Skip to main content

O60.22X5 ICD-10-CM Code: Term delivery with preterm labor, second trimester, fetus 5

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

7th character
Required — see the character table on this page
Tabular directives
1 inclusion term · 2 Excludes1

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 998 — PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS (MDC 14)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Code Overview

Term delivery with preterm labor, second trimester, fetus 5 is a billable ICD-10-CM diagnosis code (O60.22X5).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for O60.22X5 in the official ICD-10-CM tabular list.

Notes without a marker are published on O60.22X5 itself; “inherited from” names the category or block whose note applies here.

Includes

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

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

Source: inherited from O60

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).

Source: inherited from O60

7th Character Guide

"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."

  • 0 — not applicable or unspecified
  • 1 — fetus 1
  • 2 — fetus 2
  • 3 — fetus 3
  • 4 — fetus 4
  • 5 — fetus 5 (this page’s code)
  • 9 — other fetus

Variant codes in this family

O60.22X0, O60.22X1, O60.22X2, O60.22X3, O60.22X4, O60.22X5, O60.22X9

Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.

Official Coding Guidelines

Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.

Chapter 15: Pregnancy, Childbirth, and the Puerperium (O00-O9A)

6) 7th character for fetus identification Where applicable, a 7th character is to be assigned for certain categories (O31, O32, O33.3 - O33.6, O35, O36, O40, O41, O60.1, O60.2, O64, and O69) to identify the fetus for which the complication code applies.

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Term delivery with preterm labor, second trimester, fetus 5

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Verify Before Coding

  • Age-restricted: the Medicare Code Editor lists this as a maternity (age 9-64) diagnosis; other ages are presumed incorrect.
  • MCC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.

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

Relationships & Classification

Other codes that name O60.22X5 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.

Referenced by 1 Excludes1 note: O47 — False labor (via O60.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

MS-DRG Grouper Relationships (FY2026)

MCC — Major Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 277 clinically related codes on its CMS exclusion list.

Potential MS-DRG participation — not a DRG assignment.

Named in the grouper logic of 1 MS-DRG: DRG 998 (MDC 14).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):PRG011 — Early or threatened labor (default); PRG029 — Uncomplicated pregnancy, delivery or puerperium.

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical process (MS-DRG)

Acts as MCC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

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, O60.22X9 — Term delivery with preterm labor, second trimester, other fetus, O60.23X0 — Term delivery with preterm labor, third trimester, not applicable or unspecified, O60.23X1 — Term delivery with preterm labor, third trimester, fetus 1, O60.23X2 — Term delivery with preterm labor, third trimester, fetus 2, O60.23X3 — Term delivery with preterm labor, third trimester, fetus 3, O60.23X4 — Term delivery with preterm labor, third trimester, fetus 4, O60.23X5 — Term delivery with preterm labor, third trimester, fetus 5, O60.23X9 — Term delivery with preterm labor, third trimester, other fetus, O75.4 — Other complications of obstetric surgery and procedures, O75.81 — Maternal exhaustion complicating labor and delivery, +256 more

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (Early or threatened labor, Uncomplicated pregnancy, delivery or puerperium).

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, O60.22X9 — Term delivery with preterm labor, second trimester, other fetus, O60.23X0 — Term delivery with preterm labor, third trimester, not applicable or unspecified, O60.23X1 — Term delivery with preterm labor, third trimester, fetus 1, O60.23X2 — Term delivery with preterm labor, third trimester, fetus 2, O60.23X3 — Term delivery with preterm labor, third trimester, fetus 3, O60.23X4 — Term delivery with preterm labor, third trimester, fetus 4, O60.23X5 — Term delivery with preterm labor, third trimester, fetus 5, O60.23X9 — Term delivery with preterm labor, third trimester, other fetus, O80 — Encounter for full-term uncomplicated delivery, Z32.01 — Encounter for pregnancy test, result positive, +80 more

Contextual Map

Every relationship of O60.22X5 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

Referenced by Excludes1 notes

Clinical classification (CCSR)

MS-DRG Grouper

Nearest codes (40)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]

Frequently Asked Questions (FAQ) & Clinical Guidance

Does O60.22X5 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 O60.22X5 in its code family, with their registry titles.

View all codes in the O60 family