2027 ICD-10-CM Diagnosis Code O75.82Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section

ICD-10-CM Codes›O00-O9A›O60-O77›O75

ICD-10-CM O75.82
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

O75.82 is a billable ICD-10-CM diagnosis code for onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 998. The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). Coders also document this condition as deliveries by cesarean. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complications specified during childbirth.

Code Identity

ICD-10-CM Code
O75.82
Billable Status
Yes — Valid for Submission
Code Describes
Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section
Short Description
Onset labor 37-39 weeks, w del by (planned) cesarean section
Parent Code
Other specified complications of labor and delivery

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO60-O77Complications of labor and delivery
CategoryO75Other complications of labor and delivery, not elsewhere classified
This CodeO75.82Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O75.82.

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.

  • Deliveries by cesarean
  • Delivery by elective cesarean section
  • Labor established
  • Spontaneous onset of labor
  • Spontaneous onset of labor between 37 and 39 weeks gestation with planned cesarean section

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to O75.82: its own notes plus those printed at O75 and Chapter 15. A note printed at a category, block or chapter applies to every code under it.

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.

  • Delivery by (planned) cesarean section occurring after 37 completed weeks of gestation but before 39 completed weeks gestation due to (spontaneous) onset of labor

Excludes1

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

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 O75 Other complications of labor and delivery, not elsewhere classified applies to 10 codes
  • puerperal (postpartum) infection (O86.-)
  • puerperal (postpartum) sepsis (O85)
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)

Code First

The underlying condition named in the note is sequenced before this code.

  • to specify reason for planned cesarean section such as:
  • cephalopelvic disproportion (normally formed fetus) (O33.9)
  • previous cesarean delivery (O34.21-)

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.

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

Cesarean Delivery

A cesarean delivery, also called a cesarean section or c-section, is surgery to deliver a baby. The baby is taken out through your abdomen (belly). In the United States, almost one in three babies are born this way. Some cesarean deliveries are planned.

The full article covers:

  • What is a cesarean delivery?
  • When is a cesarean delivery needed?
  • How is a cesarean delivery done?
  • What are the risks of a cesarean delivery?

Read the full article at MedlinePlus

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

Convert O75.82 to ICD-9-CMHistory

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

ICD-9-CM
649.81 Spon labr w plan C/S-del
Approximate The match is approximate rather than exact.
ICD-9-CM
649.82 Lbr w plan C/S-del w p/p
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 O75.82Overview

Is O75.82 (Other specified complications of labor and delivery) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does O75.82 group to?

When onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section is the principal diagnosis on an inpatient stay, it groups to MS-DRG 998 (principal Diagnosis Invalid as Discharge Diagnosis), which carries a relative weight of 0. Higher weights mean higher Medicare reimbursement.

Who can O75.82 be reported for?

The Medicare Code Editor checks onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.

What is coded first with O75.82?

The Code First note reads: to specify reason for planned cesarean section such as: cephalopelvic disproportion (normally formed fetus) (O33.9); previous cesarean delivery (O34.21-). When one of these applies, it is sequenced before O75.82.

What is the ICD-9 equivalent of O75.82?

Under the General Equivalence Mappings, onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section converts to ICD-9-CM 649.81 (spon labr w plan C/S-del) and 649.82 (lbr w plan C/S-del w p/p). The mapping is approximate, so confirm the match fits the documentation.