ICD-10 Code O42.912

Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, second trimester

Version 2019 Billable Code Maternity Diagnoses Diagnoses For Females Only Second Trimester (14 to 27 Weeks)
ICD-10:O42.912
Short Description:Pretrm prem ROM, unsp time betw rupt and onset labr, 2nd tri
Long Description:Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, second trimester

Valid for Submission

ICD-10 O42.912 is a billable code used to specify a medical diagnosis of preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, second trimester. 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 O42.912 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 O42.912 to ICD-9

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

  • 658.11 - Prem rupt membran-deliv (Approximate Flag)
  • 658.13 - Prem rupt memb-antepart (Approximate Flag)

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)

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Preterm Labor

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


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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.