecified as to length of time between rupture and onset of labor is a non-billable ICD-10-CM category code (O42.9). A more specific billable subcode must be selected for claims submission.","isBillable":false,"slug":"o42.9-premature-rupture-of-membranes-unspecified-as-to-length-of-time"},{"code":"O42.90","title":"Premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, unspecified weeks of gestation","description":"Premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, unspecified weeks of gestation is a billable ICD-10-CM diagnosis code (O42.90).","isBillable":true,"slug":"o42.90-premature-rupture-of-membranes-unspecified-as-to-length-of-time"},{"code":"O42.91","title":"Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor","description":"Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor is a non-billable ICD-10-CM category code (O42.91). A more specific billable subcode must be selected for claims submission. Inclusion terms: Premature rupture of membranes before 37 completed weeks of gestation.","isBillable":false,"slug":"o42.91-preterm-premature-rupture-of-membranes-unspecified-as-to-length-of"},{"code":"O42.911","title":"Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, first trimester","description":"Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, first trimester is a billable ICD-10-CM diagnosis code (O42.911).","isBillable":true,"slug":"o42.911-preterm-premature-rupture-of-membranes-unspecified-as-to-length-of"},{"code":"O42.912","title":"Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, second trimester","description":"Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, second trimester is a billable ICD-10-CM diagnosis code (O42.912).","isBillable":true,"slug":"o42.912-preterm-premature-rupture-of-membranes-unspecified-as-to-length-of"},{"code":"O42.913","title":"Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, third trimester","description":"Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, third trimester is a billable ICD-10-CM diagnosis code (O42.913).","isBillable":true,"slug":"o42.913-preterm-premature-rupture-of-membranes-unspecified-as-to-length-of"},{"code":"O42.919","title":"Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, unspecified trimester","description":"Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, unspecified trimester is a billable ICD-10-CM diagnosis code (O42.919).","isBillable":true,"slug":"o42.919-preterm-premature-rupture-of-membranes-unspecified-as-to-length-of"},{"code":"O42.92","title":"Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor","description":"Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor is a billable ICD-10-CM diagnosis code (O42.92). Inclusion terms: Premature rupture of membranes at or after 37 completed weeks of gestation, unspecified as to length of time between rupture and onset of labor.","isBillable":true,"slug":"o42.92-full-term-premature-rupture-of-membranes-unspecified-as-to-length"}],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}