Valid for Submission
O42.111 is a billable diagnosis code used to specify a medical diagnosis of preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, first trimester. The code O42.111 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The code O42.111 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.
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:
Diagnostic Related Groups - MS-DRG Mapping
Convert O42.111 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code O42.111 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
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)
Also called: Early Labor, Premature Birth, Premature Labor, Preterm Birth
Preterm labor is labor that starts before 37 completed weeks of pregnancy. It can lead to premature birth. Premature babies may face serious health risks.
Symptoms of preterm labor include
- Contractions every 10 minutes or more often
- Leaking fluid or bleeding from the vagina
- Feeling of pressure in the pelvis
- Low, dull backache
- Cramps that feel like menstrual cramps
- Abdominal cramps with or without diarrhea
If you think you might be having preterm labor, contact your health care provider.
NIH: National Institute of Child Health and Human Development