ICD-10 Code O42.10

Premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified weeks of gestation

Version 2019 Billable Code Maternity Diagnoses Diagnoses For Females Only
ICD-10:O42.10
Short Description:Prem ROM, onset labor > 24 hr fol rupt, unsp weeks of gest
Long Description:Premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified weeks of gestation

Valid for Submission

ICD-10 O42.10 is a billable code used to specify a medical diagnosis of premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified weeks of gestation. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

Code Classification

  • Pregnancy, childbirth and the puerperium (O00–O99)
    • Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
      • Premature rupture of membranes (O42)

Information for Medical Professionals

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Maternity diagnoses - Maternity. Age range is 12–55 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
  • Diagnoses for females only - Diagnoses for females only.

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code O42.10 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 817 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH MCC
  • 818 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH CC
  • 819 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITHOUT CC/MCC

Convert O42.10 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 658.20 - Prolong rupt memb-unspec (Approximate Flag)

Synonyms

The following clinical terms are approximate synonyms:

  • Prem rupture of membranes onset of labor after 24 hours
  • Preterm premature rupture of membranes
  • Preterm premature rupture of membranes with onset of labor later than 24 hours after rupture

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code O42.10 are found in the index:


Information for Patients


Childbirth Problems

While childbirth usually goes well, complications can happen. They can cause a risk to the mother, baby, or both. Possible complications include

  • Preterm (premature) labor, when labor starts before 37 completed weeks of pregnancy
  • Problems with the umbilical cord
  • Problems with the position of the baby, such as breech, in which the baby is going to come out feet first
  • Birth injuries

For some of these problems, the baby may need to be delivered surgically by a Cesarean section.

  • Assisted delivery with forceps (Medical Encyclopedia)
  • Brachial plexus injury in newborns (Medical Encyclopedia)
  • Breech birth (Medical Encyclopedia)
  • Caput succedaneum (Medical Encyclopedia)
  • Meconium aspiration syndrome (Medical Encyclopedia)
  • Premature rupture of membranes (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.