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O60.23 ICD-10-CM Code: Term delivery with preterm labor, third trimester

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

Code Overview

Term delivery with preterm labor, third trimester is a non-billable ICD-10-CM category code (O60.23). A more specific billable subcode must be selected for claims submission.

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 O60.23 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 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).

Indexed Clinical Terms (1)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

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

Frequently Compared Codes

The official Excludes notes on O60.23 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2016 — 2015-10-01
    In the code set at ICD-10-CM adoption
    Term delivery with preterm labor, third trimester

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

Verify Before Coding

  • Not billable as written — a more specific code is required: O60.23X0, O60.23X1, O60.23X2, O60.23X3, O60.23X4.
  • 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: O60.23X0, O60.23X1, O60.23X2, O60.23X3, O60.23X4, O60.23X5

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 O60.23 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 (via O60.-).

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

Contextual Map

Every relationship of O60.23 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]

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, third 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

Change history

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

Frequently Asked Questions (FAQ) & Clinical Guidance

Can O60.23 be billed directly?

No. O60.23 (Term delivery with preterm labor, third trimester) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does O60.23 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 O60.23 in its code family, with their registry titles.

  • 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
  • O60.22X5 — Term delivery with preterm labor, second trimester, fetus 5
  • 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

View all codes in the O60 family