2021 ICD-10-CM Code O80
Encounter for full-term uncomplicated delivery
Valid for Submission
O80 is a billable diagnosis code used to specify a medical diagnosis of encounter for full-term uncomplicated delivery. The code O80 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code O80 might also be used to specify conditions or terms like cervical dilatation, 1cm, cervical dilatation, 2cm, cervical dilatation, 3cm, cervical dilatation, 4cm, cervical dilatation, 5cm , cervical dilatation, 6cm, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
The code O80 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: | O80 |
Short Description: | Encounter for full-term uncomplicated delivery |
Long Description: | Encounter for full-term uncomplicated delivery |
Code Classification
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code O80:
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Delivery requiring minimal or no assistance, with or without episiotomy, without fetal manipulation e.g., rotation version or instrumentation forceps of a spontaneous, cephalic, vaginal, full-term, single, live-born infant. This code is for use as a single diagnosis code and is not to be used with any other code from chapter 15.
Use Additional Code
Use Additional CodeThe “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
- code to indicate outcome of delivery Z37.0
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code O80 are found in the index:
- - Admission (for) - See Also: Encounter (for);
- - Delivery (childbirth) (labor)
- - completely normal case - O80
- - normal - O80
- - spontaneous - O80
- - term pregnancy NOS - O80
- - uncomplicated - O80
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 - 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).
- Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Cervical dilatation, 1cm
- Cervical dilatation, 2cm
- Cervical dilatation, 3cm
- Cervical dilatation, 4cm
- Cervical dilatation, 5cm
- Cervical dilatation, 6cm
- Cervical dilatation, 7cm
- Cervical dilatation, 8cm
- Cervical dilatation, 9cm
- Cervical effacement, 10%
- Cervical effacement, 20%
- Cervical effacement, 30%
- Cervical effacement, 40%
- Cervical effacement, 50%
- Cervical effacement, 60%
- Cervical effacement, 70%
- Cervical effacement, 80%
- Cervical effacement, 90%
- Cervix dilated
- Cervix fully dilated
- Cervix undilated
- Complete placenta at delivery
- Contraction of uterus during labor
- Delivery normal
- Delivery normal
- Delivery normal
- Delivery normal
- Effective uterine contractions
- Expulsive uterine contractions
- Fair uterine contractions
- Finding of arrangement of umbilical cord
- Finding of completeness of placenta
- Finding of contraction state of uterus
- Finding of effectiveness of uterine contraction
- Finding of effectiveness of uterine contraction
- Finding of frequency of uterine contraction
- Finding of measures of uterine contractions
- Finding of measures of uterine contractions
- Finding of pain of uterine contraction
- Finding of passing of operculum
- Finding of regularity of uterine contraction
- Finding of strength of uterine contraction
- Finding of strength of uterine contraction
- Finding of strength of uterine contraction
- Finding of strength of uterine contraction
- Finding of strength of uterine contraction
- Finding of strength of uterine contraction
- Fully effaced cervix
- Fundal dominance of uterine contraction
- Good uterine contractions
- Mother delivered
- Normal birth
- Normal delivery - occipitoanterior
- Normal delivery but ante- or post- natal conditions present
- Normal strength uterine contractions
- Normal uterine contraction wave
- O/E - vaginal examination - os 0-1 cm dilated
- O/E - vaginal examination - os 1-2cm dilated
- O/E - vaginal examination - os 2-4 cm dilated
- O/E - vaginal examination - os 4-6cm dilated
- O/E - vaginal examination - os 6-8cm dilated
- O/E - vaginal examination - os 8-10cm dilated
- O/E - vaginal examination - os fully dilated
- O/E - VE - cervical dilatation
- O/E - VE - cervical os closed
- Occasional uterine tightenings
- Operculum passed
- Painless uterine contractions
- Quadruplet birth
- Quintuplet birth
- Regular uterine contractions
- Rim of cervix palpable
- Segments of uterus distinguishable in labor
- Sextuplet birth
- Spontaneous vertex delivery
- State of upper segment retraction during labor
- Strong uterine contractions
- Term birth of fraternal twins, both living
- Term birth of fraternal twins, both stillborn
- Term birth of identical twins, both living
- Term birth of identical twins, both stillborn
- Term birth of multiple newborns
- Term birth of multiple newborns
- Term birth of multiple newborns
- Term birth of newborn quadruplets
- Term birth of newborn quintuplets
- Term birth of newborn sextuplets
- Term birth of stillborn twins
- Term pregnancy delivered
- Transmission of uterine contraction wave
- Twins - both live born
- Twins - both live born
- Twins - both stillborn
- Twins - both stillborn
- Twins - both stillborn
- Umbilical cord not around baby's neck at delivery
- Uterine contractions normal
- Uterine contractions present
- Uterine observation in labor
- Uterus contracted
- Vaginal delivery
- Variable strength uterine contractions
- Very strong uterine contractions
Present on Admission (POA)
O80 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .
CMS POA Indicator Options and Definitions
POA Indicator Code | POA Reason for Code | CMS will pay the CC/MCC DRG? |
---|---|---|
Y | Diagnosis was present at time of inpatient admission. | YES |
N | Diagnosis was not present at time of inpatient admission. | NO |
U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert O80 to ICD-9 Code
- 650 - Normal delivery
Information for Patients
Childbirth
When you are ready to have your baby, you'll go through labor. Labor is the process of giving birth. Signs that you might be going into labor include
- Contractions that are regular then start to come closer together
- Leaking fluid or bleeding from the vagina
- Low, dull backache
- Abdominal cramps
Call your health care provider if you have any of these signs, even if it is before your due date. Preterm labor can start before 37 completed weeks of pregnancy.
Labor happens in three stages. The first stage begins with contractions. It continues until your cervix has become thinner and dilated (stretched) to about 4 inches wide. The second stage is the active stage, in which you begin to push downward. Crowning is when your baby's scalp comes into view. Shortly afterward, your baby is born. In the third stage, you deliver the placenta. The placenta is the organ that supplied food and oxygen to your baby during pregnancy.
Mothers and babies are monitored closely during labor. Most women are able to have a baby through normal vaginal delivery. If there are complications, the baby may need to be delivered surgically by a Cesarean section.
NIH: National Institute of Child Health and Human Development
- Am I in labor? (Medical Encyclopedia)
- Assisted delivery with forceps (Medical Encyclopedia)
- Delivery presentations (Medical Encyclopedia)
- Delivery presentations (Medical Encyclopedia)
- Epidural block (Medical Encyclopedia)
- Episiotomy (Medical Encyclopedia)
- Questions to ask your doctor about labor and delivery (Medical Encyclopedia)
- Spinal and epidural anesthesia (Medical Encyclopedia)
- What you should bring to your labor and delivery (Medical Encyclopedia)
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Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)