Is O42.013 a billable ICD-10-CM code?

Yes. O42.013 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O42.013 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48).

O42.013

O42.013 — Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, third trimester

Billable / specific codeICD-10-CM

O42.013 is a billable, specific ICD-10-CM code for preterm premature rupture of membranes, onset of labor within 24 hours of rupture, third trimester. It is valid for submission on a claim.

Risk adjustment

O42.013 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Related codes at this level

Codes that share O42.01. If O42.013 is not quite right, the correct code is usually one of these.

Questions about O42.013

Is O42.013 a billable ICD-10-CM code?: Yes. O42.013 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O42.013 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48).