ICD-10-CM Code O42.90

Premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, unspecified weeks of gestation

Version 2020 Billable Code Maternity Diagnoses Diagnoses For Females Only

Valid for Submission

O42.90 is a billable 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 is valid for the year 2020 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.

ICD-10:O42.90
Short Description:Prem ROM, 7th0 betw rupt & onst labr, unsp weeks of gest
Long Description:Premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, unspecified weeks of gestation

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:


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 - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to FEMALES only .

Synonyms

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
  • 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

The ICD-10 code O42.90 is grouped in the following groups for version MS-DRG V37.0 What are 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).
applicable from 10/01/2019 through 09/30/2020.

  • 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 O42.90 to ICD-9

  • 658.10 - Prem rupt membran-unspec (Approximate Flag)

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)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

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.


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