ICD-10-CM Code O60.13X1

Preterm labor second trimester with preterm delivery third trimester, fetus 1

Version 2020 Billable Code Maternity Diagnoses Diagnoses For Females Only Second Trimester (14 to 27 Weeks)

Valid for Submission

O60.13X1 is a billable code used to specify a medical diagnosis of preterm labor second trimester with preterm delivery third trimester, fetus 1. The code is valid for the year 2020 for the submission of HIPAA-covered transactions.

The code O60.13X1 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:O60.13X1
Short Description:Preterm labor second tri w preterm del third tri, fetus 1
Long Description:Preterm labor second trimester with preterm delivery third trimester, fetus 1

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 .

Convert O60.13X1 to ICD-9

  • 644.21 - Early onset delivery-del (Approximate Flag)

Code Classification

  • Pregnancy, childbirth and the puerperium (O00–O99)
    • Complications of labor and delivery (O60-O77)
      • Preterm labor (O60)

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


Preterm Labor

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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Twins, Triplets, Multiple Births

If you are pregnant with more than one baby, you are far from alone. Multiple births are up in the United States. More women are having babies after age 30 and more are taking fertility drugs. Both boost the chance of carrying more than one baby. A family history of twins also makes multiples more likely.

Years ago, most twins came as a surprise. Now, most women know about a multiple pregnancy early. Women with multiple pregnancies should see their health care providers more often than women who are expecting one baby. Multiple pregnancy babies have a much higher risk of being born prematurely and having a low birth weight. There is also more of a risk of disabilities. Some women have to go on bed rest to delay labor. Finally, they may deliver by C-section, especially if there are three babies or more.

Parenting multiples can be a challenge. Volunteer help and support groups for parents of multiples can help.

Dept. of Health and Human Services Office on Women's Health


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