2027 ICD-10-CM Diagnosis Code O71.03Rupture of uterus before onset of labor, third trimester
ICD-10-CM Codes›O00-O9A›O60-O77›O71
- Billable — Valid for Submission
- MCC — Major Complication or Comorbidity
- Not Chronic
O71.03 is a billable ICD-10-CM diagnosis code for rupture of uterus before onset of labor, third trimester. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 817 through 819, 831 through 833. As a secondary diagnosis, it counts as a major complication or comorbidity (MCC) and places an inpatient stay in the highest severity level of its MS-DRG family. It does not count, however, when the principal diagnosis is one of 249 closely related codes. 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 Maternal care for abnormality of pelvic organs.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for O71.03.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to O71.03: its own notes plus those printed at O71.0, O71, and Chapter 15. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- obstetric damage from instruments
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- supervision of normal pregnancy (Z34.-)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Notes
General instructions on how these codes are used.
- CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
- Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
- Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
- 1st trimester- less than 14 weeks 0 days
- 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
- 3rd trimester- 28 weeks 0 days until delivery
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name O71.03, its category, or a range that includes it.
Excludes1 3
These codes carry an Excludes1 note naming O71.03: they are not reported together with it, unless the two conditions are unrelated.
- O90.0 Disruption of cesarean delivery woundrupture of uterus (spontaneous) before onset of labor (O71.0-) names O71.0-, which includes this code
- S37 Injury of urinary and pelvic organsobstetric trauma to pelvic organs (O71.-) names O71.-, which includes this code
- S37.6 Injury of uterusinjury to uterus during delivery (O71.-) names O71.-, which includes this code
Excludes2 1
These codes carry an Excludes2 note naming O71.03: its condition is not part of those codes, and both may be reported when the patient has both.
- Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes
Code First 1
These codes say to code first a condition named in the note, and O71.03 is one of the conditions named.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Childbirth Problems
Childbirth is the process of giving birth to a baby. It includes labor and delivery. Usually everything goes well, but problems can happen. They may cause a risk to the mother, baby, or both. Some of the more common childbirth problems include:
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert O71.03 to ICD-9-CMHistory
Code HistoryHistory
Questions About O71.03Overview
What is the ICD-10 code for rupture of uterus before onset of labor, third trimester?
The ICD-10-CM code for rupture of uterus before onset of labor, third trimester is O71.03 (sometimes written as O7103). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is O71.03 (Rupture of uterus (spontaneous) before onset of labor) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report rupture of uterus before onset of labor, third trimester on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does O71.03 group to?
When rupture of uterus before onset of labor, third trimester is the principal diagnosis on an inpatient stay, it groups to MS-DRG 833, 832, 831, 819, 818, 817, with relative weights from 0.5000 to 1.7586 depending on complications. Higher weights mean higher Medicare reimbursement.
Is O71.03 a CC or MCC?
CMS lists O71.03 as an MCC (major complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it places the inpatient stay in the highest-weighted DRG of its severity family. It does not count when the principal diagnosis is one of the 249 closely related codes in its exclusion list.
Who can O71.03 be reported for?
The Medicare Code Editor checks rupture of uterus before onset of labor, third trimester against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.
