Valid for Submission
O42.90 is a billable diagnosis code used to specify a medical diagnosis of premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, unspecified weeks of gestation. The code O42.90 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code O42.90 might also be used to specify conditions or terms like amniotic fluid leaking, hydrorrhea gravidarum, nitrazine yellow test for detection of rupture of amniotic membrane positive, oligohydramnios, oligohydramnios due to rupture of membranes , premature rupture of membranes, etc.
The code O42.90 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.
Unspecified diagnosis codes like O42.90 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.
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 O42.90 are found in the index:
- - Delivery (childbirth) (labor)
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:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Amniotic fluid leaking
- Hydrorrhea gravidarum
- Nitrazine yellow test for detection of rupture of amniotic membrane positive
- Oligohydramnios due to rupture of membranes
- Premature rupture of membranes
- Premature rupture of membranes - delivered
- Premature rupture of membranes with antenatal problem
- Premature rupture of membranes, labor delayed by therapy
- Prolonged premature rupture of membranes
- Prolonged rupture of membranes
- Prolonged spontaneous rupture of membranes
Diagnostic Related Groups - MS-DRG Mapping
Convert O42.90 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code O42.90 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)
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