2026 ICD-10-CM Diagnosis Code O60.23X3Term delivery with preterm labor, third trimester, fetus 3

ICD-10-CM Codes›O00-O9A›O60-O77›O60

ICD-10-CM O60.23X3
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O60.23X3 is a billable ICD-10-CM diagnosis code for term delivery with preterm labor, third trimester, fetus 3. The 7th character 3 identifies fetus 3 in a multiple gestation pregnancy. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Early or threatened labor; and Uncomplicated pregnancy, delivery or puerperium.

Code Identity

ICD-10-CM Code
O60.23X3
Billable Status
Yes — Valid for Submission
Code Describes
Term delivery with preterm labor, third trimester, fetus 3
Short Description
Term delivery with preterm labor, third trimester, fetus 3
Same as the full description in the CMS dataset.
Parent Code
O60.23
Term delivery with preterm labor, third trimester

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO60-O77Complications of labor and delivery
CategoryO60Preterm labor
This CodeO60.23X3Term delivery with preterm labor, third trimester, fetus 3

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O60.23X3.

Maternity diagnoses
The Medicare Code Editor detects inconsistencies in maternity cases by checking a patient's age and any diagnosis on the patient's record. The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PRG011
Early or threatened labor
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR PRG029
Uncomplicated pregnancy, delivery or puerperium
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert O60.23X3 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
644.21 Early onset delivery-del
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About O60.23X3Overview

Is O60.23X3 (Term delivery with preterm labor, third trimester) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report term delivery with preterm labor, third trimester, fetus 3 on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character 3 in O60.23X3 mean?

The final character 3 identifies the fetus in a multiple gestation pregnancy: this code reports term delivery with preterm labor, third trimester for fetus 3.

Who can O60.23X3 be reported for?

The Medicare Code Editor checks term delivery with preterm labor, third trimester, fetus 3 against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.

What is the ICD-9 equivalent of O60.23X3?

Under the General Equivalence Mappings, term delivery with preterm labor, third trimester, fetus 3 converts to ICD-9-CM 644.21 (early onset delivery-del). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.