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O42.02

O42.02Full-term premature rupture of membranes, onset of labor within 24 hours of rupture

Billable / specific codeICD-10-CM

O42.02 is a billable, specific ICD-10-CM code for full-term premature rupture of membranes, onset of labor within 24 hours of rupture. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Premature rupture of membranes at or after 37 completed weeks of gestation, onset of labor within 24 hours of rupture

Risk adjustment

O42.02 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.

How O42.02 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to O42.02.

  • Pregnancycomplicated bypremature rupture of membraneswith onset of laborwithin 24 hoursat or after 37 weeks gestation, onset of labor within 24 hours of rupture

Related codes at this level

Codes that share O42.0. If O42.02 is not quite right, the correct code is usually one of these.

Questions about O42.02

Is O42.02 a billable ICD-10-CM code?
Yes. O42.02 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O42.02 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).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.