2027 ICD-10-CM Diagnosis Code O71.1Rupture of uterus during labor

ICD-10-CM Codes›O00-O9A›O60-O77›O71

ICD-10-CM O71.1
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

O71.1 is a billable ICD-10-CM diagnosis code for rupture of uterus during labor. 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 Complications specified during childbirth.

Code Identity

ICD-10-CM Code
O71.1
Billable Status
Yes — Valid for Submission
Code Describes
Rupture of uterus during labor
Short Description
Rupture of uterus during labor
Same as the full description in the CMS dataset.
Parent Code
Other obstetric trauma

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO60-O77Complications of labor and delivery
CategoryO71Other obstetric trauma
This CodeO71.1Rupture of uterus during labor

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O71.1.

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).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Intrapartum hemorrhage
  • Intrapartum hemorrhage co-occurrent and due to obstructed labor with uterine rupture
  • Postpartum hemorrhage
  • Postpartum hemorrhage co-occurrent and due to uterine rupture following obstructed labor
  • Rupture of gravid uterus
  • Rupture of uterus
  • Rupture of uterus after labor
  • Rupture of uterus due to obstetric procedure
  • Rupture of uterus during labor
  • Rupture of uterus following obstructed labor
  • Sequelae of reproductive disorders

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to O71.1: its own notes plus those printed at 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.

From O71 Other obstetric trauma applies to 14 codes
  • obstetric damage from instruments

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Rupture of uterus not stated as occurring before onset of labor

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

On O71.1 itself
  • disruption of cesarean delivery wound (O90.0)
  • laceration of uterus, NEC (O71.81)
From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • 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.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • 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.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • 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 O71.1, its category, or a range that includes it.

Excludes1 3

These codes carry an Excludes1 note naming O71.1: they are not reported together with it, unless the two conditions are unrelated.

  • O90.0 Disruption of cesarean delivery wound
    rupture of uterus during labor (O71.1)
  • S37 Injury of urinary and pelvic organs
    obstetric trauma to pelvic organs (O71.-) names O71.-, which includes this code
  • S37.6 Injury of uterus
    injury to uterus during delivery (O71.-) names O71.-, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming O71.1: 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
    obstetric trauma (O70-O71) names O70-O71, which includes this code

Code First 1

These codes say to code first a condition named in the note, and O71.1 is one of the conditions named.

  • O66.41 Failed attempted vaginal birth after previous cesarean delivery
    rupture of uterus, if applicable (O71.0-, O71.1)

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

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

CCSR PRG023
Complications specified during childbirth
Default principal diagnosis: inpatient Yes · outpatient Yes

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 O71.1 to ICD-9-CMHistory

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

ICD-9-CM
665.11 Rupture uterus NOS-deliv
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About O71.1Overview

What is the ICD-10 code for rupture of uterus during labor?

The ICD-10-CM code for rupture of uterus during labor is O71.1 (sometimes written as O711). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is O71.1 (Other obstetric trauma) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report rupture of uterus during labor on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does O71.1 group to?

When rupture of uterus during labor 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 O71.1 a CC or MCC?

CMS lists O71.1 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 O71.1 be reported for?

The Medicare Code Editor checks rupture of uterus during labor against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.