2020 ICD-10-CM Codes for Complications specific to multiple gestation (O31)

Instructional Notations

Type 2 Excludes Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

  • delayed delivery of second twin, triplet, etc. O63.2
  • malpresentation of one fetus or more O32.9
  • placental transfusion syndromes O43.0

7th Character Note 7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.

  • One of the following 7th characters is to be assigned to each code under category O31. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30

7th Character 7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.

  • 0 - not applicable or unspecified
  • 1 - fetus 1
  • 2 - fetus 2
  • 3 - fetus 3
  • 4 - fetus 4
  • 5 - fetus 5
  • 9 - other fetus
    • ICD-10 Index

      • Pregnancy, childbirth and the puerperium (O00–O99)

        • Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)

            • Complications specific to multiple gestation (O31)
            • O31 - Complications specific to multiple gestation NON-BILLABLE CODE
            • O31.0 - Papyraceous fetus NON-BILLABLE CODE
            • O31.00 - Papyraceous fetus, unspecified trimester NON-BILLABLE CODE
            • O31.00X0 - Papyraceous fetus, unsp trimester, not applicable or unsp BILLABLE CODE
            • O31.00X1 - Papyraceous fetus, unspecified trimester, fetus 1 BILLABLE CODE
            • O31.00X2 - Papyraceous fetus, unspecified trimester, fetus 2 BILLABLE CODE
            • O31.00X3 - Papyraceous fetus, unspecified trimester, fetus 3 BILLABLE CODE
            • O31.00X4 - Papyraceous fetus, unspecified trimester, fetus 4 BILLABLE CODE
            • O31.00X5 - Papyraceous fetus, unspecified trimester, fetus 5 BILLABLE CODE
            • O31.00X9 - Papyraceous fetus, unspecified trimester, other fetus BILLABLE CODE
            • O31.01 - Papyraceous fetus, first trimester NON-BILLABLE CODE
            • O31.01X0 - Papyraceous fetus, first trimester, not applicable or unsp BILLABLE CODE
            • O31.01X1 - Papyraceous fetus, first trimester, fetus 1 BILLABLE CODE
            • O31.01X2 - Papyraceous fetus, first trimester, fetus 2 BILLABLE CODE
            • O31.01X3 - Papyraceous fetus, first trimester, fetus 3 BILLABLE CODE
            • O31.01X4 - Papyraceous fetus, first trimester, fetus 4 BILLABLE CODE
            • O31.01X5 - Papyraceous fetus, first trimester, fetus 5 BILLABLE CODE
            • O31.01X9 - Papyraceous fetus, first trimester, other fetus BILLABLE CODE
            • O31.02 - Papyraceous fetus, second trimester NON-BILLABLE CODE
            • O31.02X0 - Papyraceous fetus, second trimester, not applicable or unsp BILLABLE CODE
            • O31.02X1 - Papyraceous fetus, second trimester, fetus 1 BILLABLE CODE
            • O31.02X2 - Papyraceous fetus, second trimester, fetus 2 BILLABLE CODE
            • O31.02X3 - Papyraceous fetus, second trimester, fetus 3 BILLABLE CODE
            • O31.02X4 - Papyraceous fetus, second trimester, fetus 4 BILLABLE CODE
            • O31.02X5 - Papyraceous fetus, second trimester, fetus 5 BILLABLE CODE
            • O31.02X9 - Papyraceous fetus, second trimester, other fetus BILLABLE CODE
            • O31.03 - Papyraceous fetus, third trimester NON-BILLABLE CODE
            • O31.03X0 - Papyraceous fetus, third trimester, not applicable or unsp BILLABLE CODE
            • O31.03X1 - Papyraceous fetus, third trimester, fetus 1 BILLABLE CODE
            • O31.03X2 - Papyraceous fetus, third trimester, fetus 2 BILLABLE CODE
            • O31.03X3 - Papyraceous fetus, third trimester, fetus 3 BILLABLE CODE
            • O31.03X4 - Papyraceous fetus, third trimester, fetus 4 BILLABLE CODE
            • O31.03X5 - Papyraceous fetus, third trimester, fetus 5 BILLABLE CODE
            • O31.03X9 - Papyraceous fetus, third trimester, other fetus BILLABLE CODE
            • O31.1 - Cont pregnancy after spon abortion of one fetus or more NON-BILLABLE CODE
            • O31.10 - Cont preg after spon abortion of one fetus or more, unsp tri NON-BILLABLE CODE
            • O31.10X0 - Cont preg aft spon abort of one fts or more, unsp tri, unsp BILLABLE CODE
            • O31.10X1 - Cont preg aft spon abort of one fts or more, unsp tri, fts1 BILLABLE CODE
            • O31.10X2 - Cont preg aft spon abort of one fts or more, unsp tri, fts2 BILLABLE CODE
            • O31.10X3 - Cont preg aft spon abort of one fts or more, unsp tri, fts3 BILLABLE CODE
            • O31.10X4 - Cont preg aft spon abort of one fts or more, unsp tri, fts4 BILLABLE CODE
            • O31.10X5 - Cont preg aft spon abort of one fts or more, unsp tri, fts5 BILLABLE CODE
            • O31.10X9 - Cont preg aft spon abort of one fetus or more, unsp tri, oth BILLABLE CODE
            • O31.11 - Cont preg after spon abort of one fetus or more, first tri NON-BILLABLE CODE
            • O31.11X0 - Cont preg aft spon abort of one fts or more, first tri, unsp BILLABLE CODE
            • O31.11X1 - Cont preg aft spon abort of one fts or more, first tri, fts1 BILLABLE CODE
            • O31.11X2 - Cont preg aft spon abort of one fts or more, first tri, fts2 BILLABLE CODE
            • O31.11X3 - Cont preg aft spon abort of one fts or more, first tri, fts3 BILLABLE CODE
            • O31.11X4 - Cont preg aft spon abort of one fts or more, first tri, fts4 BILLABLE CODE
            • O31.11X5 - Cont preg aft spon abort of one fts or more, first tri, fts5 BILLABLE CODE
            • O31.11X9 - Cont preg aft spon abort of one fts or more, first tri, oth BILLABLE CODE
            • O31.12 - Cont preg after spon abort of one fetus or more, second tri NON-BILLABLE CODE
            • O31.12X0 - Cont preg aft spon abort of one fetus or more, 2nd tri, unsp BILLABLE CODE
            • O31.12X1 - Cont preg aft spon abort of one fetus or more, 2nd tri, fts1 BILLABLE CODE
            • O31.12X2 - Cont preg aft spon abort of one fetus or more, 2nd tri, fts2 BILLABLE CODE
            • O31.12X3 - Cont preg aft spon abort of one fetus or more, 2nd tri, fts3 BILLABLE CODE
            • O31.12X4 - Cont preg aft spon abort of one fetus or more, 2nd tri, fts4 BILLABLE CODE
            • O31.12X5 - Cont preg aft spon abort of one fetus or more, 2nd tri, fts5 BILLABLE CODE
            • O31.12X9 - Cont preg aft spon abort of one fetus or more, 2nd tri, oth BILLABLE CODE
            • O31.13 - Cont preg after spon abort of one fetus or more, third tri NON-BILLABLE CODE
            • O31.13X0 - Cont preg aft spon abort of one fts or more, third tri, unsp BILLABLE CODE
            • O31.13X1 - Cont preg aft spon abort of one fts or more, third tri, fts1 BILLABLE CODE
            • O31.13X2 - Cont preg aft spon abort of one fts or more, third tri, fts2 BILLABLE CODE
            • O31.13X3 - Cont preg aft spon abort of one fts or more, third tri, fts3 BILLABLE CODE
            • O31.13X4 - Cont preg aft spon abort of one fts or more, third tri, fts4 BILLABLE CODE
            • O31.13X5 - Cont preg aft spon abort of one fts or more, third tri, fts5 BILLABLE CODE
            • O31.13X9 - Cont preg aft spon abort of one fts or more, third tri, oth BILLABLE CODE
            • O31.2 - Continuing pregnancy after uterin death of one fetus or more NON-BILLABLE CODE
            • O31.20 - Cont preg after uterin death of one fetus or more, unsp tri NON-BILLABLE CODE
            • O31.20X0 - Cont preg aft uterin dth of one fts or more, unsp tri, unsp BILLABLE CODE
            • O31.20X1 - Cont preg aft uterin dth of one fts or more, unsp tri, fts1 BILLABLE CODE
            • O31.20X2 - Cont preg aft uterin dth of one fts or more, unsp tri, fts2 BILLABLE CODE
            • O31.20X3 - Cont preg aft uterin dth of one fts or more, unsp tri, fts3 BILLABLE CODE
            • O31.20X4 - Cont preg aft uterin dth of one fts or more, unsp tri, fts4 BILLABLE CODE
            • O31.20X5 - Cont preg aft uterin dth of one fts or more, unsp tri, fts5 BILLABLE CODE
            • O31.20X9 - Cont preg aft uterin dth of one fetus or more, unsp tri, oth BILLABLE CODE
            • O31.21 - Cont preg after uterin death of one fetus or more, first tri NON-BILLABLE CODE
            • O31.21X0 - Cont preg aft uterin dth of one fts or more, first tri, unsp BILLABLE CODE
            • O31.21X1 - Cont preg aft uterin dth of one fts or more, first tri, fts1 BILLABLE CODE
            • O31.21X2 - Cont preg aft uterin dth of one fts or more, first tri, fts2 BILLABLE CODE
            • O31.21X3 - Cont preg aft uterin dth of one fts or more, first tri, fts3 BILLABLE CODE
            • O31.21X4 - Cont preg aft uterin dth of one fts or more, first tri, fts4 BILLABLE CODE
            • O31.21X5 - Cont preg aft uterin dth of one fts or more, first tri, fts5 BILLABLE CODE
            • O31.21X9 - Cont preg aft uterin dth of one fts or more, first tri, oth BILLABLE CODE
            • O31.22 - Cont preg after uterin death of one fetus or more, 2nd tri NON-BILLABLE CODE
            • O31.22X0 - Cont preg aft uterin dth of one fetus or more, 2nd tri, unsp BILLABLE CODE
            • O31.22X1 - Cont preg aft uterin dth of one fetus or more, 2nd tri, fts1 BILLABLE CODE
            • O31.22X2 - Cont preg aft uterin dth of one fetus or more, 2nd tri, fts2 BILLABLE CODE
            • O31.22X3 - Cont preg aft uterin dth of one fetus or more, 2nd tri, fts3 BILLABLE CODE
            • O31.22X4 - Cont preg aft uterin dth of one fetus or more, 2nd tri, fts4 BILLABLE CODE
            • O31.22X5 - Cont preg aft uterin dth of one fetus or more, 2nd tri, fts5 BILLABLE CODE
            • O31.22X9 - Cont preg aft uterin dth of one fetus or more, 2nd tri, oth BILLABLE CODE
            • O31.23 - Cont preg after uterin death of one fetus or more, third tri NON-BILLABLE CODE
            • O31.23X0 - Cont preg aft uterin dth of one fts or more, third tri, unsp BILLABLE CODE
            • O31.23X1 - Cont preg aft uterin dth of one fts or more, third tri, fts1 BILLABLE CODE
            • O31.23X2 - Cont preg aft uterin dth of one fts or more, third tri, fts2 BILLABLE CODE
            • O31.23X3 - Cont preg aft uterin dth of one fts or more, third tri, fts3 BILLABLE CODE
            • O31.23X4 - Cont preg aft uterin dth of one fts or more, third tri, fts4 BILLABLE CODE
            • O31.23X5 - Cont preg aft uterin dth of one fts or more, third tri, fts5 BILLABLE CODE
            • O31.23X9 - Cont preg aft uterin dth of one fts or more, third tri, oth BILLABLE CODE
            • O31.3 - Cont preg after elective fetal rdct of one fetus or more NON-BILLABLE CODE
            • O31.30 - Cont preg aft elctv fetl rdct of one fetus or more, unsp tri NON-BILLABLE CODE
            • O31.30X0 - Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,unsp BILLABLE CODE
            • O31.30X1 - Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts1 BILLABLE CODE
            • O31.30X2 - Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts2 BILLABLE CODE
            • O31.30X3 - Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts3 BILLABLE CODE
            • O31.30X4 - Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts4 BILLABLE CODE
            • O31.30X5 - Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts5 BILLABLE CODE
            • O31.30X9 - Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri, oth BILLABLE CODE
            • O31.31 - Cont preg aft elctv fetl rdct of one fts or more, first tri NON-BILLABLE CODE
            • O31.31X0 - Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, unsp BILLABLE CODE
            • O31.31X1 - Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts1 BILLABLE CODE
            • O31.31X2 - Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts2 BILLABLE CODE
            • O31.31X3 - Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts3 BILLABLE CODE
            • O31.31X4 - Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts4 BILLABLE CODE
            • O31.31X5 - Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts5 BILLABLE CODE
            • O31.31X9 - Cont preg aft elctv fetl rdct of 1 fts or more, 1st tri, oth BILLABLE CODE
            • O31.32 - Cont preg aft elctv fetal rdct of one fetus or more, 2nd tri NON-BILLABLE CODE
            • O31.32X0 - Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, unsp BILLABLE CODE
            • O31.32X1 - Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts1 BILLABLE CODE
            • O31.32X2 - Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts2 BILLABLE CODE
            • O31.32X3 - Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts3 BILLABLE CODE
            • O31.32X4 - Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts4 BILLABLE CODE
            • O31.32X5 - Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts5 BILLABLE CODE
            • O31.32X9 - Cont preg aft elctv fetl rdct of 1 fts or more, 2nd tri, oth BILLABLE CODE
            • O31.33 - Cont preg aft elctv fetl rdct of one fts or more, third tri NON-BILLABLE CODE
            • O31.33X0 - Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, unsp BILLABLE CODE
            • O31.33X1 - Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts1 BILLABLE CODE
            • O31.33X2 - Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts2 BILLABLE CODE
            • O31.33X3 - Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts3 BILLABLE CODE
            • O31.33X4 - Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts4 BILLABLE CODE
            • O31.33X5 - Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts5 BILLABLE CODE
            • O31.33X9 - Cont preg aft elctv fetl rdct of 1 fts or more, 3rd tri, oth BILLABLE CODE
            • O31.8 - Other complications specific to multiple gestation NON-BILLABLE CODE
            • O31.8X - Other complications specific to multiple gestation NON-BILLABLE CODE
            • O31.8X1 - Oth comp specific to multiple gestation, first trimester NON-BILLABLE CODE
            • O31.8X10 - Oth comp specific to multiple gest, first trimester, unsp BILLABLE CODE
            • O31.8X11 - Oth comp specific to multiple gest, first trimester, fetus 1 BILLABLE CODE
            • O31.8X12 - Oth comp specific to multiple gest, first trimester, fetus 2 BILLABLE CODE
            • O31.8X13 - Oth comp specific to multiple gest, first trimester, fetus 3 BILLABLE CODE
            • O31.8X14 - Oth comp specific to multiple gest, first trimester, fetus 4 BILLABLE CODE
            • O31.8X15 - Oth comp specific to multiple gest, first trimester, fetus 5 BILLABLE CODE
            • O31.8X19 - Oth comp specific to multiple gest, first trimester, oth BILLABLE CODE
            • O31.8X2 - Oth comp specific to multiple gestation, second trimester NON-BILLABLE CODE
            • O31.8X20 - Oth comp specific to multiple gest, second trimester, unsp BILLABLE CODE
            • O31.8X21 - Oth comp specific to multiple gest, second tri, fetus 1 BILLABLE CODE
            • O31.8X22 - Oth comp specific to multiple gest, second tri, fetus 2 BILLABLE CODE
            • O31.8X23 - Oth comp specific to multiple gest, second tri, fetus 3 BILLABLE CODE
            • O31.8X24 - Oth comp specific to multiple gest, second tri, fetus 4 BILLABLE CODE
            • O31.8X25 - Oth comp specific to multiple gest, second tri, fetus 5 BILLABLE CODE
            • O31.8X29 - Oth comp specific to multiple gest, second trimester, oth BILLABLE CODE
            • O31.8X3 - Oth comp specific to multiple gestation, third trimester NON-BILLABLE CODE
            • O31.8X30 - Oth comp specific to multiple gest, third trimester, unsp BILLABLE CODE
            • O31.8X31 - Oth comp specific to multiple gest, third trimester, fetus 1 BILLABLE CODE
            • O31.8X32 - Oth comp specific to multiple gest, third trimester, fetus 2 BILLABLE CODE
            • O31.8X33 - Oth comp specific to multiple gest, third trimester, fetus 3 BILLABLE CODE
            • O31.8X34 - Oth comp specific to multiple gest, third trimester, fetus 4 BILLABLE CODE
            • O31.8X35 - Oth comp specific to multiple gest, third trimester, fetus 5 BILLABLE CODE
            • O31.8X39 - Oth comp specific to multiple gest, third trimester, oth BILLABLE CODE
            • O31.8X9 - Oth comp specific to multiple gestation, unsp trimester NON-BILLABLE CODE
            • O31.8X90 - Oth comp specific to multiple gest, unsp trimester, unsp BILLABLE CODE
            • O31.8X91 - Oth comp specific to multiple gest, unsp trimester, fetus 1 BILLABLE CODE
            • O31.8X92 - Oth comp specific to multiple gest, unsp trimester, fetus 2 BILLABLE CODE
            • O31.8X93 - Oth comp specific to multiple gest, unsp trimester, fetus 3 BILLABLE CODE
            • O31.8X94 - Oth comp specific to multiple gest, unsp trimester, fetus 4 BILLABLE CODE
            • O31.8X95 - Oth comp specific to multiple gest, unsp trimester, fetus 5 BILLABLE CODE
            • O31.8X99 - Oth comp specific to multiple gestation, unsp trimester, oth BILLABLE CODE