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O60.22 ICD-10-CM Code: Term delivery with preterm labor, second trimester

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Term delivery with preterm labor, second trimester is a non-billable ICD-10-CM category code (O60.22). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for O60.22 in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • onset (spontaneous) of labor before 37 completed weeks of gestation

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Indexed Clinical Terms (1)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Pregnancy (single) (uterine), complicated by (care of) (management affected by), preterm labor, second trimester, with term delivery

Frequently Compared Codes

The official Excludes notes on O60.22 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.

Verify Before Coding

  • Not billable as written — a more specific code is required: O60.22X0, O60.22X1, O60.22X2, O60.22X3, O60.22X4.
  • Requires a 7th character. "One of the following 7th characters is to be assigned to each code under subcategory O60.2. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from subcategory O60.2 that has a 7th character of 1 through 9." Options: O60.22X0, O60.22X1, O60.22X2, O60.22X3, O60.22X4, O60.22X5

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Relationships & Classification

Other codes that name O60.22 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

1 Excludes1 notes: O47 (via O60.-).

Contextual Map

Every relationship of O60.22 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • O00-O9A — Chapter 15: Pregnancy, Childbirth and the Puerperium (O00-O9A) (O00-O9A) [Hierarchy]
  • O60-O77 — Complications of labor and delivery [Hierarchy]
  • O60 — Clinical Diagnosis [Hierarchy]
  • O60.2 — Clinical Diagnosis [Hierarchy]

Referenced by Excludes1 notes

  • O47 — False labor [Excludes1](via O60.-): “preterm labor (O60.-)” · check together

Index entries

  • Pregnancy (single) (uterine), complicated by (care of) (management affected by), preterm labor, second trimester, with term delivery[Index term]

Nearest codes (40)

  • O60 — Preterm labor [Sibling]
  • O60.13 — Preterm labor second trimester with preterm delivery third trimester [Sibling]
  • O60.13X0 — Preterm labor second trimester with preterm delivery third trimester, not applicable or unspecified [Sibling]
  • O60.13X1 — Preterm labor second trimester with preterm delivery third trimester, fetus 1 [Sibling]
  • O60.13X2 — Preterm labor second trimester with preterm delivery third trimester, fetus 2 [Sibling]
  • O60.13X3 — Preterm labor second trimester with preterm delivery third trimester, fetus 3 [Sibling]
  • O60.13X4 — Preterm labor second trimester with preterm delivery third trimester, fetus 4 [Sibling]
  • O60.13X5 — Preterm labor second trimester with preterm delivery third trimester, fetus 5 [Sibling]
  • and 32 more

Frequently Asked Questions (FAQ) & Clinical Guidance

Can O60.22 be billed directly?

No. O60.22 (Term delivery with preterm labor, second trimester) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does O60.22 require a 7th character?

Yes. One of the following 7th characters is to be assigned to each code under subcategory O60.2. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from subcategory O60.2 that has a 7th character of 1 through 9..

Nearest Codes in This Family

Official ICD-10-CM classifications closest to O60.22 in its code family, with their registry titles.

  • O60.20X2 — Term delivery with preterm labor, unspecified trimester, fetus 2
  • O60.20X3 — Term delivery with preterm labor, unspecified trimester, fetus 3
  • O60.20X4 — Term delivery with preterm labor, unspecified trimester, fetus 4
  • O60.20X5 — Term delivery with preterm labor, unspecified trimester, fetus 5
  • O60.20X9 — Term delivery with preterm labor, unspecified trimester, other fetus
  • O60.22X0 — Term delivery with preterm labor, second trimester, not applicable or unspecified
  • O60.22X1 — Term delivery with preterm labor, second trimester, fetus 1
  • O60.22X2 — Term delivery with preterm labor, second trimester, fetus 2
  • O60.22X3 — Term delivery with preterm labor, second trimester, fetus 3
  • O60.22X4 — Term delivery with preterm labor, second trimester, fetus 4

View all codes in the O60 family