O42.01
O42.01: Preterm premature rupture of membranes, onset of labor within 24 hours of rupture
Non-billable headerICD-10-CM
O42.01 is a non-billable header ICD-10-CM code for preterm premature rupture of membranes, onset of labor within 24 hours of rupture. It cannot be billed on its own: choose one of the more specific child codes below.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Premature rupture of membranes before 37 completed weeks of gestation
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead O42.01
4 child codes. Green means billable.
- O42.011Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, first trimester
- O42.012Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, second trimester
- O42.013Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, third trimester
- O42.019Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, unspecified trimester