Not Valid for Submission
O42.9 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of premature rupture of membranes, unspecified as to length of time between rupture and onset of labor. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Unspecified diagnosis codes like O42.9 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Specific Coding for Premature ROM, unsp time betw rupture and onset of labor
Non-specific codes like O42.9 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for premature rom, unsp time betw rupture and onset of labor:
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)
[Learn More in MedlinePlus]